Abstract
Medication reconciliation is an important aspect of a patient’s care process that is ideally performed by clinical pharmacists. Despite literature supporting this process in other patient populations, cystic fibrosis (CF) lacks research in this area. To address this, we designed a retrospective, multi-centered, non-controlled, cross-sectional study at four CF Foundation-accredited centers in the United States to evaluate the medication reconciliation process for adult and pediatric CF patients by documenting the number of home medications reconciled by clinical pharmacists and the number of patients with home medications that did not align with the current CF guidelines published in 2013. There were 105 adult patients and 72 pediatric patients included in the study analysis with a mean number of medications reconciled by clinical pharmacists of 17.4 (standard deviation (SD) 6.7) for adults and 13 (SD 4.6) for pediatric patients. The mean number of discrepancies from guidelines per patient was 1.61 (SD 1.2) for adult patients and 0.63 (SD 0.9) for pediatric patients. Pharmacists play an essential role in identifying and managing medication interactions and further research is necessary to investigate pharmacist impact on medication reconciliation.
Highlights
Medication reconciliation is an important aspect of a patient’s care process
In accordance with the European Cystic Fibrosis Society (ECFS) and UK standards of care guidelines for cystic fibrosis (CF) clinical pharmacists, the primary objective of this study was to evaluate the medication reconciliation process for adult and pediatric CF patients by documenting the number of home medications reconciled by clinical pharmacists and the number of patients with home medications that did not align with current CF
The mean number of medications reconciled by clinical pharmacists was 17.4 (standard deviation (SD) 6.7) for adults and 13 (SD 4.6) for pediatric patients
Summary
Medication reconciliation is an important aspect of a patient’s care process. This process is ideally performed by clinical pharmacists to obtain complete and accurate information from a patient regarding medications and resolve discrepancies or potential medication-related problems [1,2].Several studies demonstrated that medication reconciliation identifies up to 98.2% of unintentional medication discrepancies [3]. Medication reconciliation is an important aspect of a patient’s care process. This process is ideally performed by clinical pharmacists to obtain complete and accurate information from a patient regarding medications and resolve discrepancies or potential medication-related problems [1,2]. The current literature demonstrates the importance of medication reconciliation in the elderly [4], internal medicine [5,6,7], surgery patients [5], and high-risk patients [8]. Pharmaceutical Care Practice for CF Clinical Pharmacists; Cystic Fibrosis Trust: London, UK, 2011. P.J., Jr.; Naureckas, E.T.; Robinson, K.A.; Mueller, G.; Hadjiliadis, D.; Hoag, J.B.; Lubsch, L.; Hazle, L.; Sabadosa, K.; Marshall, B.; et al Cystic fibrosis pulmonary guidelines: Chronic medications for maintenance of lung health.
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