Implementation of an interprofessional learner team-based medication reconciliation and review in an Internal Medicine-Pediatrics resident continuity clinic

Abstract

Abstract Background Medication errors are a substantial health problem. There is limited data evaluating the implementation of an interprofessional medication reconciliation in the outpatient setting. Purpose To describe and evaluate the implementation of an interprofessional team-based medication reconciliation quality improvement project in a medical resident primary care clinic. Methods Quality improvement methods were utilized for the project from May 2017 to May 2019. Medication reconciliations were performed for high-risk patients prior to their meeting with a medical resident for a primary care visit. Medication Therapy Problems (MTPs) and medication discrepancies were documented and then evaluated. Results Over 2 years, 287 MTPs and 680 medication discrepancies were identified. The average MTP per patient was 1.8 and resolution of MTPs was 46%. Conclusions This quality improvement project yielded the identification of medication list discrepancies and the identification and resolution of medication therapy problems in an outpatient medical setting. Additional studies are needed to determine clinical impact.