Skip to main content
Top
Published in: Journal of General Internal Medicine 7/2008

01-07-2008 | Innovations in Education

Teaching Medication Reconciliation Through Simulation: A Patient Safety Initiative for Second Year Medical Students

Authors: Lee A. Lindquist, MD MPH, Kristine M. Gleason, RPh, Molly R. McDaniel, PharmD, Allan Doeksen, BA, David Liss, BA

Published in: Journal of General Internal Medicine | Issue 7/2008

Login to get access

Abstract

Introduction

Errors in medication reconciliation constitute a large area of potential injury to patients. Medication reconciliation is rarely incorporated into medical school curriculums so students learn primarily from observing clinical care.

Aim

To design and implement an interactive learning exercise to teach second year medical students about medication reconciliation

Setting

Northwestern University Feinberg School of Medicine, Chicago, IL

Program Description

The Medication Reconciliation Simulation teaches medical students how to elicit information from active real-world sources to reconcile a medication history.

Program Evaluation

At the conclusion of the session, students completed a Likert scale survey rating the level of improvement in their knowledge and comfort in obtaining medication histories. Students rated their knowledge level as having increased by 27% and their comfort level as having increased by 20%. A full 91% of the 158 students felt that it should be performed again for the following medical student class.

Discussion

The Medication Reconciliation Simulation is the first to specifically target medication reconciliation as a curriculum topic for medical students. Students praised the entertaining simulation and felt it provided a very meaningful experience on the patient safety topic. This simulation is generalizable to other institutions interested in teaching medication reconciliation and improving medication safety.
Literature
1.
go back to reference Garbutt JM, Highstein G, Jeffe DB, Dunagan WC, Fraser VJ. Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital. Acad Med. 2005;80(6):594–9.CrossRefPubMed Garbutt JM, Highstein G, Jeffe DB, Dunagan WC, Fraser VJ. Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital. Acad Med. 2005;80(6):594–9.CrossRefPubMed
2.
go back to reference Crook ED, Stellini M, Levine D, Wiese W, Douglas S. Medical errors and the trainee: ethical concerns. Am J Med Sci. 2004;327(1):33–7.CrossRefPubMed Crook ED, Stellini M, Levine D, Wiese W, Douglas S. Medical errors and the trainee: ethical concerns. Am J Med Sci. 2004;327(1):33–7.CrossRefPubMed
3.
go back to reference Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29–34.CrossRefPubMed Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29–34.CrossRefPubMed
4.
go back to reference Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324(6):377–84.PubMed Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324(6):377–84.PubMed
5.
go back to reference Tam VC, Knowles S, Cornish PL, Fine N, Marchesano R, Etchells EE. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. CMAJ Can Med Assoc J. 2005;173(5):510–5.CrossRef Tam VC, Knowles S, Cornish PL, Fine N, Marchesano R, Etchells EE. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. CMAJ Can Med Assoc J. 2005;173(5):510–5.CrossRef
6.
go back to reference Pronovost P, Weast B, Schwarz M. Medication reconciliation: a practical tool to reduce the risk of medication errors. J Crit Care. 2003;18:201–56.CrossRefPubMed Pronovost P, Weast B, Schwarz M. Medication reconciliation: a practical tool to reduce the risk of medication errors. J Crit Care. 2003;18:201–56.CrossRefPubMed
7.
go back to reference Joint Commission on Accreditation of Healthcare Organizations USA. Using medication reconciliation to prevent errors. Sentinel Event Alert. 2006(35):1–4. Joint Commission on Accreditation of Healthcare Organizations USA. Using medication reconciliation to prevent errors. Sentinel Event Alert. 2006(35):1–4.
8.
go back to reference Ketchum K, Grass CA, Padwojski A. Medication reconciliation: verifying medication orders and clarifying discrepancies should be standard practice. Am J Nursing. 2005;105(11):78–9. Ketchum K, Grass CA, Padwojski A. Medication reconciliation: verifying medication orders and clarifying discrepancies should be standard practice. Am J Nursing. 2005;105(11):78–9.
9.
go back to reference Lau HS, Florax C, Porsius AJ, De Boer A. The completeness of medication histories in hospital medical records of patients admitted to general internal medicine wards. Br J Clin Pharmacol. 2000;49(6):597–603.CrossRefPubMed Lau HS, Florax C, Porsius AJ, De Boer A. The completeness of medication histories in hospital medical records of patients admitted to general internal medicine wards. Br J Clin Pharmacol. 2000;49(6):597–603.CrossRefPubMed
11.
go back to reference Cornish PL, Knowles S, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424–9.CrossRefPubMed Cornish PL, Knowles S, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424–9.CrossRefPubMed
12.
go back to reference Gleason KM, Groszek JM, Sullivan C, Rooney D, Barnard C, Noskin GA. Reconciliation of discrepancies in medication histories and admission orders of newly hospitalized patients. Am J Health-Syst Pharm. 2004;61(16):1689–95.PubMed Gleason KM, Groszek JM, Sullivan C, Rooney D, Barnard C, Noskin GA. Reconciliation of discrepancies in medication histories and admission orders of newly hospitalized patients. Am J Health-Syst Pharm. 2004;61(16):1689–95.PubMed
13.
go back to reference Kohn LT, Corrigan JM, Donaldson MS. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000. Kohn LT, Corrigan JM, Donaldson MS. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.
14.
go back to reference Rozich JD, Howard RJ, Justeson JM, Macken PD, Lindsay ME, Resar RK. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Saf. 2004;30(1):5–14.PubMed Rozich JD, Howard RJ, Justeson JM, Macken PD, Lindsay ME, Resar RK. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Saf. 2004;30(1):5–14.PubMed
Metadata
Title
Teaching Medication Reconciliation Through Simulation: A Patient Safety Initiative for Second Year Medical Students
Authors
Lee A. Lindquist, MD MPH
Kristine M. Gleason, RPh
Molly R. McDaniel, PharmD
Allan Doeksen, BA
David Liss, BA
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 7/2008
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-008-0567-3

Other articles of this Issue 7/2008

Journal of General Internal Medicine 7/2008 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine