Skip to main content
Erschienen 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

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

Erschienen in: Journal of General Internal Medicine | Ausgabe 7/2008

Einloggen, um Zugang zu erhalten

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.
Literatur
1.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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
Metadaten
Titel
Teaching Medication Reconciliation Through Simulation: A Patient Safety Initiative for Second Year Medical Students
verfasst von
Lee A. Lindquist, MD MPH
Kristine M. Gleason, RPh
Molly R. McDaniel, PharmD
Allan Doeksen, BA
David Liss, BA
Publikationsdatum
01.07.2008
Verlag
Springer-Verlag
Erschienen in
Journal of General Internal Medicine / Ausgabe 7/2008
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-008-0567-3

Weitere Artikel der Ausgabe 7/2008

Journal of General Internal Medicine 7/2008 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

15% bedauern gewählte Blasenkrebs-Therapie

29.05.2024 Urothelkarzinom Nachrichten

Ob Patienten und Patientinnen mit neu diagnostiziertem Blasenkrebs ein Jahr später Bedauern über die Therapieentscheidung empfinden, wird einer Studie aus England zufolge von der Radikalität und dem Erfolg des Eingriffs beeinflusst.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.