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Table 1 MedRec gap analysis questionnaire

From: Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources

Questions

Data collection sites

WDMH

FHT Ontario

Cornwall LTC

Local community pharmacy

Who conducts the BPMH?

Ward nurses

Pharmacy technician

Pharmacist

Not applicable

MedRec list is reviewed by community pharmacist and reconciled based on conversation with clinical pharmacist in the hospital/LTC

Other questions are not applicable

Are all staff trained to collect BPMH?

Some

Yes

Yes

Is there a MedRec process incorporated into workflow?

No

Yes

Yes

How often are BPMH obtained before medication orders?

Over 80%

90%

75%

Howe often was the patient and/or caregiver interviewed when collecting the BPMH?

50%

100%

Over 80%

Do physicians request a BPMH to be completed by pharmacy staff?

No

Yes

Yes

How is patient information communicated to community pharmacists and family physicians?

Fax

Face-to-face communication between physician and pharmacist

Fax and phone calls

Are patients counselled on changes to their medications at discharge?

Yes, however only if discrepancies were found

Yes

Yes