Table 3 Suggestions for strategies based on barriers and drivers found
Barriers and drivers | Implementation strategy |
|---|---|
A lack of awareness of benefits of bundle | Process mapping of the medication reconciliation process to get insight into inefficiencies |
The bundle does not meet the wishes or needs of professionals | Tailoring bundle to local barriers and needs of professionals |
Compatibility | Use uniform and electronic forms between departments and between inpatient and outpatient setting |
Insufficient knowledge of professionals | Inform, thoroughly, professionals about the medication reconciliation process |
| Â | Use a training and implementation toolbox, including tools for transferring knowledge and forms for generating feedback |
|  | Generate feedback about professionals’ performance with quality indicators |
Feedback | Use a central database for medication errors occurring in inpatient and outpatient settings to generate feedback |
Collaboration between hospital and community caregivers | Adopt a multidisciplinary team approach including hospital and community caregivers generating a common purpose |
Limited knowledge of patient | Encourage patient empowerment through medication education |
Competitive spirit | Facilitate competition by publishing and comparing the performance of departments |
Extra resources to measure indicators | Integrate the measurement of indicators with existing ICT tools |
Unavailable information from community pharmacies | Adopt a regional or national electronic medication patient file |
during out of office hours | Â |
Task reallocation | Reallocate tasks to those professionals who are best educated to perform medication reconciliation |
| Â | Incorporate community pharmacists into the medication reconciliation process, due to their knowledge of comorbidities and medication history |
Multiple interventions at once | Synthesise the implementation of different interventions when possible |