Skip to main content

Table 2 categories and sub-classifications extracted from interview and focus group

From: Differences in medication reconciliation interventions between six hospitals: a mixed method study

WHO

A

B

C

D

E

F

Patient selection:

Non

Non

Non

Non

High risk patientsa

Exclusion UDSb

Type of pharmacy team members involved:

Pharmaceutical consultant

Pharmacy technician + pharmacist check

Pharmacy technician + pharmacist check

Pharmacy technician + specialized pharmacy technician + pharmaceutical consultant

Specialized pharmacy technician + pharmaceutical consultant + pharmacist

Pharmacy technician

   

Nurse

Nurse

  

WHERE (location interview)

A

B

C

D

E

F

Admission

 

On the ward

Outpatient clinic (elective)

@ home (mail/phone)

Elective patients: @ home (mail/phone)

@ home (mail/phone)

Outpatient clinic (elective)

  

On the ward

On the ward

On the ward

On the ward

On the ward

Discharge

 

On the ward

Outpatient pharmacyd

On the ward

Outpatient pharmacy

On the ward

Outpatient pharmacy

   

Outpatient pharmacy

 

Outpatient pharmacy + @home by phone

 

HOW (process)

A

B

C

D

E

F

Admission

Verification: Information collection

digital or paper-based pharmacy dispensing information and GP

Digital pharmacy dispensing information

Patient list, extra check high risk patientsc, lab results

Digital pharmacy dispensing information

digital or paper-based pharmacy dispensing information and GP

digital or paper-based pharmacy dispensing information

Clarification: Optimisation medication

8 focuspoints, generally discussed @ discharge

Thrombo-profylaxis, oral antidiabetics

see above: focus on renal function, pain meds

No extra checks

see discharge

no extra checks

 

Substitution

 

No substitution

 

Substitution

 

Suggested medication changes

implementation of medication changes after check with physician

implementation of medication changes by pharmacy without physician check

implementation of medication changes after check with physician

Only acutely based on prescriptions

discussion with doctor after medication review

Only acutely based on prescriptions

Documentation

On electronic dispensing information from pharmacy and checklist (not visible for other healthcare professionals)

On checklist (not visible for other healthcare professionals)

On Checklist (not visible for other healthcare professionals)

? not visible for other healthcare professionals

In EPD and on electronic dispensing information from pharmacy (partly available for other healthcare professionals)

Electronic pre-registration (elective patients) available for other healthcare professionals

Discharge

Optimisation (number of focuspoints)

8

2

2

0

6e

3 (surgical ward only)

WHEN (timing activity)

A

B

C

D

E

F

Admission

Interview elective patients (moment)

Discharge

Day admission

Day admission

Weeks before procedure by mail

Weeks before procedure

Weeks before procedure by phone

Weeks before procedure

Interview will be performed

If discharge announced 24 h beforehand

Only if patient passes by outpatient pharmacy

Always

Only if patient passes by outpatient pharmacy

If discharge announced 24 h beforehand

Only if patient passes by outpatient pharmacy

  1. aPatient interview only in case of > 3 chronic drugs + 50 years or over (70–80% of all patients)
  2. bpatients with drugs dispensed in unified dosing systems (UDS, Baxter)) are not counselled
  3. cextra check for high risk patients right before admission (age > 65 years and > 5 chronic medications). All patients fill out their own medication lists before the elective admission
  4. dAn outpatient pharmacy is a pharmacy based in the outpatient clinic of a hospital with community pharmacy activities, generally with close connections with the hospital pharmacy
  5. eall issues during medication review if applicable + check on renal function and electrolytes