Investigation on the standardization of medication reconciliation service in national medical institutions
- VernacularTitle:全国医疗机构药物重整服务规范化开展情况的调查研究
- Author:
Xin TIAN
1
;
Xuelian YAN
1
;
Dan MEI
1
;
Jiancun ZHEN
2
,
3
;
Qunhong SHEN
4
;
Jin LU
5
Author Information
1. Dept. of Pharmacy，Peking Union Medical College Hospital，Chinese Academy of Medical Sciences and Peking Union Medical College，Beijing 100730，China
2. Pharmaceutical Specialized Committee，Chinese Hospital Association，Beijing 100035，China
3. Dept. of Pharmacy，Beijing Jishuitan Hospital，Capital Medical University，Beijing 100035，China
4. Health and Development Institute，School of Public Policy & Management，Tsinghua University，Beijing 100084，China
5. Dept. of Pharmacy，China-Japan Friendship Hospital，Beijing 100029，China
- Publication Type:Journal Article
- Keywords:
medication reconciliation;
medical institutions;
standardized training;
questionnaire
- From:
China Pharmacy
2024;35(10):1163-1167
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To provide a reference for the implementation and high-quality development of hospital medication reconciliation. METHODS A semi-structured questionnaire was designed to investigate the implementation of drug reconciliation services in medical institutions before and after the release of 5 standards such as Standard for Medication Reconciliation Services in Medical Institutions（“standards” for short，in 2021 and 2022）. Descriptive statistical analysis was conducted on the survey results. RESULTS After the promulgation of the standards， the medication reconciliation service rate of all types of medical institutions increased from 15.10% （434/2 874） in 2021 to 27.84%（363/1 304） in 2022. In 2022， in the 363 medical institutions providing drug reconciliation services， the median number of pharmacists involved in drug reconciliation was 6. The participation rate of pharmacists in standardized training for drug reconciliation services was 75.00%， among which the participation rate of third-class hospitals was higher， reaching 85.71%. The main stages covered by medication reconciliation services included patient admission， transfer between departments， and discharge. The main problems found in the service included repeated medication （252， 69.42%）， inappropriate usage and dosage （228， 62.81%）， drug interactions and adverse reactions （218， E-mail：cputianxin@163.com 60.06%）. Only 69 institutions （19.01%） had a separate electronic information recording system， while 48 institutions 58516003。E-mail：zhenjiancun@vip.163.com （13.22%） had established comprehensive quality management and evaluation improvement systems. In terms of value embodiment， 141 institutions （38.84%） did not provide any form of compensation to relevant pharmacists. “Closely linked to enhancing patient satisfaction and improving services” was the most significant experience influencing medication reconciliation work（192， 52.89%）， while “the shortage of talent which meet the relevant requirements” stands as the primary challenge faced by medical institutions at all levels（238， 65.56%）. CONCLUSIONS The release of the standards has effectively improved the development rate of medication reconciliation in national medical institutions. However， there is still room for improvement in various aspects， including the allocation of personnel for medication reconciliation services， service content， information management， and the construction of quality control and evaluation systems.
