Trial reportEuropean journal of clinical pharmacology2014
Should nurses or clinical pharmacists perform medication reconciliation? A randomized controlled trial.
Trial report in European journal of clinical pharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Prevalence and solving strategies of drug-related problems in adult psychiatric inpatients - a systematic review.Frontiers in psychiatry · 2024Pooled it
- Reducing medication errors for adults in hospital settings.The Cochrane database of systematic reviews · 2021Pooled it
- A Systematic Review of the Legal Considerations Surrounding Medicines Management.Medicina (Kaunas, Lithuania) · 2021Pooled it
- Pooled it
- The medication reconciliation process and classification of discrepancies: a systematic review.British journal of clinical pharmacology · 2016Pooled it
- Nurses' perspectives on obtaining best possible medication histories in a virtual care setting: a qualitative study.BMC health services research · 2026Article
- Medication information completeness in discharge summaries from a Norwegian rural hospital - a cross-sectional study.BMC health services research · 2025Article
- Physicians' experiences with pharmacists as new members of the interprofessional emergency department team. A qualitative study.PloS one · 2025Article
- How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study.BMC emergency medicine · 2024Observational
- Emergency department physicians' experiences and perceptions with medication-related work tasks and the potential role of clinical pharmacists.International journal of qualitative studies on health and well-being · 2023Article
- Medication reconciliationEuropean journal of hospital pharmacy : science and practice · 2023Article
- Accuracy of best possible medication histories by pharmacy students: an observational study.International journal of clinical pharmacy · 2023Observational
- Clinical pharmacist interventions in the transition of care in a mental health hospital: case reports focused on the medication reconciliation process.Frontiers in psychiatry · 2023Article
- Pharmacists and medication reconciliation: a review of recent literature.Integrated pharmacy research & practice · 2019Article
- Accuracy of best possible medication history documentation by pharmacists at an Australian tertiary referral metropolitan hospital.European journal of hospital pharmacy : science and practice · 2018Article
- Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records.International journal of clinical pharmacy · 2017Article
- Whose responsibility is medication reconciliation: Physicians, pharmacists or nurses? A survey in an academic tertiary care hospital.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2017Article
- Improving medication adherence: a framework for community pharmacy-based interventions.Integrated pharmacy research & practice · 2015Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo study differences in outcomes of medication reconciliation (MR) when performed by clinical pharmacists compared to nurses.
methods201 patients (21-92 years) admitted to the Department of Cardiology at the University Hospital of North Norway, autumn 2012, were randomized into a pharmacist group (PG) and a nurse group (NG). The nurses and the pharmacists were trained for performing the MR process by an independent clinical pharmacist. Medication discrepancies (MDs) were discussed with the physicians. Time spent during the MR was recorded. An independent expert group rated clinical relevance of the MDs retrospectively.
resultsAt least one MD was identified in 78 % and 84 % of patients in PG and NG, respectively (P = 0.269) with a mean number of MDs per patient 3.1 (SD 2.1) and 2.8 (SD 2.2), respectively (P = 0.528). Mean time spent/patient on the MR process was 22.9 min (SD 11.6) in the PG and 32.2 min (SD 20.3) in the NG (P < 0,001). Physicians agreed significantly more often to act upon the MDs presented by pharmacists compared to nurses (P = 0.001). The expert group finally assessed 48 % and 49 % of the MDs to be of the clinical relevance in the PG and the NG, respectively.
conclusionsBy applying a structured method for MR, a small however not statistically significant difference in identified MDs between nurses and clinical pharmacists was revealed. The pharmacists spent significantly less time than the nurses, and physicians agreed significantly more often with the pharmacist that action should be taken on the MDs. This is important in the discussion of who to perform MR.
Indexed as
Identifiers
25187339What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.