Evidence map›Paper›PMID 32576144›Full record

ArticleBMC family practice2020

Barriers and facilitators of medicines reconciliation at transitions of care in Ireland - a qualitative study.

Patrick Redmond, Khalid Munir, Oludare Alabi, Tamasine Grimes, Barbara Clyne, Carmel Hughes, Tom Fahey

Abstract read
In one paragraph

Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Patrick RedmondHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland. patrick.redmond@kcl.ac.uk.ORCID 0000-0002-3929-2018
Khalid MunirHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland.
Oludare AlabiHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland.
Tamasine GrimesSchool of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland.
Barbara ClyneHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland.
Carmel HughesHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland.
Tom FaheyHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland.

Funding

Health Research Board (Ireland) HRB Centre for Primary Care Research is supported by Health Research Board (HRB) grant HRC/2007/1. PR was an HRB PhD SPHeRE scholar and HRB Cochrane Fellow.
6 · The paper itself

Abstract

backgroundMedication error at transitions of care is common. The implementation of medicines reconciliation processes to improve this issue has been recommended by many regulatory and safety organisations. The aim of this study was to gain insight from healthcare professionals on the barriers and facilitators to the medicines reconciliation implementation process.

methodsSemi-structured interviews were conducted in Ireland with a wide range of healthcare professionals (HCPs) involved with medicines reconciliation at transitions of care. Thematic analysis was undertaken using an adaptation of a combined theoretical framework of Grol, Cabana and Sluisveld to classify the barriers and facilitators to implementation of medicines reconciliation.

resultsThirty-five participants were interviewed, including eleven community pharmacists (CPs), eight hospital pharmacists (HPs), nine hospital consultants (HCs), five general practitioners (GPs), and two non-consultant hospital doctors (NCHDs). Themes were categorized into barriers and facilitators. Barriers included resistance from existing professional cultures, staff interest and training, poor communication and minimal information and communications technology (ICT) support. Solutions (facilitators) suggested included supporting effective multidisciplinary teams, greater involvement of pharmacists in medicines reconciliation, ICT solutions (linked prescribing databases, decision support systems) and increased funding to provide additional (e.g. admission and discharge reconciliation) and more advanced services (e.g. community pharmacist delivered medicines use review).

conclusionsMedicines reconciliation is advocated as a solution to the known problem of medication error at transitions of care. This study identifies the key challenges and potential solutions that policy makers, managers and HCPs should consider when reviewing the practices and processes of medicines reconciliation in their own organisations.

Indexed as

Communication BarriersGeneral PractitionersHospitalistsMedication ErrorsMedication ReconciliationPatient TransferPharmacistsContinuity of Patient CareHumansInterdisciplinary CommunicationIrelandPatient DischargeQualitative ResearchSafety ManagementContinuity of patient care/organization & administrationHealth plan implementationMedicines reconciliationPatient safetyQualitative research

Identifiers

PMID32576144
PMCPMC7313163

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LicenceCC BY
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Registered trials

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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.