Observational studyAmerican journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists2020
Implementation and sustainability of a medication reconciliation toolkit: A mixed methods evaluation.
Observational study in American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Best possible medication history interview guide: a rapid scoping review.BMJ open quality · 2026Article
- The development of the sustainability measure for healthcare using a modified Delphi process.BMC health services research · 2025Article
- A mixed-methods observational study of strategies for success in implementation science: overcoming emergency departments hurdles.BMC health services research · 2025Observational
- What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.BMJ quality & safety · 2023Article
- Community Pharmacy Recruitment for Practice-Based Research: Challenges and Lessons Learned.Pharmacy (Basel, Switzerland) · 2023Article
- Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review.BMJ open quality · 2022Article
- Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review.Systematic reviews · 2022Review
- Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.BMJ quality & safety · 2022Article
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Authors and funding
7 authors.
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Abstract
purposeMARQUIS (Multi-Center Medication Reconciliation Quality Improvement Study) provided participating hospitals with a toolkit to assist in developing robust medication reconciliation programs. Here we describe hospitals' implementation of the MARQUIS toolkit, barriers and facilitators, and important factors that may enhance the spread and sustainability of the toolkit.
methodsWe used a mixed methods, quantitative-qualitative study design. We invited site leaders of the 5 hospitals that participated in MARQUIS to complete a Web-based survey and phone interview. The Consolidated Framework for Implementation Research guided question development. We analyzed the collected data using descriptive statistics (for survey responses) and thematic content analysis (for interview results).
resultsSite leaders from each MARQUIS hospital participated. They reported that MARQUIS toolkit implementation augmented their hospitals' existing but limited medication reconciliation practices. Survey results indicated executive leadership support for toolkit implementation but limited institutional support for hiring staff (reported by 20% of respondents) and/or budgetary support for implementation (reported by 60% of respondents). Most participating hospitals (80%) shifted staff responsibilities to support medication reconciliation. Interview findings showed that inner setting (ie, organizational setting) and process factors (eg, designation of champions) both inhibited and facilitated implementation. Hospitals adopted a variety of toolkit interventions (eg, discharge medication counseling) using a range of implementation strategies, including development of educational tools and tip sheets for staff members and electronic health record templates.
conclusionDespite limited institutional support, hospitals can successfully implement, spread, and sustain the MARQUIS toolkit by shifting staff responsibilities, adding pharmacy staff, and using a variety of strategies to facilitate implementation. Although leadership support and resources for data collection and dissemination facilitated implementation, limited staff buy-in and competing priorities may hinder implementation.
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