Medication reconciliation (MR) is essential to limit drug-related problems that occur during care transitions in and out of care institutions. Pharmacy-led medication reconciliation has been shown to reduce medication discrepancies, preventable harm and hospital readmissions. However, these consultations are time-consuming. The Erasmus Medical Center is currently developing a mobile-based patient portal. After receiving an invitation to perform medication reconciliation in the app, patients can review their medication and allergies at home. Next, pharmacy technicians manually verify all patient-entered data on completeness and quality. The investigators hypothesize that mobile-based medication reconciliation results in increased patient insight. Yet, it is unknown if mobile-based medication reconciliation is feasible, saves time, and is of high quality. Therefore, the primary study objectives are to assess (1) the feasibility of patients performing medication reconciliation using a mobile-based patient portal, (2) the time investment of pharmacy technicians in mobile-based medication reconciliation (and related costs), in comparison to standard practice, and (3) the quality of patients' pre-verified medication lists. The secondary study objective is to assess patients' and pharmacy technicians' acceptability of performing medication reconciliation using a mobile-based patient portal. This is a prospective quality evaluation study assessing mobile-based medication reconciliation. All adult patients (18 years or older) who are admitted to (a selection of) clinical ward in Erasmus Medical Center and who are asked to complete medication reconciliation are eligible. In the patient app, patients review ('pre-verify') their medications and allergies, after which pharmacy technicians check and manually approve ('verify') all patient-entered data and determine whether a follow-up interview is needed. Feasibility is defined as the successful completion rate of digital medication reconciliation, and the need for additional interviews. Time investment by pharmacy technicians (and related costs) are determined by timing the duration of all patient-bound medication reconciliation-related tasks, both in standard care and when using mobile-based reconciliation. The quality of verification is determined by comparing patients' pre-verified medication list to pharmacy technician-verified lists. Acceptability is defined as the perceived usability of medication reconciliation by patients and by pharmacy technicians.
Age range
18 Years
Sex
ALL
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Feasibility (1/4): completion rate of digital MR by patients
Timeframe: During quality evaluation of the patient app, an average of 3 months
Feasibility (2/4): the time it takes patients to perform digital MR (in minutes)
Timeframe: During quality evaluation of the patient app, an average of 3 months
Feasibility (3/4): the need for live, follow-up interviews after performing digital MR
Timeframe: During quality evaluation of the patient app, an average of 3 months
Feasibility (4/4): how often the helpdesk was contacted
Timeframe: During quality evaluation of the patient app, an average of 3 months
The time investment by pharmacy technicians per patient in the digital MR process, compared to the current situation (in minutes)
Timeframe: Before launch of the patient app, during an average of 2 months, and during quality evaluation of the patient app, an average of 3 months
The quality of a patient's pre-verified medication list, compared to the pharmacy technician's verified medication list
Timeframe: During quality evaluation of the mobile-based medication reconciliation tool, an average of 3 months