Implications of involving pharmacy technicians in obtaining a best possible medication history from the perspectives of pharmaceutical, medical and nursing staff: a qualitative study

BMJ Open
Andrea NiederhauserDavid L B Schwappach

Abstract

In recent years, the involvement of pharmacy technicians in medication reconciliation has increasingly been investigated. The aim of this study was to assess the implications on professional roles and collaboration when a best possible medication history (BPMH) at admission is obtained by pharmacy technicians. Qualitative study with semistructured interviews. Data were analysed using a qualitative content analysis approach. Internal medicine units in two mid-sized Swiss hospitals. 21 staff members working at the two sites (6 pharmacy technicians, 2 pharmacists, 6 nurses, 5 physician residents and 2 senior physicians). Pharmacy technicians generally appreciated their new tasks in obtaining a BPMH. However, they also experienced challenges associated with their new role. Interviewees reported unease with direct patient interaction and challenges with integrating the new BPMH tasks into their regular daily duties. We found that pharmacists played a key role in the BPMH process, since they act as coaches for pharmacy technicians, transmit information to the physicians and reconcile preadmission medication lists with admission orders. Physicians stated that they benefitted from the delegation of administrative tasks to pharmacy tech...Continue Reading

Citations

Jul 26, 2018·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Liat FishmanDavid Schwappach
Oct 30, 2020·Pharmacy : Journal of Pharmacy, Education and Practice·Mojtaba VaismoradiManela Glarcher
Feb 16, 2021·Journal of the American Pharmacists Association : JAPhA·Kristine ZhangMarci Salow
Jul 20, 2021·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Leva JaberizadehStephanie Thrall

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