Improving the Effectiveness of Medication Review: Guidance from the Health Literacy Universal Precautions Toolkit

Journal of the American Board of Family Medicine : JABFM
Barry D WeissDavid R West

Abstract

Although routine medication reviews in primary care practice are recommended to identify drug therapy problems, it is often difficult to get patients to bring all their medications to office visits. The objective of this study was to determine whether the medication review tool in the Agency for Healthcare Research and Quality Health Literacy Universal Precautions Toolkit can help to improve medication reviews in primary care practices. The toolkit's "Brown Bag Medication Review" was implemented in a rural private practice in Missouri and an urban teaching practice in California. Practices recorded outcomes of medication reviews with 45 patients before toolkit implementation and then changed their medication review processes based on guidance in the toolkit. Six months later we conducted interviews with practice staff to identify changes made as a result of implementing the tool, and practices recorded outcomes of medication reviews with 41 additional patients. Data analyses compared differences in whether all medications were brought to visits, the number of medications reviewed, drug therapy problems identified, and changes in medication regimens before and after implementation. Interviews revealed that practices made the cha...Continue Reading

Citations

Nov 30, 2016·Journal of Nutrition in Gerontology and Geriatrics·Amy Cameron EllisKristi Crowe-White
Jun 6, 2018·Circulation·Jared W MagnaniUNKNOWN American Heart Association Council on Epidemiology and Prevention; Council on Cardiovascular Disease in the Young; Council o
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