Identifying medication order discrepancies during medication reconciliation: Perceptions of nursing home leaders and staff

Journal of Nursing Management

Volumn 22, Issue 3, 2014, Pages 362-372

  Vogelsmeier, Amy ^a  

^a UNIVERSITY OF MISSOURI   (United States)

Author keywords

Medication order discrepancies; Medication reconciliation; Medication safety; Nursing homes

Indexed keywords

ADVERSE DRUG REACTION; FEMALE; HUMAN; MALE; MEDICATION ERROR; MEDICATION THERAPY MANAGEMENT; NURSE; NURSE ADMINISTRATOR; NURSING; NURSING HOME; PERCEPTION; PROCEDURES; PSYCHOLOGY; QUALITATIVE RESEARCH; STANDARDS; UNITED STATES;

DRUG-RELATED SIDE EFFECTS AND ADVERSE REACTIONS; FEMALE; HUMANS; MALE; MEDICATION ERRORS; MEDICATION RECONCILIATION; NURSE ADMINISTRATORS; NURSES; NURSING HOMES; PERCEPTION; QUALITATIVE RESEARCH; UNITED STATES;

EID: 84899489108     PISSN: 09660429     EISSN: 1365263X     Source Type: Journal    
DOI: 10.1111/jonm.12165     Document Type: Article

References (36)

1. American Society of Health-System Pharmacists. (2012) Improving Care Transitions: Optimizing Medication Reconciliation. Available at: http://www.ashp.org/DocLibrary/Policy/PatientSafety/Optimizing-Med-Reconciliation.aspx, accessed 12 December 2012.
2. Boblin S., Baxter P., Alvarado K., Baumann A. & Akhtar-Danesh N. (2008) Registered nurses and licensed/registered practical nurses: a description and comparison of their decision-making process. Nursing Leadership 21, 56-72.
3. Boockvar K.S. & Burack O.R. (2007) Organizational relationships between nursing homes and hospitals and quality of care during hospital-nursing home patient transfers. Journal of American Geriatric Society 55, 1078-1084.
4. Boockvar K.S., Carlson LaCorte H., Giambanco V., Fridman B. & Siu A. (2006) Medication reconciliation for reducing drug-discrepancy adverse event. American Journal of Geriatric Pharmacotherapy 4, 236-243.
5. Boockvar K.S., Liu S., Goldstein N., Nebeker J., Siu A. & Fried T. (2009) Prescribing discrepancies likely to cause adverse drug events after patient transfer. Quality and Safety in Health Care 18, 32-36.
6. Boockvar K.S., Blum S., Kugler A., Livote E., Mergenhagen K.A., Nebeker J.R., et al. (2011) Effect of admission medication reconciliation on adverse drug events from admission medication changes. Archives of Internal Medicine 171, 860-861.
7. Chhabra P.T., Rattinger G.B., Dutcher S.K., Hare M.E., Parsons K.L. & Zuckerman I.H. (2012) Medication reconciliation during the transition to and from long-term care settings: a systematic review. Research in Social and Administrative Pharmacy 8, 60-75.
8. Corazzini K.N., Anderson R.A., Mueller C., McConnell E.S., Landerman L.R., Thorpe J.M., et al. (2011) Regulation of LPN scope of practice in long term care. Journal of Nursing Regulation 2, 20-39.
9. Corazzini K.N., Anderson R.A., Mueller C., Hunt-McKinney S., Day L. & Porter K. (2013) Understanding RN and LPN patterns of practice in nursing homes. Journal of Nursing Regulation 4, 14-18.
10. Cornish P.L., Knowles S.R., Marchesano R., Tam V., Shadowitz S., Juurlink D.N., et al. (2005) Unintended medication discrepancies at the time of hospital admission. Archives of Internal Medicine 165, 424-429.
11. Crabtree B.F. & Miller W.L. (1992) Doing Qualitative Research. Sage, Newbury Park, CA.
12. Crotty M., Rowett D., Spurling L., Giles L.C. & Phillips P.A. (2004) Does the addition of a pharmacist transition coordinator improve evidence based medication management and health outcomes in older adults moving from the hospital to a long term care facility: results of a randomized, controlled trial. American Journal of Geriatric Pharmacotherapy 2, 257-264.
13. Delate T., Chester E.A., Stubbings T.W. & Barnes C.A. (2008) Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. Pharmacotherapy 28, 444-452.
14. DeSantis L. & Ugarriza D.N. (2000) The concept of theme as used in qualitative nursing research. Western Journal of Nursing Research 22 (3), 351-372.
15. Feldman L.S., Costa L.L., Feroli E.R., Nelson T., Poe S.S., Frick K.D., et al. (2012) Nurse-pharmacist collaboration on medication reconciliation prevents potential harm. Journal of Hospital Medicine 7, 396-401.
16. Gabe M.E., Davies G.A., Murphy F., Davies M., Johnstone L. & Jordan S. (2011) Adverse drug reactions: treatment burdens and nurse-led medication monitoring. Journal of Nursing Management 19, 377-392.
17. Gurwitz J.H., Field T.S., Judge J., Rochon P., Harrold L.R., Cadoret C., et al. (2005) The incidence of adverse drug events in two large academic long-term care facilities. American Journal of Medicine 118, 251-258.
18. Hajjar E.R., Hanlon J.T., Artz M.B., Lindblad C.I., Pieper C.F., Sloane R.J., et al. (2003) Adverse drug reaction risk factors in older outpatients. American Journal of Geriatric Pharmacotherapy 1, 82-89.
19. Handler S.M., Wright R.M., Ruby C.M. & Hanlon J.T. (2006) Epidemiology of medication related adverse events in nursing homes. American Journal of Geriatric Pharmacotherapy 4, 264-272.
20. Horn S., Buerhaus P., Berstrom N. & Smout R.J. (2005) RN staffing time and outcomes of long-stay nursing home residents. American Journal of Nursing 105, 58-70.
21. Institute of Medicine. (2007) Preventing Medication Errors. Available at: National Academies Press website: http://books.nap.edu/openbook.php?record_id=11623, accessed 10 January 2013.
22. Joint Commission. (2013) National Patient Safety Goals Effective January 1, 2013. Available at: http://www.jointcommission.org/assets/1/18/NPSG_Chapter_Jan2013_LTC.pdf, accessed 30 January 2013.
23. Longo D.R., Young J., Mehr D., Lindbloom E. & Salerno L.D. (2004) Barriers to timely care of acute infections in nursing homes: a preliminary qualitative study. Journal of the American Medical Directors Association 5, S5-S10.
24. Mueller C., Anderson R.A., McConnell E.S. & Corazzini K. (2012) Licensed nurses responsibilities in nursing homes: a scope of practice issue? Journal of Nursing Regulation 3, 1-8.
25. National Council State Boards of Nursing. (2011) NCSBN Model Nursing Practice Act and Model Nursing Administrative Rule. Available at: https://www.ncsbn.org/Model_Nursing_Practice_Act_March2011.pdf, accessed 1 May 2013.
26. Nebeker J.R., Barach P. & Samore M.H. (2004) Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting. Annals of Internal Medicine 140, 795-801.
27. Polit D.F. & Beck C.T. (2004) Nursing Research: Principles and Methods, 7th edn. Lippincott Williams & Wilkins, Philadelphia, PA.
28. Powers E., Stech F. & Burns K. (2010) A behavioral model of team sensemaking. International C2 Journal 4(1).Available at: http://www.dodccrp.org/files/IC2J_v4n1_04_Powers.pdf, accessed 25 October 2012.
29. Saldana J. (2009) The Coding Manual for Qualitative Analysis. Sage, Thousand Oaks, CA.
30. Seblega B.K., Zhang N.J., Unruh L.Y., Breen G.M., Paek S.C. & Wan T.H. (2010) Changes in nursing home staff staffing levels, 1997-2007. Medical Care Research Review 67, 232-246.
31. Stewart D.W. & Shamdasani P.N. (1990) Focus Groups: Theory and Practice. Sage, Newbury Park, CA.
32. Tija J., Bonner A., Briesacher B.A., McGee S., Terrill E. & Miller K. (2009) Medication order discrepancies upon hospital to skilled nursing facility transitions. Journal of General Internal Medicine 24, 630-635.
33. Vogelsmeier A., Scott-Cawiezell J. & Zellmer D. (2007) Barriers to safe medication administration in the nursing home. Journal of Gerontological Nursing 33 (4), 5-12.
34. Vogelsmeier A., Scott-Cawiezell J. & Pepper G. (2011) Medication reconciliation in nursing homes: thematic differences between RN and LPN staff. Journal of Gerontological Nursing 37, 56-63.
35. Vogelsmeier A., Pepper G., Oderda L. & Weir C. (2013) Medication reconciliation: a qualitative analysis of clinicians' perceptions. Research and Social Administrative Pharmacy 9 (4), 419-430.
36. Weick K. (1995) Sensemaking in Organizations. Sage, Thousand Oaks, CA.