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Pharmacy 2018, 6(3), 91; https://doi.org/10.3390/pharmacy6030091

Evaluation of Home Medication Reconciliation by Clinical Pharmacists for Adult and Pediatric Cystic Fibrosis Patients

1
Department of Pharmacy, University of Utah Health, Salt Lake City, UT 84132, USA
2
Department of Pharmacy Practice, West Coast University School of Pharmacy, Los Angeles, CA 90004, USA
3
Department of Pharmacy Practice, Loma Linda University School of Pharmacy, Loma Linda, CA 92354, USA
4
Department of Pharmacy, West Virginia University Heathcare, Morgantown, WV 26501, USA
5
Department of Pharmacy, Cook Children’s Medical Center, Fort Worth, TX 76104, USA
6
Department of Pharmacy Practice, University of Texas El Paso School of Pharmacy, El Paso, TX 79968, USA
7
Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
*
Author to whom correspondence should be addressed.
Received: 6 August 2018 / Revised: 17 August 2018 / Accepted: 20 August 2018 / Published: 23 August 2018
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Abstract

Medication reconciliation is an important aspect of a patient’s care process that is ideally performed by clinical pharmacists. Despite literature supporting this process in other patient populations, cystic fibrosis (CF) lacks research in this area. To address this, we designed a retrospective, multi-centered, non-controlled, cross-sectional study at four CF Foundation-accredited centers in the United States to evaluate the medication reconciliation process for adult and pediatric CF patients by documenting the number of home medications reconciled by clinical pharmacists and the number of patients with home medications that did not align with the current CF guidelines published in 2013. There were 105 adult patients and 72 pediatric patients included in the study analysis with a mean number of medications reconciled by clinical pharmacists of 17.4 (standard deviation (SD) 6.7) for adults and 13 (SD 4.6) for pediatric patients. The mean number of discrepancies from guidelines per patient was 1.61 (SD 1.2) for adult patients and 0.63 (SD 0.9) for pediatric patients. Pharmacists play an essential role in identifying and managing medication interactions and further research is necessary to investigate pharmacist impact on medication reconciliation. View Full-Text
Keywords: cystic fibrosis; medication reconciliation; pharmacist; medication errors; guidelines cystic fibrosis; medication reconciliation; pharmacist; medication errors; guidelines
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Louie, J.M.; Hong, L.T.; Garavaglia, L.R.; Pinal, D.I.; O’Brien, C.E. Evaluation of Home Medication Reconciliation by Clinical Pharmacists for Adult and Pediatric Cystic Fibrosis Patients. Pharmacy 2018, 6, 91.

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