title: Effect of teaching and checklist implementation on accuracy of medication history recording at hospital admission.
abstract: BACKGROUND
  Medication discrepancies at hospital admission is an extensive problem and knowledge is limited regarding improvement strategies.
  
  
  OBJECTIVE
  To investigate the effect of teaching and checklist implementation on accuracy of medication history recording during hospitalization.
  
  
  METHODS
  Patients admitted to an internal medicine ward were prospectively included in two consecutive periods. Between the periods, non-mandatory teaching lessons were provided and a checklist assisting medication history recording implemented. Discrepancies between the recorded medications at admission and the patient's actual drug use, as revealed by pharmacist-conducted medication reconciliation, were compared between the periods. The primary endpoint was difference between the periods in proportion of patients with minimum one discrepancy. Difference in median number of discrepancies was included as a secondary endpoint.
  
  
  RESULTS
  56 and 119 patients were included in period 1 (P1) and period 2 (P2), respectively. There was no significant difference in proportion of patients with minimum one discrepancy in P2 (68.9 %) versus P1 (76.8 %, p = 0.36), but a tendency of lower median number of discrepancies was observed in P2 than P1, i.e. 1 and 2, respectively (p = 0.087).
  
  
  CONCLUSIONS
  More powerful strategies than non-mandatory teaching activities and checklist implementation are required to achieve sufficient improvements in medication history recording during hospitalization.
authors.affiliation: Department of Pharmaceutical Services, Oslo Hospital Pharmacy, Kirkeveien 166, 0450, Oslo, Norway. marianne.lea@sykehusapotekene.no.
authors.forename: Marianne
authors.initials: M
authors.lastname: Lea
authors.affiliation: Department of Pharmaceutical Services, Oslo Hospital Pharmacy, Kirkeveien 166, 0450, Oslo, Norway.|Department of Pharmaceutical Biosciences, School of Pharmacy, University of Oslo, Oslo, Norway.
authors.forename: Ingeborg
authors.initials: I
authors.lastname: Barstad
authors.affiliation: Hospital Pharmacies Enterprise, South Eastern Norway, Oslo, Norway.
authors.forename: Liv
authors.initials: L
authors.lastname: Mathiesen
authors.affiliation: General Internal Medicine Ward, The Medical Clinic, Oslo University Hospital, Oslo, Norway.|Faculty of Medicine, University of Oslo, Oslo, Norway.
authors.forename: Morten
authors.initials: M
authors.lastname: Mowe
authors.affiliation: Department of Pharmaceutical Biosciences, School of Pharmacy, University of Oslo, Oslo, Norway.|Center for Psychopharmacology, Diakonhjemmet Hospital, Oslo, Norway.
authors.forename: Espen
authors.initials: E
authors.lastname: Molden
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D057189:Checklist; D003479:Curriculum; D004502:Education, Medical, Continuing / Q000379:methods*; D004509:Education, Nursing, Continuing / Q000379:methods*; D005260:Female; D006801:Humans; D007318:Inservice Training / Q000379:methods*; D008297:Male; D008508:Medication Errors / Q000517:prevention & control*; D059065:Medication Reconciliation / Q000379:methods*; D008875:Middle Aged; D010343:Patient Admission; D061214:Patient Safety; D010607:Pharmacy Service, Hospital; D011446:Prospective Studies; D013663:Teaching / Q000379:methods*; D055815:Young Adult
keywords: Medication discrepancies; Medication history recording; Medication reconciliation; Norway; Patient safety; Quality improvement