title: Simulated Order Verification and Medication Reconciliation during an Introductory Pharmacy Practice Experience.
abstract: Objective. To create, implement, and assess a simulated medication reconciliation and an order verification activity using hospital training software. Design. A simulated patient with medication orders and home medications was built into existing hospital training software. Students in an institutional introductory pharmacy practice experience (IPPE) reconciled the patient's medications and determined whether or not to verify the inpatient orders based on his medical history and laboratory data. After reconciliation, students identified medication discrepancies and documented their rationale for rejecting inpatient orders. Assessment. For a 3-year period, the majority of students agreed the simulation enhanced their learning, taught valuable clinical decision-making skills, integrated material from previous courses, and stimulated their interest in institutional pharmacy. Overall feedback from student evaluations about the IPPE also was favorable. Conclusion. Use of existing hospital training software can affordably simulate the pharmacist's role in order verification and medication reconciliation, as well as improve clinical decision-making.
authors.affiliation: Mercer University College of Pharmacy, Atlanta, Georgia.
authors.forename: Nicole L
authors.initials: NL
authors.lastname: Metzger
authors.affiliation: Mercer University College of Pharmacy, Atlanta, Georgia.
authors.forename: Melissa M
authors.initials: MM
authors.lastname: Chesson
authors.affiliation: Mercer University College of Pharmacy, Atlanta, Georgia.
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Momary
mesh_terms: D011307:Drug Prescriptions / Q000592:standards*; D004512:Education, Pharmacy; D006801:Humans; D007297:Inpatients; D059065:Medication Reconciliation; D054539:Medication Therapy Management / Q000193:education*; D010593:Pharmaceutical Services; D000066908:Simulation Training; D012984:Software; D013339:Students, Pharmacy
keywords: electronic health record; introductory pharmacy practice experience; medication reconciliation; order verification; simulation