Implementation of a Medication Reconciliation Assistive Technology: A Qualitative Analysis

Theodore B. Wright, Kathleen Adams, Victoria L. Church, Mimi Ferraro, Scott Ragland, Anthony Sayers, Stephanie Tallett, Travis Lovejoy, Joan Ash, Patricia J. Holahan, Blake J. Lesselroth

Research output: Contribution to journalArticle

Abstract

Objective: To aid the implementation of a medication reconciliation process within a hybrid primary-specialty care setting by using qualitative techniques to describe the climate of implementation and provide guidance for future projects. Methods: Guided by McMullen et al's Rapid Assessment Process1, we performed semi-structured interviews prior to and iteratively throughout the implementation. Interviews were coded and analyzed using grounded theory2 and cross-examined for validity. Results: We identified five barriers and five facilitators that impacted the implementation. Facilitators identified were process alignment with user values, and motivation and clinical champions fostered by the implementation team rather than the administration. Barriers included a perceived limited capacity for change, diverging priorities, and inconsistencies in process standards and role definitions. Discussion: A more complete, qualitative understanding of existing barriers and facilitators helps to guide critical decisions on the design and implementation of a successful medication reconciliation process.

Original languageEnglish (US)
Pages (from-to)1802-1811
Number of pages10
JournalAMIA ... Annual Symposium proceedings. AMIA Symposium
Volume2017
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Medicine(all)

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