Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students.

Lee A Lindquist, Kristine M Gleason, Molly R McDaniel, Allan Doeksen, David Liss
Author Information
  1. Lee A Lindquist: Northwestern Center for Patient Safety, Institute for Health Care Studies, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. LAL425@md.northwestern.edu

Abstract

INTRODUCTION: Errors in medication reconciliation constitute a large area of potential injury to patients. Medication reconciliation is rarely incorporated into medical school curriculums so students learn primarily from observing clinical care.
AIM: To design and implement an interactive learning exercise to teach second year medical students about medication reconciliation
SETTING: Northwestern University Feinberg School of Medicine, Chicago, IL PROGRAM DESCRIPTION: The Medication Reconciliation Simulation teaches medical students how to elicit information from active real-world sources to reconcile a medication history.
PROGRAM EVALUATION: At the conclusion of the session, students completed a Likert scale survey rating the level of improvement in their knowledge and comfort in obtaining medication histories. Students rated their knowledge level as having increased by 27% and their comfort level as having increased by 20%. A full 91% of the 158 students felt that it should be performed again for the following medical student class.
DISCUSSION: The Medication Reconciliation Simulation is the first to specifically target medication reconciliation as a curriculum topic for medical students. Students praised the entertaining simulation and felt it provided a very meaningful experience on the patient safety topic. This simulation is generalizable to other institutions interested in teaching medication reconciliation and improving medication safety.

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Grants

  1. K23 AG028439/NIA NIH HHS

MeSH Term

Curriculum
Drug Interactions
Drug Therapy
Drug-Related Side Effects and Adverse Reactions
Education, Medical, Undergraduate
Humans
Medical History Taking
Medication Errors
Patient Simulation
Physician-Patient Relations

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