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 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
Externally publishedYes

Fingerprint

Medication Reconciliation
Self-Help Devices
Interviews
Climate
Primary Health Care

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Wright, T. B., Adams, K., Church, V. L., Ferraro, M., Ragland, S., Sayers, A., ... Lesselroth, B. J. (2017). Implementation of a Medication Reconciliation Assistive Technology: A Qualitative Analysis. AMIA ... Annual Symposium proceedings. AMIA Symposium, 2017, 1802-1811.
Wright, Theodore B. ; Adams, Kathleen ; Church, Victoria L. ; Ferraro, Mimi ; Ragland, Scott ; Sayers, Anthony ; Tallett, Stephanie ; Lovejoy, Travis ; Ash, Joan ; Holahan, Patricia ; Lesselroth, Blake J. / Implementation of a Medication Reconciliation Assistive Technology : A Qualitative Analysis. In: AMIA ... Annual Symposium proceedings. AMIA Symposium. 2017 ; Vol. 2017. pp. 1802-1811.
@article{2d20c825fd7b4f8a98e9e769336c9af0,
title = "Implementation of a Medication Reconciliation Assistive Technology: A Qualitative Analysis",
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.",
author = "Wright, {Theodore B.} and Kathleen Adams and Church, {Victoria L.} and Mimi Ferraro and Scott Ragland and Anthony Sayers and Stephanie Tallett and Travis Lovejoy and Joan Ash and Patricia Holahan and Lesselroth, {Blake J.}",
year = "2017",
month = "1",
day = "1",
language = "English (US)",
volume = "2017",
pages = "1802--1811",
journal = "AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium",
issn = "1559-4076",
publisher = "American Medical Informatics Association",

}

Wright, TB, Adams, K, Church, VL, Ferraro, M, Ragland, S, Sayers, A, Tallett, S, Lovejoy, T, Ash, J, Holahan, P & Lesselroth, BJ 2017, 'Implementation of a Medication Reconciliation Assistive Technology: A Qualitative Analysis', AMIA ... Annual Symposium proceedings. AMIA Symposium, vol. 2017, pp. 1802-1811.

Implementation of a Medication Reconciliation Assistive Technology : A Qualitative Analysis. / Wright, Theodore B.; Adams, Kathleen; Church, Victoria L.; Ferraro, Mimi; Ragland, Scott; Sayers, Anthony; Tallett, Stephanie; Lovejoy, Travis; Ash, Joan; Holahan, Patricia; Lesselroth, Blake J.

In: AMIA ... Annual Symposium proceedings. AMIA Symposium, Vol. 2017, 01.01.2017, p. 1802-1811.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Implementation of a Medication Reconciliation Assistive Technology

T2 - A Qualitative Analysis

AU - Wright, Theodore B.

AU - Adams, Kathleen

AU - Church, Victoria L.

AU - Ferraro, Mimi

AU - Ragland, Scott

AU - Sayers, Anthony

AU - Tallett, Stephanie

AU - Lovejoy, Travis

AU - Ash, Joan

AU - Holahan, Patricia

AU - Lesselroth, Blake J.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85058738826&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058738826&partnerID=8YFLogxK

M3 - Article

C2 - 29854251

VL - 2017

SP - 1802

EP - 1811

JO - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium

JF - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium

SN - 1559-4076

ER -

Wright TB, Adams K, Church VL, Ferraro M, Ragland S, Sayers A et al. Implementation of a Medication Reconciliation Assistive Technology: A Qualitative Analysis. AMIA ... Annual Symposium proceedings. AMIA Symposium. 2017 Jan 1;2017:1802-1811.