Pharmacy-led Medication History Survey

You are invited to take part in a survey from the TSHP Clinical Practice Section. Your participation is voluntary, and it is totally up to you to decide whether you want to participate. Even if you decide to be part of the study now, you may change your mind and stop at any time.

The purpose of this study is to assess the landscape of pharmacy-led medication history programs in institutions across Texas and capture “good-catches” discovered because of medication histories.

If you agree to fill out the short online survey, you will be asked basic information about your institution, if you have a medication history program, and experiences taking medication histories. It should take approximately 10 minutes to complete.

There are only minor risks you might experience from being in this study. The primary risk that may occur is threat to anonymity. Institution name is only collected to ensure no duplicate surveys from the same institution. Of note, the survey includes opportunities for free/open-ended responses relating to “good catches” as a result of medication histories; please do not include any identifiable information in these responses. Survey answers will be stored in a password protected folder accessible only to the study team.

If you have any questions about this survey, you may contact:
Dee Dee Hu, PharmD
Email: deedeeleschke@gmail.com

If you have questions about your rights as a research participant, or wish to obtain information, ask questions, or discuss any concerns about this study with someone other than the researcher(s), please contact the following:

The University of Texas at Austin Institutional Review Board

Phone: 512-232-1543

Email: irb@austin.utexas.edu

Your Consent: By clicking the button below, you confirm that you are between the ages of 18-80 years old and are agreeing to take the survey. If at any time you wish to stop participating, simply close your browser window.

Name of Institution

Pharmacy Role

Institution Bed Size

County

Institutional Setting

Are medications histories pharmacy-led at your inpatient institution?

What department or role is responsible for medication histories?

Indicate the number of FTEs that are dedicated pharmacy staff for collecting med histories. Indicate zero if none.

Rows	Number of FTEs
Med History Techs
Transitions of Care Pharmacists
Pharmacist Interns
Staff or Clinical Pharmacists
Other
Unsure

Do these roles have criteria or a structured protocol for who they prioritize gathering med histories? (i.e. High risk conditions, Polypharmacy) If so, please describe, including if there is a deadline by which they should occur.

What measurable impact have pharmacy staff had on reducing medication history-related errors at your institution? (Select all that apply)

Other

Approximately how long does it take on average to reconcile a home medication list for a patient? (including updating the orders)

Where does the medication history primarily occur?(Select all that apply)

Do you track the errors or discrepancies discovered?

What type of metrics are gathered?

Does your hospital participates in CHIRP or Leapfrog medication reconciliation audits?

Other

If your hospital participates in CHIRP or Leapfrog medication reconciliation audits, out of the "out of the discrepancies" collected, what percentage are med-history related?

Has your institution implemented any specific strategies to reduce medication history related-errors?

What are barriers to expanding upon pharmacy-led medication histories?

Other

We are collecting stories related to “good catches” as a result of medication histories – do you have one you would be willing to share? (please do not include any patient or provider identifying information) Stories will not be connected with institutions name(de-identify).

Pharmacy-led Medication History Survey

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