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J Gen Intern Med. 2008 Jul;23(7):998-1001. doi: 10.1007/s11606-008-0567-3.

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

Author information

  • 1Northwestern 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.

PMID:
18612731
PMCID:
PMC2517921
DOI:
10.1007/s11606-008-0567-3
[PubMed - indexed for MEDLINE]
Free PMC Article
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