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Development and Delphi validation of a Best Possible Medication History form

par Hoornaert, Camille ;Pochet, Stéphanie ;Lorent, Sophie
Référence Session scientifique AFPHB (19-02-2022: Bruxelles)
Publication Publié, 2022-02

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Résumé :

BackgroundCompletion of the Best Possible Medication History (BPMH) form is the first step for medication reconciliation across the continuum of care. However, getting a complete picture of the patient’s current medication is a particularly difficult challenge.Methods The BPMH form was developed and refined by the research group. The draft was presented to a focus group and was adapted following their comments. A three-rounds e-Delphi method was used to validate content, usability and face validity of BPMH form. In the first round, items and tabs with 100% of expert rating ≥ 3 were retained for the final version of the BPMH form. At the beginning of the second round and the third round, results of previous rounds were provided to experts. Each expert confirmed or re-rated their level of agreement. Consensus was defined in the second round and the third round as 85% of experts rating items/tabs as 3 and greater. We supplemented the quantitative analysis with a qualitative analysis of comments for each Delphi round.ResultsThe draft BPMH form contained 23 items grouped into 8 tabs. Refinement of these tabs and items by the focus group resulted in 7 tabs and 21 items, which were included in the Delphi survey. The consensus was obtained for 6 tabs within the second round (p= 0,072). Consensus was reached on 76% (16/21) of items in the third round. 20 items were included following the qualitative analysis of the experts' comments in the third round.Conclusions This study provides the BPMH form, including 20 items arranged under six tabs. The systematic use of standardized BPMH form can be used to help clinical pharmacists to collect a complete and accurate medication list on admission. It could impact inpatient safety and improve inpatient management. The BPMH collecting process is the starting point for the medication reconciliation process which has the ability to reduce medication errors. An international e-Delphi should be conducted for wider use of the BPMH form.AcknowledgementsA particularly warm thank you goes to Delphi panels.