{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T16:07:13Z","timestamp":1781626033350,"version":"3.54.5"},"reference-count":25,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Barry and Rena Plost Senior Emergency Center"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Obtaining accurate medication histories for older adults in the emergency department (ED) is essential but challenging due to operational barriers and incomplete electronic health records (EHRs). We implemented a stakeholder-engaged intervention integrating pharmacy technicians (pharm techs) to obtain triage medication histories (T-MHs) for ED patients aged 65 years or older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Starting in June 2023, pharm techs collected T-MHs from patients awaiting clinician evaluation. The intervention was developed using literature review, EHR data analysis, and focus groups with ED clinicians, pharm techs, and pharmacists. We identified key chief complaint\u2013medication interactions and designed ED workflows for T-MH implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three high-impact chief complaint\u2013medication interactions were identified: (1) trauma with anticoagulant use; (2) any complaint with recent medication changes or adherence concerns; and (3) any complaint while on antibiotics. We educated pharm techs about these chief complaint\u2013medication interactions and asked them to notify ED clinicians about cases identified. T-MHs were obtained in 3,197 ED encounters (41.2%) before any medication order or disposition decision. Focus groups revealed that patients and their care partners generally agreed to participate in medication histories, but, contrary to expectations, efforts to date have had minimal impact on clinician awareness of prior-to-admission medications, prescribing decisions, and disposition decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Integrating pharm techs to obtain medication histories in the ED is feasible and acceptable, but further efforts are needed to optimize workflow integration and handoff processes to improve clinical impact and patient safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajhp\/zxag157","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T08:17:12Z","timestamp":1780993032000},"source":"Crossref","is-referenced-by-count":0,"title":["Using pharmacy technicians to obtain medication histories for emergency department care among older adults"],"prefix":"10.1093","author":[{"given":"Nabeel","family":"Qureshi","sequence":"first","affiliation":[{"name":"Department of Medicine, Cedars-Sinai Medical Center , Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua M","family":"Pevnick","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cedars-Sinai Medical Center , Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam S","family":"Torbati","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Cedars-Sinai Medical Center , Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna","family":"Leang","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Cedars-Sinai Medical Center , Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Mai","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Cedars-Sinai Medical Center , Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yervant","family":"Malkhasian","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Cedars-Sinai Medical Center , Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackie","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Cedars-Sinai Medical Center , Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl T","family":"Berdahl","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Cedars-Sinai Medical Center , Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"issue":"7","key":"2026061611315846600_zxag157-B1","doi-asserted-by":"publisher","first-page":"2052","DOI":"10.1111\/jgs.18372","article-title":". American Geriatrics Society 2023 updated AGS Beers Criteria for potentially inappropriate medication use in older adults","volume":"71","author":"2023 American Geriatrics Society Beers Criteria Update Expert Panel","year":"2023","journal-title":"J Am Geriatr Soc"},{"issue":"5","key":"2026061611315846600_zxag157-B2","doi-asserted-by":"publisher","first-page":"1024","DOI":"10.1007\/s11096-024-01742-w","article-title":"Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity","volume":"46","author":"Nguyen","year":"2024","journal-title":"Int J Clin Pharm"},{"issue":"6","key":"2026061611315846600_zxag157-B3","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1111\/j.1365-2125.2009.03424.x","article-title":"Medication errors: the importance of an accurate drug history","volume":"67","author":"Fitzgerald","year":"2009","journal-title":"Br J Clin Pharmacol"},{"issue":"2","key":"2026061611315846600_zxag157-B4","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1023\/A:1015570104121","article-title":"Hospitalisations caused by adverse drug reactions (ADR): a meta-analysis of observational studies","volume":"24","author":"Beijer","year":"2002","journal-title":"Pharm World Sci"},{"issue":"16","key":"2026061611315846600_zxag157-B5","doi-asserted-by":"publisher","first-page":"1689","DOI":"10.1093\/ajhp\/61.16.1689","article-title":"Reconciliation of discrepancies in medication histories and admission orders of newly hospitalized patients","volume":"61","author":"Gleason","year":"2004","journal-title":"Am J Health-Syst Pharm"},{"issue":"2","key":"2026061611315846600_zxag157-B6","doi-asserted-by":"publisher","first-page":"e010003","DOI":"10.1136\/bmjopen-2015-010003","article-title":"Effectiveness of pharmacist-led medication reconciliation programmes on clinical outcomes at hospital transitions: a systematic review and meta-analysis","volume":"6","author":"Mekonnen","year":"2016","journal-title":"BMJ Open"},{"issue":"11","key":"2026061611315846600_zxag157-B7","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1111\/j.1532-5415.1990.tb01496.x","article-title":"The accuracy of medication histories in the hospital medical records of elderly persons","volume":"38","author":"Beers","year":"1990","journal-title":"J Am Geriatr Soc"},{"issue":"9","key":"2026061611315846600_zxag157-B8","doi-asserted-by":"publisher","first-page":"751","DOI":"10.18553\/jmcp.2009.15.9.751","article-title":"An exploratory comparison of medication lists at hospital admission with administrative database records","volume":"15","author":"Warholak","year":"2009","journal-title":"J Manag Care Pharm"},{"key":"2026061611315846600_zxag157-B9","doi-asserted-by":"publisher","first-page":"45","DOI":"10.2147\/OAEM.S64174","article-title":"Strategies for reducing medication errors in the emergency department","volume":"6","author":"Weant","year":"2014","journal-title":"Open Access Emerg Med"},{"issue":"7","key":"2026061611315846600_zxag157-B10","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1136\/bmjqs-2017-006761","article-title":"Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial","volume":"27","author":"Pevnick","year":"2018","journal-title":"BMJ Qual Saf"},{"issue":"7 suppl","key":"2026061611315846600_zxag157-B11","doi-asserted-by":"publisher","first-page":"S7","DOI":"10.1097\/PTS.0000000000001362","article-title":"Challenges and opportunities in the medication reconciliation process in an emergency department: an observational human factors study","volume":"21","author":"Chen","year":"2025","journal-title":"J Patient Saf"},{"issue":"1","key":"2026061611315846600_zxag157-B12","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.jen.2021.10.003","article-title":"Emergency Nurses Association position statement: medication management and reconciliation in the emergency setting","volume":"48","author":"Navarroli","year":"2022","journal-title":"J Emerg Nurs"},{"issue":"suppl 1","key":"2026061611315846600_zxag157-B13","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1093\/geroni\/igy023.1069","article-title":"Caregivers roles in medication management for older family members","volume":"2","author":"LaValley","year":"2018","journal-title":"Innov Aging"},{"issue":"7","key":"2026061611315846600_zxag157-B14","doi-asserted-by":"publisher","first-page":"1048","DOI":"10.1016\/j.ajem.2011.06.038","article-title":"How reliable are patient-completed medication reconciliation forms compared with pharmacy lists?","volume":"30","author":"Meyer","year":"2012","journal-title":"Am J Emerg Med"},{"issue":"4","key":"2026061611315846600_zxag157-B15","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1080\/08998280.2018.1499005","article-title":"Medication reconciliation in the emergency department performed by pharmacists","volume":"31","author":"Mogaka","year":"2018","journal-title":"Proc Bayl Univ Med Cent"},{"issue":"2","key":"2026061611315846600_zxag157-B16","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1093\/ajhp\/zxaa364","article-title":"Pharmacy-facilitated medication history program at a community teaching hospital: a pre-post study in an emergency department","volume":"78","author":"Do","year":"2021","journal-title":"Am J Health-Syst Pharm"},{"issue":"6","key":"2026061611315846600_zxag157-B17","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1001\/jamainternmed.2025.0640","article-title":"Emergency department visits for medication-related events with vs without pharmacist intervention: the URGEIM randomized clinical trial","volume":"185","author":"Villiet","year":"2025","journal-title":"JAMA Intern Med"},{"key":"2026061611315846600_zxag157-B18","volume-title":"The Geriatric Emergency Department Guidelines","author":"American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine","year":"2013"},{"key":"2026061611315846600_zxag157-B19","author":"American College of Emergency Physicians"},{"issue":"1","key":"2026061611315846600_zxag157-B20","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1186\/s13012-022-01245-0","article-title":"The updated Consolidated Framework for Implementation Research based on user feedback","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implement Sci"},{"issue":"5","key":"2026061611315846600_zxag157-B21","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1111\/acem.14630","article-title":"Diagnostic accuracy of the physical examination in emergency department patients with acute vertigo or dizziness: a systematic review and meta-analysis for GRACE-3","volume":"30","author":"Shah","year":"2023","journal-title":"Acad Emerg Med"},{"issue":"2","key":"2026061611315846600_zxag157-B22","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1016\/j.otc.2011.01.014","article-title":"Medication-related dizziness in the older adult","volume":"44","author":"Shoair","year":"2011","journal-title":"Otolaryngol Clin North Am"},{"issue":"6","key":"2026061611315846600_zxag157-B23","doi-asserted-by":"publisher","first-page":"902","DOI":"10.1007\/s11096-012-9691-6","article-title":"Implementing a clinical pharmacy survey of adverse drug events in a French emergency department","volume":"34","author":"Roulet","year":"2012","journal-title":"Int J Clin Pharm"},{"issue":"20","key":"2026061611315846600_zxag157-B24","doi-asserted-by":"publisher","first-page":"2115","DOI":"10.1001\/jama.2016.16201","article-title":"US emergency department visits for outpatient adverse drug events, 2013-2014","volume":"316","author":"Shehab","year":"2016","journal-title":"JAMA"},{"issue":"2","key":"2026061611315846600_zxag157-B25","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1080\/08998280.2017.11929562","article-title":"Emergency department discharge prescription errors in an academic medical center","volume":"30","author":"Murray","year":"2017","journal-title":"Proc Bayl Univ Med Cent"}],"container-title":["American Journal of Health-System Pharmacy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ajhp\/advance-article-pdf\/doi\/10.1093\/ajhp\/zxag157\/68492804\/zxag157.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajhp\/advance-article-pdf\/doi\/10.1093\/ajhp\/zxag157\/68492804\/zxag157.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T15:32:05Z","timestamp":1781623925000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ajhp\/advance-article\/doi\/10.1093\/ajhp\/zxag157\/8704266"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,9]]},"references-count":25,"URL":"https:\/\/doi.org\/10.1093\/ajhp\/zxag157","relation":{},"ISSN":["1079-2082","1535-2900"],"issn-type":[{"value":"1079-2082","type":"print"},{"value":"1535-2900","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,9]]},"article-number":"zxag157"}}