{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T08:28:44Z","timestamp":1767774524717,"version":"build-2238731810"},"reference-count":7,"publisher":"American Society of Consultant Pharmacists","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["sr care pharm"],"published-print":{"date-parts":[[2021,7,1]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To challenge the standard of practice by evaluating the identification of medication discrepancies found depending on type of access to an electronic health record (EHR). In other words, is there a difference in the number of discrepancies between a pharmacist\n with only access to the postacute long-term care (PALTC) EHR (ie, single-access pharmacist [SAP]) compared with a pharmacist with access to both the PALTC and hospital EHRs (ie, dual-access pharmacist DAP) In October 2018, the Improving Medicare Post-Acute Care Transformation (IMPACT) Act\n mandated admission drug review (DRR) upon admission to a post-acute, long-term care (PALTC) facility.\n                    <jats:bold>Summary:<\/jats:bold>\n                    This was a prospective study investigating the occurrence of medication therapy problems (MTP) identified by two different DRR processes; SAP versus DAP. Data were\n collected in a community hospital and a stand-alone PALTC facility. It was found that the DAP identified more safety-related medication needs and medication omissions than an SAP. There was a significant association between the type of access and whether a MTP (ie, yes or no) was discovered,\n the type of medication-related need, and MTP category.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    These results strongly suggest that current standard of practice should change to require access to both hospital and PALTC EHR systems for a pharmacist completing the medication reconciliation. Until the\n gap in EHR interoperability is closed, the potential breakdown in communication associated with SAP places patients transitioning from hospital to PALTC facilities at increased risk for medication problems and accompanying adverse medication events.\n                  <\/jats:p>","DOI":"10.4140\/tcp.n.2021.350","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T01:11:28Z","timestamp":1631149888000},"page":"350-356","source":"Crossref","is-referenced-by-count":3,"title":["The Importance of Electronic Health Record Access For Accurately Completing Drug Regimen Reviews"],"prefix":"10.4140","volume":"36","author":[{"given":"Kaylee A.","family":"Mehlman","sequence":"first","affiliation":[{"name":"1Geramed Senior Care Consulting, Lakewood, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Cho","sequence":"additional","affiliation":[{"name":"2Southwest General, Middleburg Heights, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy W.","family":"Meyers","sequence":"additional","affiliation":[{"name":"3University of Mount Union, Alliance, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2625","reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1007\/s11606-009-0948-2","article-title":"Medication discrepancies upon hospital to skilled nursing facility transitions.","volume":"24","year":"2009","journal-title":"J Gen Intern Med."},{"key":"ref2","article-title":"The art of handoff communication.","year":"2017"},{"key":"ref3","first-page":"6075","article-title":"Medication reconciliation during the transition to and from long-term care settings: a systematic review.","volume":"8","year":"2012","journal-title":"Res Social Adm Pharm."},{"key":"ref4","first-page":"113","article-title":"US Congress. Improving Medicare post-acute care transformation act.","year":"2014","journal-title":"IMPACT Act of 2014."},{"issue":"3","key":"ref5","first-page":"236243","article-title":"Medication reconciliation for reducing drug-discrepancy adverse events.","volume":"4","year":"2006","journal-title":"Am J Geriatr Pharmacother."},{"issue":"9","key":"ref6","first-page":"613","article-title":"ASCP position statement: admission medication [drug] regimen review in nursing facilities.","volume":"34","year":"2019","journal-title":"Sr Care Pharm."},{"key":"ref7","article-title":"Pharmacy Quality Alliance. PQA medication therapy problem categories framework.","year":"2017"}],"container-title":["The Senior Care Pharmacist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/ascp\/tscp\/2021\/00000036\/00000007\/art00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T01:12:03Z","timestamp":1631149923000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.4140\/TCP.n.2021.350"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,1]]},"references-count":7,"aliases":["10.4140\/tcp.n.2021.350."],"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7,1]]}},"alternative-id":["2639-9636(20210701)36:7L.350;1-"],"URL":"https:\/\/doi.org\/10.4140\/tcp.n.2021.350","relation":{},"ISSN":["2639-9636"],"issn-type":[{"value":"2639-9636","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7,1]]}}}