Questionnaire item responses for distribution phase
Questionnaire item | Median (IQR) | Agreement* (%) |
Workflow Compatibility Subscale | 20 (17–23) | |
Medication reconciliation requires a lot of mental effort | 3 (2–4) | 46.6 |
It is difficult to identify significant medication discrepancies | 3 (2–4) | 28.1 |
Medication reconciliation fits into my workflow† | 4 (3–4) | 56.1 |
Medication reconciliation makes me do extra work | 3 (2–4) | 42.7 |
Medication reconciliation makes me take on more responsibilities | 3 (2–4) | 46.5 |
I believe I have a routine way of identifying medication discrepancies† | 4 (3–4) | 54.8 |
I know the processes for managing medication discrepancies† | 4 (3–4) | 59.0 |
User Values Compatibility Subscale | 27 (23–30) | |
Compared with other tasks, reconciling medications during an encounter makes the biggest contribution to patient safety | 4 (3–4) | 66.1 |
I believe it is crucial to review every single medication with the patient or caregiver during the interview. | 4 (3–5) | 74.7 |
My time is best spent with the patient correcting and updating all prescriptions | 3 (2–4) | 36.7 |
It is not important for me to reconcile medication discrepancies associated with prescriptions written by other providers† | 2 (1–2) | 4.8 |
It is crucial that I review all recently expired and discontinued prescriptions with the patient | 4 (3–4) | 69.7 |
It is important for the patient to complete a medication review at every single encounter | 4 (3–4) | 68.6 |
It is crucial for the patient to leave every encounter or hospitalisation with an updated list in hand of all medications | 4 (4–5) | 79.6 |
Implementation Climate Subscale | 23 (20–27) | |
Our hospital executives have expressed a commitment to the medication reconciliation | 4 (3–4) | 54.5 |
My department/service leadership stresses the importance of satisfying medication reconciliation to achieve national performance measures | 4 (3–4) | 60.5 |
My manager/supervisor has emphasised the importance of reconciling medications | 4 (3–4) | 58.9 |
Our local clinical leadership has acted to remove obstacles encountered in our medication reconciliation process | 3 (3–4) | 32.3 |
A peer in my role that is new to our facility receives education about the process of medication reconciliation | 3 (3–4) | 39.9 |
In our facility there are no incentives for reconciling medications with the patient† | 3 (3–4) | 41.7 |
I have the resources that I need to address identified medication discrepancies | 4 (3–4) | 50.1 |
Higher scores are favourable for values and climate; lower are favourable for workflow (created by authors; BMJ has permission to reproduce).
*Agreement frequency includes respondents who specified ‘agree’ or ‘strongly agree’ for each item.
†Items reverse scored.