Table 4

Questionnaire item responses for distribution phase

Questionnaire itemMedian (IQR)Agreement* (%)
Workflow Compatibility Subscale20 (17–23)
 Medication reconciliation requires a lot of mental effort3 (2–4)46.6
 It is difficult to identify significant medication discrepancies3 (2–4)28.1
 Medication reconciliation fits into my workflow†4 (3–4)56.1
 Medication reconciliation makes me do extra work3 (2–4)42.7
 Medication reconciliation makes me take on more responsibilities3 (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 Subscale27 (23–30)
 Compared with other tasks, reconciling medications during an encounter makes the biggest contribution to patient safety4 (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 prescriptions3 (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 patient4 (3–4)69.7
 It is important for the patient to complete a medication review at every single encounter4 (3–4)68.6
 It is crucial for the patient to leave every encounter or hospitalisation with an updated list in hand of all medications4 (4–5)79.6
Implementation Climate Subscale23 (20–27)
 Our hospital executives have expressed a commitment to the medication reconciliation4 (3–4)54.5
 My department/service leadership stresses the importance of satisfying medication reconciliation to achieve national performance measures4 (3–4)60.5
 My manager/supervisor has emphasised the importance of reconciling medications4 (3–4)58.9
 Our local clinical leadership has acted to remove obstacles encountered in our medication reconciliation process3 (3–4)32.3
 A peer in my role that is new to our facility receives education about the process of medication reconciliation3 (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 discrepancies4 (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.