Table 3

Questionnaire item responses for the validation phase

Questionnaire itemMedian (IQR)Agreement* (%)
User values compatibility subscale30 (27–33)
 Reconciling medications is an important way to improve medication safety5 (4–5)92.5
 Reconciling medication lists with the patient is an important way to decrease medication errors5 (4–5)92.0
 My time is well spent with the patient updating the patient medication list4 (3–5)65.4
 I am not responsible for reconciling medications that other providers prescribe†2 (1–3)17.4
 I believe it is important to review medications from all sources with a patient5 (4–5)92.3
 I believe it is valuable for the patient to complete a medication history/review at each encounter4 (4–5)81.0
 It is important for the patient to leave an encounter (or hospitalisation) with an updated list of their medications5 (4–5)90.7
Workflow Compatibility Subscale23 (20–26)
 Medication reconciliation requires a lot of mental effort3 (2–4)49.9
 It is difficult to identify significant medication discrepancies3 (2–4)27.0
 I rate medication reconciliation a high priority given my other competing priorities†4 (3–4)63.5
 Medication reconciliation fits into my workflow†3 (2–4)47.2
 Medication reconciliation makes me do extra work3 (2–4)48.7
 Medication reconciliation makes me take on more responsibilities4 (3–4)52.3
 I believe I have a routine way of identifying medication discrepancies†4 (3–4)53.1
 I know the processes for managing medication discrepancies†4 (3–4)59.0
Implementation Climate Subscale23 (20–27)
 Our hospital executives have expressed a commitment to the medication reconciliation4 (3–4)55.3
 My department/service leadership stresses the importance of satisfying medication reconciliation to achieve national performance measures4 (3–4)62.2
 My manager/supervisor has emphasised the importance of reconciling medications4 (3–4)61.8
 Our local clinical leadership has acted to remove obstacles encountered in our medication reconciliation process3 (3–4)31.7
 A peer in my role that is new to our facility receives education about the process of medication reconciliation3 (3–4)40.0
 In our facility there are no incentives for reconciling medications with the patient†3 (3–4)41.5
 I have the resources that I need to address identified medication discrepancies3 (3–4)47.1
  • Higher scores are favourable for values and climate scales. lower scores are favourable for the workflow scale (table created by the authors; BMJ has permission to reproduce).

  • *Agreement frequency includes respondents who specified ‘agree’ or ‘strongly Agree’ for each item.

  • †Items reverse scored.