Questionnaire item responses for the validation phase
Questionnaire item | Median (IQR) | Agreement* (%) |
User values compatibility subscale | 30 (27–33) | |
Reconciling medications is an important way to improve medication safety | 5 (4–5) | 92.5 |
Reconciling medication lists with the patient is an important way to decrease medication errors | 5 (4–5) | 92.0 |
My time is well spent with the patient updating the patient medication list | 4 (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 patient | 5 (4–5) | 92.3 |
I believe it is valuable for the patient to complete a medication history/review at each encounter | 4 (4–5) | 81.0 |
It is important for the patient to leave an encounter (or hospitalisation) with an updated list of their medications | 5 (4–5) | 90.7 |
Workflow Compatibility Subscale | 23 (20–26) | |
Medication reconciliation requires a lot of mental effort | 3 (2–4) | 49.9 |
It is difficult to identify significant medication discrepancies | 3 (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 work | 3 (2–4) | 48.7 |
Medication reconciliation makes me take on more responsibilities | 4 (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 Subscale | 23 (20–27) | |
Our hospital executives have expressed a commitment to the medication reconciliation | 4 (3–4) | 55.3 |
My department/service leadership stresses the importance of satisfying medication reconciliation to achieve national performance measures | 4 (3–4) | 62.2 |
My manager/supervisor has emphasised the importance of reconciling medications | 4 (3–4) | 61.8 |
Our local clinical leadership has acted to remove obstacles encountered in our medication reconciliation process | 3 (3–4) | 31.7 |
A peer in my role that is new to our facility receives education about the process of medication reconciliation | 3 (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 discrepancies | 3 (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.