The Effects Of Education And Training On Clinical Staff’s Knowledge, Perception, And Clinical Practice Of The Medication Reconciliation Process

Author

• Stephanie A. Williams, Prairie View A&M University

Date of Award

8-2026

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice

Degree Discipline

Nursing Practice

Abstract

Medication-related harm affects approximately one in 30 patients in healthcare settings. Accurate medication reconciliation (MedRec) is essential for identifying medication discrepancies, preventing medication errors, and reducing adverse drug events. Clinical staff play a critical role in ensuring the accuracy of medication lists in primary care settings.

This evidence-based quality improvement project evaluated the effect of a structured MedRec training intervention on MedRec knowledge, perceptions, and practices among clinical staff in a primary care clinic in Southeast Texas. The project used a single-group, quantitative, quasi-experimental design. A convenience sample of 32 clinical staff members completed knowledge and perception assessments before and after attending a structured MedRec training session guided by the Medications at Transitions and Clinical Handoffs (MATCH) toolkit.

Medication discrepancy rates were evaluated through pre- and post-intervention chart audits of 98 patient records per period. Knowledge scores remained unchanged following the intervention (p = 1.000), likely due to high baseline levels. Three perception measures demonstrated statistically significant improvements, including the perceived increased workload associated with MedRec (p< .001), confidence in identifying medication discrepancies (p = .035), and perceived leadership support for MedRec (p = .020). Chart audits demonstrated a significant improvement in medication list accuracy (χ2 = 9.08, p = .003) and a significant reduction in the total number of medication discrepancies (U = 5,814.50, p = .007) following the intervention. These results indicated that the educational intervention was associated with improved MedRec practices, increased medication list accuracy, and reduced medication discrepancies. The findings of this study support integrating structured MedRec training into clinical practice to enhance patient safety, improve quality outcomes, and promote compliance with healthcare performance measures.

Keywords: adverse drug event, clinical staff, medication discrepancy, medication error, medication reconciliation, medication review

Committee Chair/Advisor

Chloe Gaines

Committee Member

Sharisse A. Herbert

Committee Member

Shannon Chopp

Committee Member

Carlos Lacy

Publisher

Prairie View A&M University

Rights

Date of Digitization

9/23/2026

Contributing Institution

J B Coleman Library

City of Publication

Prairie View

MIME Type

Application/PDF

Recommended Citation

Williams, S. (2026). The Effects Of Education And Training On Clinical Staff’s Knowledge, Perception, And Clinical Practice Of The Medication Reconciliation Process. Retrieved from https://digitalcommons.pvamu.edu/dnp-projects/30