Accepted for/Published in: JMIR Human Factors
Date Submitted: May 16, 2025
Open Peer Review Period: Jan 4, 2026 - Mar 1, 2026
Date Accepted: Jan 19, 2026
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Impact of peer supervision by pharmacy students on admission medication reconciliation: a pre-post study.
ABSTRACT
Background:
Although the medication reconciliation is known to reduce the frequency of medication errors, its practical implementation can be challenging in several respects. In our institution, pharmacy students perform admission medication reconciliations under the supervision of a pharmacist or pharmacy resident.
Objective:
The objective of the present study was to establish the feasibility of peer supervision (i.e. the supervision by a pharmacy student of a medication reconciliation performed by another pharmacy student) in terms of the quality and efficiency of admission medication reconciliations.
Methods:
A prospective, single-center, observational study was conducted in two clinical departments at Lille University Medical Center (Lille, France). Initially, organizational procedures were defined and a checklist for reconciliation supervision was developed. A baseline (reference) time period without peer supervision was compared with an implementation period with peer supervision.
Results:
A total of 317 medication reconciliations were conducted: 102 without supervision and 215 with supervision by a pharmacy student. Peer supervision reduced the pharmacist time required for this task by half: the mean time fell from 23 to 11 minutes. Furthermore, peer supervision was associated with a decrease in the number of errors made by students (from 1.5 to 0.9 per reconciliation) and detected by pharmacists during the reconciliation validation.
Conclusions:
Student peer validation appears to be an innovative, strategic method for optimizing medication reconciliations, freeing up pharmacist time, and leveraging the skills of pharmacy students.
Citation
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Copyright
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