ArticlesBrown Bag Medication Review Using AHRQ's Brown Bag Medication ToolMurtha, Eileen DNP, RN, APRN, FNP-C; Elder, Betty PhD, RN; Faragher, Mary MSN, APRN, FNP-C Author Information School of Nursing, Wichita State University, Kansas. Correspondence: Betty Elder, PhD, RN, School of Nursing, Wichita State University, 1845 Fairmount, Wichita, KS 67260 ([email protected]). The authors declare no conflicts of interest. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com). Accepted for publication: January 21, 2019 Published ahead of print: March 18, 2019 Journal of Nursing Care Quality: January/March 2020 - Volume 35 - Issue 1 - p 58-62 doi: 10.1097/NCQ.0000000000000399 Buy SDC CE Test Metrics Abstract Background: Medication nonadherence has been linked to health literacy and poor patient outcomes. The Health Literacy Universal Precautions Toolkit addresses both issues. Purpose: A brown bag medication review was implemented to identify medication nonadherence in a Midwestern clinic. Methods: Adult patients were instructed to bring all prescribed and over-the-counter medication to office visits. A reviewer transcribed administration directions and the patient's verbal instruction of how the medication is taken. Results: The study found 58% (n = 28) of 48 participants were nonadherent for at least 1 medication; 26% (n = 72) of all medications were nonadherent; and mental health drugs were the highest nonadherence category at 38% (n = 11). The majority of medication nonadherence was due to lack of access. Conclusions: This drug utilization review was found helpful in identification of causes for medication nonadherence, assisting prescribers, and improving patient education. © 2019 Wolters Kluwer Health, Inc. All rights reserved.