AHRQ Patient Safety Network

The Collection > Medication Reconciliation

PATIENT SAFETY PRIMERS
Medication Reconciliation

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Medication Reconciliation: Unintended inconsistencies in medication regimens occur with any transition in care... Read Full Glossary Entry >

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (4)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (106)

•Medication Safety (204)

•Medical Complications (7)

•Surgical Complications (3)

•Transfusion Complications (1)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (7)

Resource Types

•Clinical Guideline (1)

•Journal Article (163)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newspaper/Magazine Article (32)

•Press Release/Announcement (1)

•Special or Theme Issue (2)

•Tools/Toolkit (9)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (76)

•Active Errors (36)

•Latent Errors (13)

•Near Miss (2)

Approach to Improving Safety
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Medication Reconciliation

Clinical Areas

•Medicine (145)

•Nursing (9)

•Pharmacy (96)

Target Audience

•Health Care Providers (183)

•Health Care Executives and Administrators (168)

•Non-Health Care Professionals (43)

•Patients (13)

Setting of Care

•Hospitals (147)

•Psychiatric Facilities (1)

•Residential Facilities (10)

•Ambulatory Care (46)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 227

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STUDY

Reconciling medications at admission: safe practice recommendations and implementation strategies.

Rogers G, Alper E, Brunelle D, et al. Jt Comm J Qual Patient Saf. 2006;32:37-50.

ORGANIZATIONAL POLICY/GUIDELINES

Using medication reconciliation to prevent errors.

Sentinel Event Alert. January 25, 2006;(35):1-4.

NEWSPAPER/MAGAZINE ARTICLE

Fixing the medication reconciliation breakdown.

Starr D, West L. Most Wired Magazine. November 9, 2006.

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.

STUDY

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.

Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.

COMMENTARY

Quality improvement through implementation of discharge order reconciliation.

Lu Y, Clifford P, Bjorneby A, et al. Am J Health Syst Pharm. 2013;70:815-820.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

SPECIAL OR THEME ISSUE

Patient Safety Papers 6.

Baker GR, ed. Healthc Q. 2012;15:1-72.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

STUDY

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2007 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; August 2008.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals put emphasis on collection of medication data.

Krizner K. Managed Healthcare Executive. August 1, 2006;16:36, 38.

STUDY

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.

Ziaeian B, Araujo KLB, Van Ness PH, Horwitz LI. J Gen Intern Med. 2012;27:1513-1520.

NEWSPAPER/MAGAZINE ARTICLE

Enhanced medication safety.

Mansur JM. Hosp Health Netw. April 29, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Five hospitals release data on inspections.

Kowalczyk L. Boston Globe. April 21, 2007:B1.

COMMENTARY

Double Dosing, by the Rules

Cohen H. AHRQ WebM&M [serial online]. February/March 2009.

STUDY

Improving medication reconciliation in the outpatient setting.

Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.

STUDY

Utilising improvement science methods to optimise medication reconciliation.

White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.

REVIEW

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.

Kwan JL, Lo L, Sampson M, Shojania KG. Ann Intern Med. 2013;158(5 Pt 2):397-403.

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