AHRQ Patient Safety Network

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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 (110)

•Medication Safety (201)

•Medical Complications (8)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (4)

•Transfusion Complications (1)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (8)

Resource Types

•Clinical Guideline (1)

•Journal Article (160)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newspaper/Magazine Article (32)

•Press Release/Announcement (1)

•Special or Theme Issue (3)

•Tools/Toolkit (10)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (76)

•Active Errors (35)

•Latent Errors (11)

•Near Miss (2)

Approach to Improving Safety
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Medication Reconciliation

Clinical Areas

•Medicine (146)

•Nursing (7)

•Pharmacy (93)

Target Audience

•Health Care Providers (182)

•Health Care Executives and Administrators (167)

•Non-Health Care Professionals (42)

•Patients (13)

Setting of Care

•Hospitals (150)

•Psychiatric Facilities (1)

•Residential Facilities (9)

•Ambulatory Care (43)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 224

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NEWSPAPER/MAGAZINE ARTICLE

JCAHO tightens leash on medication reconciliation.

Perry LE. Drug Topics: Health-System Edition. March 20, 2006.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.

ORGANIZATIONAL POLICY/GUIDELINES

Using medication reconciliation to prevent errors.

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

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

BOOK/REPORT

Guiding Principles to Achieve Continuity in Medication Management.

Canberra, Australia: Australian Pharmaceutical Advisory Council; July 2005. ISBN: 0642825971.

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.

STUDY

Implementation of an electronic system for medication reconciliation.

Kramer JS, Hopkins PJ, Rosendale JC, et al. Am J Health Syst Pharm. 2007;64:404-422.

STUDY

Pharmacist medication assessments in a surgical preadmission clinic.

Kwan Y, Fernandes OA, Nagge JJ, et al. Arch Intern Med. 2007;167:1034-1040.

STUDY

Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.

Grimes T, Delaney T, Duggan C, Kelly JG, Graham IM. Ir J Med Sci. 2008;177:93-97.

COMMENTARY

Developing and implementing new safe practices: voluntary adoption through statewide collaboratives.

Leape LL, Rogers G, Hanna D, et al. Qual Saf Health Care. 2006;15:289-295.

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.

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.

STUDY

Reconcilable differences: correcting medication errors at hospital admission and discharge.

Vira T, Colquhoun M, Etchells E. Qual Saf Health Care. 2006;15:122-126.

NEWSPAPER/MAGAZINE ARTICLE

Legality of technicians' involvement in medication reconciliation not clear.

Thompson CA. AJHP News. Am J Health Syst Pharm. 2009;66:433-434.

STUDY

Insufficient communication about medication use at the interface between hospital and primary care.

Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.

BOOK/REPORT

Medication Needs During Transitions May Not Be Managed for All Servicemembers.

Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13-26.

STUDY

Improving the discharge process by embedding a discharge facilitator in a resident team.

Finn KM, Heffner R, Chang Y, et al. J Hosp Med. 2011;6:494-500.

STUDY

Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting.

Clay BJ, Halasyamani L, Stucky ER, Greenwald JL, Williams MV. J Hosp Med. 2008;3:465-472.

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