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 (2)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (108)

•Medication Safety (189)

•Medical Complications (6)

•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 (148)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newspaper/Magazine Article (31)

•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 (29)

•Latent Errors (8)

•Near Miss (2)

Approach to Improving Safety
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Medication Reconciliation

Clinical Areas

•Medicine (135)

•Nursing (6)

•Pharmacy (90)

Target Audience

•Health Care Providers (167)

•Health Care Executives and Administrators (153)

•Non-Health Care Professionals (35)

•Patients (12)

Setting of Care

•Hospitals (142)

•Psychiatric Facilities (1)

•Residential Facilities (8)

•Ambulatory Care (40)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 208

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ORGANIZATIONAL POLICY/GUIDELINES

Technical patient safety solutions for medicines reconciliation on admission of adults to hospital.

London, UK: National Institute for Health and Clinical Excellence; 2007.

STUDY

Discrepancies between home medications listed at hospital admission and reported medical conditions.

Slain D, Kincaid SE, Dunsworth TS. Am J Geriatr Pharmacother. 2008;6:161-166.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

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

STUDY

Pharmacist medication assessments in a surgical preadmission clinic.

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

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.

STUDY

Health literacy and medication understanding among hospitalized adults.

Marvanova M, Roumie CL, Eden SK, Cawthon C, Schnipper JL, Kripalani S. J Hosp Med. 2011;6:488-493.

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.

ORGANIZATIONAL POLICY/GUIDELINES

Using medication reconciliation to prevent errors.

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

STUDY

The effect on medication errors of pharmacists charting medication in an emergency department.

Vasileff HM, Whitten LE, Pink JA, Goldsworthy SJ, Angley MT. Pharm World Sci. 2009;31:373-379.

STUDY

Medication discrepancies in resident sign-outs and their potential to harm.

Arora V, Kao J, Lovinger D, Seiden SC, Meltzer D. J Gen Intern Med. 2007;22:1751-1755.

STUDY

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

REVIEW

Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, Bueno-Cavanillas A. Age Ageing. 2010;39:430-438.

COMMENTARY

Implementation of a specialized pharmacy team to monitor high-risk medications during discharge.

Martin ES III, Overstreet RL, Jackson-Khalil LR, McCollough HL, Meyer TA, Xu Q. Am J Health Syst Pharm. 2013;70:18-21.

STUDY

Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.

Gizzi LA, Slain D, Hare JT, Sager R, Briggs F 3rd, Palmer CH. Am J Geriatr Pharmacother. 2010;8:127-135.

FACT SHEET/FAQS

Medication safety issue brief. Medication reconciliation.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. September 2005;79:33-34.

STUDY

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

AUDIOVISUAL

Healthcare 411. The Patient Perspective.

Rockville, MD: Agency for Healthcare Research and Quality. September 29, 2010.

STUDY

An observational study of changes to long-term medication after admission to an intensive care unit.

Campbell AJ, Bloomfield R, Noble DW. Anaesthesia. 2006;61:1087-1092.

BOOK/REPORT

Guiding Principles to Achieve Continuity in Medication Management.

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

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