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 (104)

•Medication Safety (203)

•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 (161)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newspaper/Magazine Article (32)

•Press Release/Announcement (1)

•Special or Theme Issue (2)

•Tools/Toolkit (10)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (73)

•Active Errors (36)

•Latent Errors (12)

•Near Miss (2)

Approach to Improving Safety
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Medication Reconciliation

Clinical Areas

•Medicine (142)

•Nursing (8)

•Pharmacy (96)

Target Audience

•Health Care Providers (183)

•Health Care Executives and Administrators (166)

•Non-Health Care Professionals (44)

•Patients (13)

Setting of Care

•Hospitals (148)

•Psychiatric Facilities (1)

•Residential Facilities (10)

•Ambulatory Care (46)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 225

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors associated with documented allergies.

PA-PSRS Patient Saf Advis. September 2008;5:75-80.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

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.

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 the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

BOOK/REPORT

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

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

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

Wortman SB. Am J Health Syst Pharm. 2008;65:2047-2054.

REVIEW

Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

STUDY

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

STUDY

Effect of patient- and medication-related factors on inpatient medication reconciliation errors.

Salanitro AH, Osborn CY, Schnipper JL, et al. J Gen Intern Med. 2012;27:924-932.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

NEWSPAPER/MAGAZINE ARTICLE

Using clinical decision support to improve medication reconciliation.

Moore G. Patient Saf Qual Healthc. November/December 2006;3:28-30, 32-33.

STUDY

Medication reconciliation at hospital discharge: evaluating discrepancies.

Wong JD, Bajcar JM, Wong GG, et al. Ann Pharmacother. 2008;42:1373-1379.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

STUDY

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.

Strunk LB, Matson AW, Steinke D. Hosp Pharm. 2008;43:643-649.

MULTI-USE WEBSITE

Project Red (Re-Engineered Discharge).

Boston, MA: Boston University Medical Center.

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

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

STUDY

Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study.

Alassaad A, Gillespie U, Bertilsson M, Melhus H, Hammarlund-Udenaes M. J Eval Clin Pract. 2013;19:185-191.

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