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 (103)

•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 (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 (75)

•Active Errors (35)

•Latent Errors (12)

•Near Miss (2)

Approach to Improving Safety
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Medication Reconciliation

Clinical Areas

•Medicine (143)

•Nursing (9)

•Pharmacy (95)

Target Audience

•Health Care Providers (182)

•Health Care Executives and Administrators (166)

•Non-Health Care Professionals (43)

•Patients (12)

Setting of Care

•Hospitals (144)

•Psychiatric Facilities (1)

•Residential Facilities (10)

•Ambulatory Care (44)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 223

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STUDY

Hospital admission medication reconciliation in medically complex children: an observational study.

Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.

NEWSPAPER/MAGAZINE ARTICLE

The payoff: preventing errors medication management.

Crane AB. Hosp Health Netw. 2007 Oct;81:57-8, 60, 2.

NEWSPAPER/MAGAZINE ARTICLE

Enhanced medication safety.

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

STUDY

Utilising improvement science methods to optimise medication reconciliation.

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

STUDY

Improving medication safety with accurate preadmission medication lists and postdischarge education.

Gardella JE, Cardwell TB, Nnadi M. Jt Comm J Qual Patient Saf. 2012;38:452-458.

STUDY

Medication reconciliation in a rural trauma population.

Miller SL, Miller S, Balon J, Helling TS. Ann Emerg Med. 2008;52:483-491.

STUDY

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.

Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780.

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.

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

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

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.

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.

COMMENTARY

Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.

Murphy EM, Oxencis CJ, Klauck JA, Meyer DA, Zimmerman JM. Am J Health Syst Pharm. 2009;66:2126-2131.

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.

NEWSPAPER/MAGAZINE ARTICLE

Fixing the medication reconciliation breakdown.

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

STUDY

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2008;65:827-843.

NEWSPAPER/MAGAZINE ARTICLE

Medication reconciliation only as good as the IT allows.

Page D. Hosp Health Networks. March 2011.

BOOK/REPORT classic

Preventing Medication Errors: Quality Chasm Series.

Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J, Bootman JL, Cronenwett LR, eds. Washington, DC: The National Academies Press; 2007.

STUDY

Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds.

Fertleman M, Barnett N, Patel T. Qual Saf Health Care. 2005;14:207-211.

CLINICAL GUIDELINE classic

Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association.

Michaels AD, Spinler SA, Leeper B, et al; American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology, Council on Quality of Care and Outcomes Research, Council on Cardiopulmonary, Critical Care, Perioperative, and Resuscitation, Council on Cardiovascular Nursing, Stroke Council. Circulation. 2010;121:1664-1682.

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.

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