Medication reconciliation in ambulatory care: attempts at improvement.
Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.
has proven to be a difficult task in the
setting. Conducted in four academic primary care clinics, this study targeted medication reconciliation through a multifaceted intervention involving
as well as training and performance feedback for staff members. Although medication list completion and accuracy both improved significantly, half of medication lists remained incomplete after the intervention, and the majority contained errors. In view of the lack of proven strategies for improvement, The Joint Commission no longer formally scores medication reconciliation during on-site accreditation surveys (although it remains a
National Patient Safety Goal
Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.
Nassaralla CL, Naessens JM, Chaudhry R, Hansen MA, Scheitel SM. Qual Saf Health Care. 2007;16:90-94.
Impact of implementing alerts about medication black-box warnings in electronic health records.
Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.
Transitioning between electronic health records: effects on ambulatory prescribing safety.
Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.
Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.
Schnipper JL, Liang CL, Hamann C, et al. J Am Med Inform Assoc. 2011;18:309-313.
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