Skip to main content
Study

Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals.

Harper A, Kukielka E, Jones R. Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. Patient Safety. 2021;3(1):10-21. doi: 10.33940/data/2021.3.1  

Save
Print
March 24, 2021
Harper A, Kukielka E, Jones RM. Patient Safety. 2021;3(1):10-22.

Although medication reconciliation is a common strategy to improve medication safety, barriers to implementation and threats to safety persist. Based on events reported to the Pennsylvania Patient Safety Reporting System, the authors characterized serious events related to medication reconciliation. The most common process failures contributing to patient harm occurred during order entry/transcription and resulted most frequently in the wrong dose or dose omission. The authors suggest risk reduction strategies including defined clinician roles for medication reconciliation, listing the indication for prescribed medications, and adding anticonvulsants to processes for medication with high risk for harm.

Save
Print
Cite
Citation

Harper A, Kukielka E, Jones R. Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. Patient Safety. 2021;3(1):10-21. doi: 10.33940/data/2021.3.1  

Related Resources