The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS).

Caroline A Presley; Kathleene T Wooldridge; Susan H Byerly; Amy R Aylor; Peter J Kaboli; Christianne L Roumie; Jeffrey L Schnipper; Robert S Dittus; Amanda S Mixon

Study

The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS).

February 12, 2020

Presley CA, Wooldridge KT, Byerly SH, et al. Am J Health Syst Pharm. 2020;77(2):128-137.

View more articles from the same authors.

This article reports mixed results of a two-year mentor-implemented feasibility study designed to improve medication reconciliation practices in rural Veterans Affairs hospitals. The authors highlight facilitators and barriers to implementing their evidence-based intervention in smaller hospitals.

PubMed citation

Available at

Related Resources From the Same Author(s)

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation.

August 5, 2020

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019.

September 30, 2020

Implementation strategies in the context of medication reconciliation: a qualitative study.

July 14, 2021

Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system.

December 12, 2021

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

March 7, 2012

ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021.

October 19, 2022

Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility.

July 21, 2021

Workforce planning and safe workload in sterile compounding hospital pharmacy services.

November 24, 2021

Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications.

October 20, 2021

Improving the specificity of drug-drug interaction alerts: can it be done?

April 6, 2022

Medication adverse events in the ambulatory setting: a mixed-methods analysis.

October 26, 2022

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic.

June 30, 2021

Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital

August 25, 2021

Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.

September 23, 2020

ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures.

June 15, 2022

Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients.

April 28, 2021

Weight and size descriptors for drug dosing: too many options and too many errors.

January 11, 2023

Health literacy and medication understanding among hospitalized adults.

December 21, 2011

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders.

August 3, 2022

ASHP statement on the pharmacist's role in medication reconciliation.

February 27, 2013

National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages.

November 4, 2020

ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice.

April 20, 2022

Reducing errors through discharge medication reconciliation by pharmacy services.

August 26, 2015

Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety.

June 26, 2019

Clinical pharmacists and inpatient medical care: a systematic review.

May 17, 2006

Insulin Pens Devices.

October 12, 2016

Medication misadventures resulting in emergency department visits at an HMO medical center.

March 27, 2005

ASHP Guidelines on Preventing Diversion of Controlled Substances.

December 14, 2022

Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic.

April 21, 2021

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial.

June 8, 2016

Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.

September 12, 2018

Standardization of compounded oral liquids for pediatric patients in Michigan.

August 31, 2016

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017.

October 31, 2018

Patient safety and quality improvement adaptation during the COVID-19 pandemic.

April 21, 2021

Sources of medication omissions among hospitalized older adults with polypharmacy.

March 9, 2022

Preliminary study of patient safety and quality use cases for ICD-11 MMS.

September 15, 2021

Association of communication between hospital-based physicians and primary care providers with patient outcomes.

January 21, 2009

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.

May 19, 2021

COVID-19: patient safety and quality improvement skills to deploy during the surge.

June 24, 2020

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

July 18, 2012

Detecting adverse drug events through data mining.

March 24, 2010

Standardized assessment of medication reconciliation in post-acute care.

April 27, 2022

Post-discharge adverse events among African American and Caucasian patients of an urban community hospital.

July 15, 2020

Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic.

August 29, 2007

Caregiver and clinician perspectives on discharge medication counseling: a qualitative study.

July 12, 2023

Impact of the nurse shortage on hospital patient care: comparative perspectives.

July 25, 2007

The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study.

November 10, 2010

Team-based approach to improving medication reconciliation rates in family medicine residency clinics.

October 7, 2020

Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out.

December 5, 2007

Quality improvement for patient safety: project-level versus program-level learning.

February 22, 2012

A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS).

July 31, 2013

Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study.

January 27, 2021

Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.

October 31, 2007

Postdischarge adverse events among neonates admitted to the neonatal intensive care unit.

September 7, 2022

The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study.

January 26, 2022

The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives.

February 27, 2019

How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.

December 2, 2020

Moving beyond readmission penalties: creating an ideal process to improve transitional care.

January 16, 2013

Inability of providers to predict unplanned readmissions.

April 6, 2011

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.

March 27, 2013

The impact of medication reconciliation and review in patients using oral chemotherapy.

March 1, 2023

Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm.

November 24, 2010

Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning.

July 22, 2020

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study.

November 24, 2021

Measuring and comparing safety climate in intensive care units.

March 17, 2010

Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services.

March 16, 2016

The problem with medication reconciliation.

August 31, 2016

A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist.

July 27, 2022

Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration.

September 30, 2015

What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.

April 12, 2023

Automated identification of postoperative complications within an electronic medical record using natural language processing.

August 31, 2011

The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency.

September 1, 2012

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.

November 12, 2014

The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors.

February 10, 2021

Impact of patient safety culture on missed nursing care and adverse patient events.

March 20, 2019

Association of a web-based handoff tool with rates of medical errors.

August 17, 2016

Patient Safety Innovations

Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies.

April 7, 2022

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.

January 10, 2018

The potential for leveraging machine learning to filter medication alerts.

May 4, 2022

Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis.

May 19, 2021

Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events.

September 28, 2022

The Veterans Affairs shift change physician-to-physician handoff project.

February 10, 2010

Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies.

December 1, 2021

Nursing home patient safety culture perceptions among licensed practical nurses.

February 1, 2023

Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study.

June 18, 2008

CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting.

September 1, 2021

30-day potentially avoidable readmissions due to adverse drug events.

May 3, 2017

Hospital-based medication reconciliation practices: a systematic review.

July 11, 2012

Differences in medication reconciliation interventions between six hospitals: a mixed method study.

June 29, 2022

Providers' and patients' perspectives on diagnostic errors in the acute care setting.

February 15, 2023

Longitudinal medication reconciliation at hospital admission, discharge and post-discharge.

August 26, 2020

Hospital medication errors: a cross sectional study.

December 23, 2020

Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy.

July 29, 2020

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

March 24, 2021

An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement.

October 19, 2022

Patient and physician experience with interhospital transfer: a qualitative study.

May 29, 2019

Clinical and financial implications of second-opinion surgical pathology review.

April 7, 2021

Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions.

October 13, 2021

Related Resources

Unequal Treatment Revisited: A Workshop Series.

September 26, 2023 - September 27, 2023

An integrative systematic review of employee silence and voice in healthcare: what are we really measuring.

June 28, 2023

Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms.

June 21, 2023

Challenge Competition: Impact of Patient Safety Tools.

June 14, 2023

Towards a unified model of accident causation: refining and validating the systems thinking safety tenets.

May 10, 2023

Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults.

May 10, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.

April 12, 2023

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.

March 29, 2023

Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed).

March 22, 2023

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.

February 22, 2023

AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.

February 15, 2023

The value of learning from near misses to improve patient safety: a scoping review.

January 25, 2023

Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs.

January 11, 2023

A recent two-fold increase in medical adverse event deaths among US inpatients.

December 21, 2022

Structural racism and adverse maternal health outcomes: a systematic review.

December 21, 2022

Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment.

December 14, 2022

Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis.

December 14, 2022

What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review.

November 2, 2022

Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.

November 2, 2022

Employee silence in health care: charting new avenues for leadership and management.

August 3, 2022

Trends in adverse event rates in hospitalized patients, 2010-2019.

July 27, 2022

Scoping review of studies evaluating frailty and its association with medication harm.

June 22, 2022

The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy.

April 27, 2022

The effect of clinician feedback interventions on opioid prescribing.

April 27, 2022

Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18).

April 20, 2022

Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology.

April 20, 2022

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.

February 23, 2022

See More About The Topic

Researchers

Hospitals

Quality and Safety Professionals

Medicine

Hospital Pharmacy

The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS).

Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS).

Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site