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Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. J Am Med Dir Assoc. 2021;22(12):2553-2558.e1.
Medication reconciliation has been shown to reduce medication errors but is a time-consuming process. This study compared medication reconciliation via a patient portal with those performed by a pharmacy technician (usual care). Medication discrepancies were similar between both groups, and patients were satisfied using the patient portal, which saved 6.8 minutes per patient compared with usual care.
Maxwell E, Amerine J, Carlton G, et al. Am J Health Syst Pharm. 2021;78(Suppl 3):s88-s94.
Clinical decision support (CDS) tools are intended to enhance care decision and delivery processes. This single-site retrospective study evaluated whether a CDS tool can reduce discharge prescription errors for patients receiving a medication substitution at admission. Findings indicate that use of CDS did not result in a decrease in discharge prescription omissions, duplications, or inappropriate medication reconciliation.
Washington, DC: Office of the National Coordinator for Health Information Technology, US Department of Health and Human Services; 2007.
This report provides two example scenarios—inpatient medication reconciliation and medication management in ambulatory care—to explore how improved information exchange can support safe medication management.
Riechelmann RP, Tannock IF, Wang L, et al. J Natl Cancer Inst. 2007;99(8):592-600.
Medication safety efforts continue to focus on minimizing drug interactions. Furthermore, an aging population and greater use of chronic medications may increase the risk of such events. This study surveyed more than 400 cancer patients and discovered that more than 25% of them were at risk for a potential drug interaction. Most cases involved non-cancer agents such as warfarin and antihypertensives. In a small number of cases, patients received duplicate prescriptions. While the authors discuss the role of clinical decision support systems in preventing these events, their findings noted only potential drug interactions and not true adverse events. A similar study reported on potential drug interactions in hospitalized cancer patients.