OBJECTIVES: To determine the accuracy of medication reconciliation in an internal medicine clinic and to evaluate pharmacist interventions targeted at improving the accuracy of medication reconciliation. DESIGN: Prospective case series. SETTING: Memphis, TN, from October 2007 to March 2008. PATIENTS: 180 adults attending an internal medicine appointment. INTERVENTION: On patient arrival, a nurse completed the medication reconciliation form. In Phase 1 of the study, a pharmacist randomly selected and reviewed a patient's medication reconciliation form, interviewed the patient, and verified information if indicated. A total of 90 forms were reviewed and compared to determine baseline medication reconciliation accuracy. Education interventions were held with the medical and nursing staff, targeting areas for improvement. In Phase 2 of the study, 90 additional medication reconciliation forms were reviewed in the same manner. Phase 1 and Phase 2 results were compared to evaluate differences in accuracy after the pharmacist's education interventions. MAIN OUTCOME MEASURES: Accuracy of medication reconciliation forms and number of potentially significant errors at baseline and after pharmacist interventions. RESULTS: In Phase 1, 14.4% of medication reconciliation forms were correct. The remaining forms contained 190 potentially significant errors. After the education interventions, 18.9% of medication reconciliation forms were correct and the others contained 139 potentially significant errors. CONCLUSION: Medication reconciliation accuracy is poor. Although education interventions showed a trend toward improvement, continued education training for staff and patients is needed in addition to other interventions to optimize this process and prevent medication errors.
OBJECTIVES: To determine the accuracy of medication reconciliation in an internal medicine clinic and to evaluate pharmacist interventions targeted at improving the accuracy of medication reconciliation. DESIGN: Prospective case series. SETTING: Memphis, TN, from October 2007 to March 2008. PATIENTS: 180 adults attending an internal medicine appointment. INTERVENTION: On patient arrival, a nurse completed the medication reconciliation form. In Phase 1 of the study, a pharmacist randomly selected and reviewed a patient's medication reconciliation form, interviewed the patient, and verified information if indicated. A total of 90 forms were reviewed and compared to determine baseline medication reconciliation accuracy. Education interventions were held with the medical and nursing staff, targeting areas for improvement. In Phase 2 of the study, 90 additional medication reconciliation forms were reviewed in the same manner. Phase 1 and Phase 2 results were compared to evaluate differences in accuracy after the pharmacist's education interventions. MAIN OUTCOME MEASURES: Accuracy of medication reconciliation forms and number of potentially significant errors at baseline and after pharmacist interventions. RESULTS: In Phase 1, 14.4% of medication reconciliation forms were correct. The remaining forms contained 190 potentially significant errors. After the education interventions, 18.9% of medication reconciliation forms were correct and the others contained 139 potentially significant errors. CONCLUSION: Medication reconciliation accuracy is poor. Although education interventions showed a trend toward improvement, continued education training for staff and patients is needed in addition to other interventions to optimize this process and prevent medication errors.
Authors: Eliz Markowitz; Elmer V Bernstam; Jorge Herskovic; Jiajie Zhang; Ben Shneiderman; Catherine Plaisant; Todd R Johnson Journal: AMIA Annu Symp Proc Date: 2011-10-22
Authors: Pamela A Bozzo Silva; Elmer V Bernstam; Eliz Markowitz; Todd R Johnson; Jiajie Zhang; Jorge R Herskovic Journal: AMIA Annu Symp Proc Date: 2011-10-22
Authors: Michael R Gionfriddo; Vanessa Duboski; Allison Middernacht; Melissa S Kern; Jove Graham; Eric A Wright Journal: PLoS One Date: 2021-12-02 Impact factor: 3.240