Implementation of an electronic system for medication reconciliation.

@article{Kramer2007ImplementationOA,
  title={Implementation of an electronic system for medication reconciliation.},
  author={Joan S. Kramer and Paula Hopkins and James C Rosendale and James C. Garrelts and L S Hale and Tina M Nester and Patty Cochran and Leslie A Eidem and Robert D Haneke},
  journal={American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists},
  year={2007},
  volume={64 4},
  pages={
          404-22
        }
}
  • Joan S. Kramer, Paula Hopkins, +6 authors Robert D Haneke
  • Published 15 February 2007
  • Medicine
  • American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
PURPOSE The feasibility of implementing an electronic system for targeted pharmacist- and nurse-conducted admission and discharge medication reconciliation and its effects on patient safety, cost, and satisfaction among providers and nurses were studied. METHODS This study was conducted in two phases: a preimplementation phase and a postimplementation phase. In the preimplementation phase, admission medication histories and discharge medication counseling followed standard care processes… 
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110 Citations
Highly Influential Citations
5
Background Citations
31
Methods Citations
5
Results Citations
3

110 Citations

Citation Type

Citation Type

Implementation Brief: Evaluation of an Inpatient Computerized Medication Reconciliation System
TLDR
Most users agreed that medication reconciliation improves patient care but requested tighter integration of the different stages of the medication reconciliation process and further training may be helpful in improving user efficiency.
A review of medication reconciliation issues and experiences with clinical staff and information systems.
TLDR
As medication reconciliation becomes a regular process within medical centers, key concepts for effective implementation are discussed and observations and opportunities of integrating medication reconciliation with the electronic patient health record are discussed.
Does electronic medication reconciliation at hospital discharge decrease prescription medication errors?
TLDR
Type and prevalence of intravenous antibiotic errors at hospital discharge before and after the addition of an electronic discharge medication reconciliation tool (EDMRT) are measured to improve patient safety.
Improving care transitions: optimizing medication reconciliation.
TLDR
The application of the foundational concepts in this publication and future work on the enhancement of the medication reconciliation process will help to improve patient safety and patient care outcomes during care transitions.
A Quantitative Evaluation of Medication Histories and Reconciliation by Discipline
TLDR
RPhs committed the fewest discrepancies compared with RNs and CPhTs, resulting in more accurate medication histories and reconciliation, contributing to considerable pADE-related cost savings.
Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.
IMPACT OF MEDICATION RECONCILIATION DURING PATIENT ADMISSION
TLDR
It is demonstrated that medication reconciliation allowed medications to be reviewed more thoroughly and was able to reduce medication errors more effectively than standard medication history taking.
Medication reconciliation at admission and discharge: a time and motion study
TLDR
Lack of coordination, specialized training and agreement on the roles and responsibilities of professionals are among the most probable reasons for work-flow inefficiencies, possibly variability in quality, and time required for the current medication reconciliation process.
Medication Errors Despite Using Electronic Health Records: The Value of a Clinical Pharmacist Service in Reducing Discharge-Related Medication Errors
TLDR
Pharmacist's involvement in the patient care team improved patient safety by decreasing discharge medication errors caused by using electronic health records and computerized physician order entry.
A medication reconciliation form and its impact on the medical record in a paediatric hospital.
TLDR
This study demonstrated that the forms used in the reconciliation process, in particular the discharge prescription, could increase the quality of the information related to drug use in medical charts and should be widely used by all the health care professional teams involved in the drug history or prescription process.
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References

SHOWING 1-10 OF 59 REFERENCES
Medication reconciliation: a practical tool to reduce the risk of medication errors.
Drug-therapy problems, inconsistencies and omissions identified during a medication reconciliation and seamless care service.
TLDR
In conclusion, a pharmacist-directed seamless care service had a significant impact on drug-related clinical outcomes and processes of care.
Automation of the Medication History Process: A Case Report
TLDR
A system is described that provides medication reconciliation including medication fill and refill information from third-party payers and pharmacy-benefit managers (PBM) and Thomas Hospital in Fairhope, Alabama is the initial site deploying the system.
Reconcilable differences: correcting medication errors at hospital admission and discharge
TLDR
In this small study, medication reconciliation was a useful method for identifying and rectifying medication errors at times of transition and warrants broader evaluation.
Reconciliation of discrepancies in medication histories and admission orders of newly hospitalized patients.
A 1999 Institute of Medicine report received national attention by highlighting system vulnerabilities within health care and indicating that medication errors are a leading cause of morbidity and…
Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.
  • C. Rodehaver, D. Fearing
  • Medicine, Political Science
    Joint Commission journal on quality and patient safety
  • 2005
Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds
TLDR
The presence of a pharmacist on a post-take ward round improved the accuracy of drug history documentation, reduced prescribing costs, and decreased the potential risk to patients in this hospital.
Reconciling medications at admission: safe practice recommendations and implementation strategies.
Findings from the ISMP Medication Safety Self-Assessment for hospitals.
Using a multidisciplinary automated discharge summary process to improve information management across the system.
TLDR
An automated summary that compiles data entered via computer pathways during a patient's hospitalization is developed and implemented that helps maintain complete and thorough documentation in patient records.
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