A quantitative evaluation of medication histories and reconciliation by discipline.

ABSTRACT:

Background/objective

Medication reconciliation at transitions of care decreases medication errors, hospitalizations, and adverse drug events. We compared inpatient medication histories and reconciliation across disciplines and evaluated the nature of discrepancies.

Methods

We conducted a prospective cohort study of patients admitted from the emergency department at our 760-bed hospital. Eligible patients had their medication histories conducted and reconciled in order by the admitting nurse (RN), certified pharmacy technician (CPhT), and pharmacist (RPh). Discharge medication reconciliation was not altered. Admission and discharge discrepancies were categorized by discipline, error type, and drug class and were assigned a criticality index score. A discrepancy rating system

SUBMITTER: Kramer JS 

PROVIDER: S-EPMC4252186 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature