Medication reconciliation during transitions of care as a patient safety strategy: A systematic review

Annals of Internal Medicine

Volumn 158, Issue 5 PART 2, 2013, Pages 397-403

  Kwan, Janice L ^a   Lo, Lisha ^b   Sampson, Margaret ^c   Shojania, Kaveh G ^d  

^a MOUNT SINAI HOSPITAL   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c CHILDREN S HOSPITAL OF EASTERN ONTARIO   (Canada)

^d SUNNYBROOK RESEARCH INSTITUTE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL EFFECTIVENESS; EMERGENCY CARE; HARM REDUCTION; HEALTH CARE COST; HEALTH CARE TRANSITION; HEALTH CARE UTILIZATION; HOSPITAL READMISSION; HOSPITAL UTILIZATION; HUMAN; MEDICATION THERAPY MANAGEMENT; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT SAFETY; PRIORITY JOURNAL; QUALITY ADJUSTED LIFE YEAR; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; SYSTEMATIC REVIEW;

EID: 84874754299     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/0003-4819-158-5-201303051-00006     Document Type: Review

References (52)

1. Coleman EA, Berenson RA. Lost in transition: challenges and opportunities for improving the quality of transitional care. Ann Intern Med. 2004;141:533-6. [PMID: 15466770]
2. Forster AJ, Clark HD, Menard A, Dupuis N, Chernish R, Chandok N, et al. Adverse events among medical patients after discharge from hospital. CMAJ. 2004;170:345-9. [PMID: 14757670]
3. Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003;138:161-7. [PMID: 12558354]
4. Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA. 2007;297:831-41. [PMID: 17327525]
5. van Walraven C, Taljaard M, Etchells E, Bell CM, Stiell IG, Zarnke K, et al. The independent association of provider and information continuity on outcomes after hospital discharge: implications for hospitalists. J Hosp Med. 2010; 5:398-405. [PMID: 20845438]
6. Bell CM, Brener SS, Gunraj N, Huo C, Bierman AS, Scales DC, et al. Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. JAMA. 2011;306:840-7. [PMID: 21862745]
7. Coleman EA, Smith JD, Raha D, Min SJ. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165:1842-7. [PMID: 16157827]
8. Cornish PL, Knowles SR, Marchesano R, Tam V, Shadowitz S, Juurlink DN, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165:424-9. [PMID: 15738372]
9. Tam VC, Knowles SR, Cornish PL, Fine N, Marchesano R, Etchells EE. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. CMAJ. 2005;173:510-5. [PMID: 16129874]
10. Wong JD, Bajcar JM, Wong GG, Alibhai SM, Huh JH, Cesta A, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42:1373-9. [PMID: 18780806]
11. Coffey M, Mack L, Streitenberger K, Bishara T, De Faveri L, Matlow A. Prevalence and clinical significance of medication discrepancies at pediatric hospital admission. Acad Pediatr. 2009;9:360-365. [PMID: 19640822]
12. Kwan Y, Fernandes OA, Nagge JJ, Wong GG, Huh JH, Hurn DA, et al. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007;167:1034-40. [PMID: 17533206]
13. Lee JY, Leblanc K, Fernandes OA, Huh JH, Wong GG, Hamandi B, et al. Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Ann Pharmacother. 2010;44:1887-95. [PMID: 21098753]
14. Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2010;95:250-5. [PMID: 19948664]
15. Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006; 15:122-6. [PMID: 16585113]
16. Gleason KM, McDaniel MR, Feinglass J, Baker DW, Lindquist L, Liss D, et al. Results of the Medications at Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission. J Gen Intern Med. 2010;25:441-7. [PMID: 20180158]
17. World Health Organization. Action on Patient Safety-High 5s. 2006. Accessed at www.who.int/patientsafety/implementation/solutions/high5s/en/index.html on 13 September 2012.
18. Institute for Healthcare Improvement. Overview of the 100,000 Lives Campaign. 2006. Accessed at www.ihi.org/offerings/Initiatives/PastStrategicInitiatives/5MillionLivesCampaign/Documents/Overview%20of%20the%20100K%20Campaign.pdf on 13 September 2012
19. The Joint Commission. 2011 National Patient Safety Goals. 2011. Accessed at www.jointcommission.org/standards_information/npsgs.aspx on 13 September 2012
20. Accreditation Canada. Required Organizational Practices 2012. Ottawa, Ontario, Canada: Accreditation Canada; 2012. Accessed at www.accreditation.ca/uploadedFiles/ROP%20Handbook.pdf Accessed on 15 September 2012.
21. Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172: 1057-69. [PMID: 22733210]
22. Fernandes O. Medication reconciliation in the hospital: what, why, where, when, who and how? Healthc Q. 2012;15 Spec No:42-9. [PMID: 22874446]
23. Jack BW, Chetty VK, Anthony D, Greenwald JL, Sanchez GM, Johnson AE, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150:178-87. [PMID: 19189907]
24. Koehler BE, Richter KM, Youngblood L, Cohen BA, Prengler ID, Cheng D, et al. Reduction of 30-day postdischarge hospital readmission or emergency department (ED) visit rates in high-risk elderly medical patients through delivery of a targeted care bundle. J Hosp Med. 2009;4:211-8. [PMID: 19388074]
25. Kripalani S, Roumie CL, Dalal AK, Cawthon C, Businger A, Eden SK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Med. 2012;157:1-10. [PMID: 22751755]
26. Walker PC, Bernstein SJ, Jones JN, Piersma J, Kim HW, Regal RE, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasiexperimental study. Arch Intern Med. 2009;169:2003-10. [PMID: 19933963]
27. Bayoumi I, Howard M, Holbrook AM, Schabort I. Interventions to improve medication reconciliation in primary care. Ann Pharmacother. 2009;43: 1667-75. [PMID: 19737997]
28. Schnipper JL, Liang CL, Hamann C, Karson AS, Palchuk MB, McCarthy PC, et al. Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. J Am Med Inform Assoc. 2011;18:309-13. [PMID: 21486889]
29. Pippins JR, Gandhi TK, Hamann C, Ndumele CD, Labonville SA, Diedrichsen EK, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23:1414-22. [PMID: 18563493]
30. Schnipper JL, Hamann C, Ndumele CD, Liang CL, Carty MG, Karson AS, et al. Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. Arch Intern Med. 2009;169:771-80. [PMID: 19398689]
31. Schnipper JL, Kirwin JL, Cotugno MC, Wahlstrom SA, Brown BA, Tarvin E, et al. Role of pharmacist counseling in preventing adverse drug events after hospitalization. Arch Intern Med. 2006;166:565-71. [PMID: 16534045]
32. Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al; Cochrane Bias Methods Group. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928. [PMID: 22008217]
33. Grimshaw JM, Thomas RE, MacLennan G, Fraser C, Ramsay CR, Vale L, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess. 2004;8:iii-iv, 1-72. [PMID: 14960256]
34. Jamtvedt G, Young JM, Kristoffersen DT, O'Brien MA, Oxman AD. Audit and feedback: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2006:CD000259. [PMID: 16625533]
35. Ranji SR, Steinman MA, Shojania KG, Gonzales R. Interventions to reduce unnecessary antibiotic prescribing: a systematic review and quantitative analysis. Med Care. 2008;46:847-62. [PMID: 18665065]
36. Shojania KG, Jennings A, Mayhew A, Ramsay C, Eccles M, Grimshaw J. Effect of point-of-care computer reminders on physician behaviour: a systematic review. CMAJ. 2010;182:E216-25. [PMID: 20212028]
37. Steinman MA, Ranji SR, Shojania KG, Gonzales R. Improving antibiotic selection: a systematic review and quantitative analysis of quality improvement strategies. Med Care. 2006;44:617-28. [PMID: 16799356]
38. Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34:113-9. [PMID: 22207271]
39. Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. Drug Saf. 2010;33:1027-44. [PMID: 20925440]
40. Steurbaut S, Leemans L, Leysen T, De Baere E, Cornu P, Mets T, et al. Medication history reconciliation by clinical pharmacists in elderly inpatients admitted from home or a nursing home. Ann Pharmacother. 2010;44:1596-603. [PMID: 20736427]
41. Norris CM, Thomas V, Calvert PS. An audit to evaluate the acceptability of a pharmacist electronically prescribing discharge medication and providing information to GPs. Pharmaceutical Journal. 2001;267:857-9.
42. Climente-Martí M, García-Mañón ER, Artero-Mora A, Jiménez-Torres NV. Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service. Ann Pharmacother. 2010; 44:1747-54. [PMID: 20923946]
43. Dedhia P, Kravet S, Bulger J, Hinson T, Sridharan A, Kolodner K, et al. A quality improvement intervention to facilitate the transition of older adults from three hospitals back to their homes. J Am Geriatr Soc. 2009;57:1540-6. [PMID: 19694865]
44. Kramer JS, Hopkins PJ, Rosendale JC, Garrelts JC, Hale LS, Nester TM, et al. Implementation of an electronic system for medication reconciliation. Am J Health Syst Pharm. 2007;64:404-22. [PMID: 17299180]
45. Showalter JW, Rafferty CM, Swallow NA, Dasilva KO, Chuang CH. Effect of standardized electronic discharge instructions on post-discharge hospital utilization. J Gen Intern Med. 2011;26:718-23. [PMID: 21499825]
46. Gleason KM, Groszek JM, Sullivan C, Rooney D, Barnard C, Noskin GA. Reconciliation of discrepancies in medication histories and admission orders of newly hospitalized patients. Am J Health Syst Pharm. 2004;61:1689-95. [PMID: 15540481]
47. Gillespie U, Alassaad A, Henrohn D, Garmo H, Hammarlund-Udenaes M, Toss H, et al. A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. Arch Intern Med. 2009; 169:894-900. [PMID: 19433702]
48. Kaboli PJ, Hoth AB, McClimon BJ, Schnipper JL. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med. 2006;166:955-64. [PMID: 16682568]
49. Kucukarslan SN, Peters M, Mlynarek M, Nafziger DA. Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Arch Intern Med. 2003;163:2014-8. [PMID: 14504113]
50. Leape LL, Cullen DJ, Clapp MD, Burdick E, Demonaco HJ, Erickson JI, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA. 1999;282:267-70. [PMID: 10422996]
51. Karnon J, Campbell F, Czoski-Murray C. Model-based cost-effectiveness analysis of interventions aimed at preventing medication error at hospital admission (medicines reconciliation). J Eval Clin Pract. 2009;15:299-306. [PMID: 19335488]
52. Etchells E, Koo M, Daneman N, McDonald A, Baker M, Matlow A, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf. 2012;21:448-56. [PMID: 22523319]