메뉴 건너뛰기




Volumn 41, Issue 2, 2016, Pages 128-144

Pharmacy-led medication reconciliation programmes at hospital transitions: A systematic review and meta-analysis

Author keywords

care transition; hospital; medication discrepancies; medication errors; medication reconciliation; medication review; pharmacy

Indexed keywords

COMPARATIVE EFFECTIVENESS; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EMBASE; HOSPITAL; HUMAN; MEDICATION THERAPY MANAGEMENT; MEDLINE; META ANALYSIS; MULTICENTER STUDY; PHARMACIST; PHARMACY; PHARMACY TECHNICIAN; PSYCINFO; SYSTEMATIC REVIEW; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITAL PHARMACY; MULTICENTER STUDY (TOPIC); PATIENT TRANSPORT; PROCEDURES; RANDOMIZED CONTROLLED TRIAL (TOPIC);

EID: 84977853713     PISSN: 02694727     EISSN: 13652710     Source Type: Journal    
DOI: 10.1111/jcpt.12364     Document Type: Review
Times cited : (213)

References (49)
  • 1
    • 84885125641 scopus 로고    scopus 로고
    • Characterizing medication discrepancies among older adults during transitions of care: A systematic review focusing on discrepancy synonyms, data sources and classification terms
    • Kostas T, Paquin AM, Zimmerman K, et al,. Characterizing medication discrepancies among older adults during transitions of care: a systematic review focusing on discrepancy synonyms, data sources and classification terms. Aging Health, 2013; 9: 497-508.
    • (2013) Aging Health , vol.9 , pp. 497-508
    • Kostas, T.1    Paquin, A.M.2    Zimmerman, K.3
  • 2
    • 1442308371 scopus 로고    scopus 로고
    • Standardization as a mechanism to improve safety in health care
    • Rozich JD, Howard RJ, Justeson JM, et al,. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Saf, 2004; 30: 5-14.
    • (2004) Jt Comm J Qual Saf , vol.30 , pp. 5-14
    • Rozich, J.D.1    Howard, R.J.2    Justeson, J.M.3
  • 3
    • 50049116050 scopus 로고    scopus 로고
    • Classifying and predicting errors of inpatient medication reconciliation
    • Pippins JR, Gandhi TK, Hamann C, et al,. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med, 2008; 23: 1414-1422.
    • (2008) J Gen Intern Med , vol.23 , pp. 1414-1422
    • Pippins, J.R.1    Gandhi, T.K.2    Hamann, C.3
  • 4
    • 52949091974 scopus 로고    scopus 로고
    • Medication reconciliation at hospital discharge: Evaluating discrepancies
    • Wong JD, Bajcar JM, Wong GG, et al,. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother, 2008; 42: 1373-1379.
    • (2008) Ann Pharmacother , vol.42 , pp. 1373-1379
    • Wong, J.D.1    Bajcar, J.M.2    Wong, G.G.3
  • 5
    • 78751573947 scopus 로고    scopus 로고
    • Medication discrepancies at discharge from an internal medicine service
    • Herrero-Herrero J, Garcia-Aparicio J,. Medication discrepancies at discharge from an internal medicine service. Eur J Intern Med, 2011; 22: 43-48.
    • (2011) Eur J Intern Med , vol.22 , pp. 43-48
    • Herrero-Herrero, J.1    Garcia-Aparicio, J.2
  • 6
    • 14044264844 scopus 로고    scopus 로고
    • Unintended medication discrepancies at the time of hospital admission
    • Cornish PL, Knowles SR, Marchesano R, et al,. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med, 2005; 165: 424-429.
    • (2005) Arch Intern Med , vol.165 , pp. 424-429
    • Cornish, P.L.1    Knowles, S.R.2    Marchesano, R.3
  • 7
    • 84892753727 scopus 로고    scopus 로고
    • Pharmacist-led medication reconciliation to reduce discrepancies in transitions of care in Spain
    • Allende Bandres MA, Arenere Mendoza M, Gutierrez Nicolas F, et al,. Pharmacist-led medication reconciliation to reduce discrepancies in transitions of care in Spain. Int J Clin Pharm, 2013; 35: 1083-1090.
    • (2013) Int J Clin Pharm , vol.35 , pp. 1083-1090
    • Allende Bandres, M.A.1    Arenere Mendoza, M.2    Gutierrez Nicolas, F.3
  • 8
    • 84870233122 scopus 로고    scopus 로고
    • Poor communication on patients' medication across health care levels leads to potentially harmful medication errors
    • Frydenberg K, Brekke M,. Poor communication on patients' medication across health care levels leads to potentially harmful medication errors. Scand J Prim Health Care, 2012; 30: 234-240.
    • (2012) Scand J Prim Health Care , vol.30 , pp. 234-240
    • Frydenberg, K.1    Brekke, M.2
  • 9
    • 69549128084 scopus 로고    scopus 로고
    • A quality improvement intervention to facilitate the transition of older adults from three hospitals back to their homes
    • Dedhia P, Kravet S, Bulger J, 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: 1540-1546.
    • (2009) J Am Geriatr Soc , vol.57 , pp. 1540-1546
    • Dedhia, P.1    Kravet, S.2    Bulger, J.3
  • 10
    • 65649099099 scopus 로고    scopus 로고
    • Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: A cluster-randomized trial
    • Schnipper JL, Hamann C, Ndumele CD, 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: 771-780.
    • (2009) Arch Intern Med , vol.169 , pp. 771-780
    • Schnipper, J.L.1    Hamann, C.2    Ndumele, C.D.3
  • 11
    • 59949102241 scopus 로고    scopus 로고
    • A reengineered hospital discharge program to decrease rehospitalization: A randomized trial
    • Jack BW, Chetty VK, Anthony D, et al,. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med, 2009; 150: 178-187.
    • (2009) Ann Intern Med , vol.150 , pp. 178-187
    • Jack, B.W.1    Chetty, V.K.2    Anthony, D.3
  • 12
    • 25144475865 scopus 로고    scopus 로고
    • Posthospital medication discrepancies: Prevalence and contributing factors
    • Coleman EA, Smith JD, Raha D, et al,. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med, 2005; 165: 1842-1847.
    • (2005) Arch Intern Med , vol.165 , pp. 1842-1847
    • Coleman, E.A.1    Smith, J.D.2    Raha, D.3
  • 13
    • 84991949119 scopus 로고    scopus 로고
    • Institute for Healthcare Improvement. (accessed 30 December)
    • Institute for Healthcare Improvement. Medication reconciliation review. Available at: http://www.ihi.org/resources/Pages/Tools/MedicationReconciliationReview.aspx (accessed 30 December 2014).
    • (2014) Medication Reconciliation Review
  • 14
    • 33744482871 scopus 로고    scopus 로고
    • Joint Commission on Accreditation for Healthcare Organizations. (accessed 30 December)
    • Joint Commission on Accreditation for Healthcare Organizations. National Patient Safety Goals 2006. Available at: http://www.jointcommission.org/Improving-Americas-Hospitals-The-Joint-Commissions-Annual-Report-on-Quality-and-Safety--2006/ (accessed 30 December 2014).
    • (2014) National Patient Safety Goals 2006
  • 15
    • 56249137360 scopus 로고    scopus 로고
    • National Institute for Health and Care Excellence. London: National Institute for Health and Care Excellence, (NICE/NSPA/2007/PSG001). Available at: (last accessed 30 December 2014).
    • National Institute for Health and Care Excellence. Technical Patient Safety Solutions for Medicines Reconciliation on Admission of Adults to Hospital. London: National Institute for Health and Care Excellence, 2007. (NICE/NSPA/2007/PSG001). Available at: www.nice.org.uk/PSG001 (last accessed 30 December 2014).
    • (2007) Technical Patient Safety Solutions for Medicines Reconciliation on Admission of Adults to Hospital
  • 16
    • 84960445874 scopus 로고    scopus 로고
    • Canadian Council on Health Services Accreditation. Ottawa: Canadian Council on Health Services Accreditation, Available at: (last accessed 30 December 2014).
    • Canadian Council on Health Services Accreditation. Patient Safety Goals and Required Organizational Practices. Ottawa: Canadian Council on Health Services Accreditation, 2004. Available at: www.accreditation.ca (last accessed 30 December 2014).
    • (2004) Patient Safety Goals and Required Organizational Practices
  • 17
    • 84940826883 scopus 로고    scopus 로고
    • Australian Commission on Safety and Quality in Healthcare. (accessed 30 December)
    • Australian Commission on Safety and Quality in Healthcare. Medication reconciliation. Available at: http://www.safetyandquality.gov.au/our-work/medication-safety/medication-reconciliation/ (accessed 30 December 2014).
    • (2014) Medication Reconciliation
  • 19
    • 84864415100 scopus 로고    scopus 로고
    • Hospital-based medication reconciliation practices: A systematic review
    • Mueller SK, Sponsler KC, Kripalani S, et al,. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med, 2012; 172: 1057-1069.
    • (2012) Arch Intern Med , vol.172 , pp. 1057-1069
    • Mueller, S.K.1    Sponsler, K.C.2    Kripalani, S.3
  • 20
    • 84874754299 scopus 로고    scopus 로고
    • Medication reconciliation during transitions of care as a patient safety strategy: A systematic review
    • Kwan JL, Lo L, Sampson M, et al,. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med, 2013; 158: 397-403.
    • (2013) Ann Intern Med , vol.158 , pp. 397-403
    • Kwan, J.L.1    Lo, L.2    Sampson, M.3
  • 21
    • 68049122102 scopus 로고    scopus 로고
    • Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
    • Moher D, Liberati A, Tetzlaff J, et al,. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, 2009; 6: e1000097.
    • (2009) PLoS Med , vol.6 , pp. e1000097
    • Moher, D.1    Liberati, A.2    Tetzlaff, J.3
  • 22
    • 84991959577 scopus 로고    scopus 로고
    • [Data collection checklist and risk of bias]. EPOC Resources for review authors. Oslo: Norwegian Knowledge Centre for the Health Services, Available at: (accessed 30 December 2014)
    • Effective Practice and Organisation of Care (EPOC). [Data collection checklist and risk of bias]. EPOC Resources for review authors. Oslo: Norwegian Knowledge Centre for the Health Services, 2014. Available at: http://epoc.cochrane.org/epoc-specific-resources-review-authors (accessed 30 December 2014).
    • (2014)
    • Effective Practice and Organisation of Care (EPOC)1
  • 24
    • 85100415918 scopus 로고    scopus 로고
    • Higgins J.P.T. Green S. (eds). Version 5.1.0. The Cochrane Collaboration, Available at: (accessed 30 December 2014)
    • Higgins JPT, Green S, (eds). Cochrane Handbook for Systematic Reviews of Interventions, Version 5.1.0. The Cochrane Collaboration, 2011. Available at: www.cochrane-handbook.org (accessed 30 December 2014).
    • (2011) Cochrane Handbook for Systematic Reviews of Interventions
  • 25
    • 84860172677 scopus 로고    scopus 로고
    • Effectiveness and feasibility of pharmacist-led admission medication reconciliation for geriatric patients
    • Beckett RD, Crank CW, Wehmeyer A,. Effectiveness and feasibility of pharmacist-led admission medication reconciliation for geriatric patients. J Pharm Pract, 2012; 25: 136-141.
    • (2012) J Pharm Pract , vol.25 , pp. 136-141
    • Beckett, R.D.1    Crank, C.W.2    Wehmeyer, A.3
  • 26
    • 84899938936 scopus 로고    scopus 로고
    • Effect of clinical pharmacist intervention on medication discrepancies following hospital discharge
    • Farley TM, Shelsky C, Powell S, et al,. Effect of clinical pharmacist intervention on medication discrepancies following hospital discharge. Int J Clin Pharm, 2014; 36: 430-437.
    • (2014) Int J Clin Pharm , vol.36 , pp. 430-437
    • Farley, T.M.1    Shelsky, C.2    Powell, S.3
  • 27
    • 84869127236 scopus 로고    scopus 로고
    • Improving medication safety with accurate preadmission medication lists and postdischarge education
    • Gardella JE, Cardwell TB, Nnadi M,. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf, 2012; 38: 452-458.
    • (2012) Jt Comm J Qual Patient Saf , vol.38 , pp. 452-458
    • Gardella, J.E.1    Cardwell, T.B.2    Nnadi, M.3
  • 28
    • 84898869067 scopus 로고    scopus 로고
    • Impact of an outpatient pharmacist intervention on medication discrepancies and health care resource utilization in posthospitalization care transitions
    • Hawes EM, Maxwell WD, White SF, et al,. Impact of an outpatient pharmacist intervention on medication discrepancies and health care resource utilization in posthospitalization care transitions. J Prim Care Community Health, 2014; 5: 14-18.
    • (2014) J Prim Care Community Health , vol.5 , pp. 14-18
    • Hawes, E.M.1    Maxwell, W.D.2    White, S.F.3
  • 29
    • 84863644239 scopus 로고    scopus 로고
    • Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: A randomized trial
    • Kripalani S, Roumie CL, Dalal AK, et al,. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Med, 2012; 157: 1-10.
    • (2012) Ann Intern Med , vol.157 , pp. 1-10
    • Kripalani, S.1    Roumie, C.L.2    Dalal, A.K.3
  • 30
    • 33644966853 scopus 로고    scopus 로고
    • Role of pharmacist counseling in preventing adverse drug events after hospitalization
    • Schnipper JL, Kirwin JL, Cotugno MC, et al,. Role of pharmacist counseling in preventing adverse drug events after hospitalization. Arch Intern Med, 2006; 166: 565-571.
    • (2006) Arch Intern Med , vol.166 , pp. 565-571
    • Schnipper, J.L.1    Kirwin, J.L.2    Cotugno, M.C.3
  • 31
    • 73249132699 scopus 로고    scopus 로고
    • Impact of a pharmacist-facilitated hospital discharge program: A quasi-experimental study
    • Walker PC, Bernstein SJ, Jones JN, et al,. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med, 2009; 169: 2003-2010.
    • (2009) Arch Intern Med , vol.169 , pp. 2003-2010
    • Walker, P.C.1    Bernstein, S.J.2    Jones, J.N.3
  • 32
    • 79952702479 scopus 로고    scopus 로고
    • The effect of a clinical pharmacist discharge service on medication discrepancies in patients with heart failure
    • Eggink RN, Lenderink AW, Widdershoven JW, et al,. The effect of a clinical pharmacist discharge service on medication discrepancies in patients with heart failure. Pharm World Sci, 2010; 32: 759-766.
    • (2010) Pharm World Sci , vol.32 , pp. 759-766
    • Eggink, R.N.1    Lenderink, A.W.2    Widdershoven, J.W.3
  • 33
    • 65749104215 scopus 로고    scopus 로고
    • Medication reconciliation performed by pharmacy technicians at the time of preoperative screening
    • van den Bemt PM, van den Broek S, van Nunen AK, et al,. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Ann Pharmacother, 2009; 43: 868-874.
    • (2009) Ann Pharmacother , vol.43 , pp. 868-874
    • Van Den Bemt, P.M.1    Van Den Broek, S.2    Van Nunen, A.K.3
  • 34
    • 84882286264 scopus 로고    scopus 로고
    • Effect of medication reconciliation on unintentional medication discrepancies in acute hospital admissions of elderly adults: A multicenter study
    • van den Bemt PM, van der Schrieck-de Loos EM, van der Linden C, et al,. Effect of medication reconciliation on unintentional medication discrepancies in acute hospital admissions of elderly adults: a multicenter study. J Am Geriatr Soc, 2013; 61: 1262-1268.
    • (2013) J Am Geriatr Soc , vol.61 , pp. 1262-1268
    • Van Den Bemt, P.M.1    Van Der Schrieck-De Loos, E.M.2    Van Der Linden, C.3
  • 35
    • 84902485136 scopus 로고    scopus 로고
    • Collaborative pharmaceutical care in an Irish hospital: Uncontrolled before-after study
    • Grimes TC, Deasy E, Allen A, et al,. Collaborative pharmaceutical care in an Irish hospital: uncontrolled before-after study. BMJ Qual Saf, 2014; 23: 574-583.
    • (2014) BMJ Qual Saf , vol.23 , pp. 574-583
    • Grimes, T.C.1    Deasy, E.2    Allen, A.3
  • 36
    • 1842479851 scopus 로고    scopus 로고
    • Evaluation of a hospital-based community liaison pharmacy service in Northern Ireland
    • Bolas H, Brookes K, Scott M, et al,. Evaluation of a hospital-based community liaison pharmacy service in Northern Ireland. Pharm World Sci, 2004; 26: 114-120.
    • (2004) Pharm World Sci , vol.26 , pp. 114-120
    • Bolas, H.1    Brookes, K.2    Scott, M.3
  • 37
    • 34249709069 scopus 로고    scopus 로고
    • Pharmacist medication assessments in a surgical preadmission clinic
    • Kwan Y, Fernandes OA, Nagge JJ, et al,. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med, 2007; 167: 1034-1040.
    • (2007) Arch Intern Med , vol.167 , pp. 1034-1040
    • Kwan, Y.1    Fernandes, O.A.2    Nagge, J.J.3
  • 38
    • 33644678952 scopus 로고    scopus 로고
    • Drug-therapy problems, inconsistencies and omissions identified during a medication reconciliation and seamless care service
    • Nickerson A, MacKinnon NJ, Roberts N, et al,. Drug-therapy problems, inconsistencies and omissions identified during a medication reconciliation and seamless care service. Healthc Q, 2005; 8 (Spec No): 65-72.
    • (2005) Healthc Q , vol.8 , Issue.SPEC NO , pp. 65-72
    • Nickerson, A.1    MacKinnon, N.J.2    Roberts, N.3
  • 39
    • 84866487643 scopus 로고    scopus 로고
    • Utilizing community pharmacy dispensing records to disclose errors in hospital admission drug charts
    • Tompson AJ, Peterson GM, Jackson SL, et al,. Utilizing community pharmacy dispensing records to disclose errors in hospital admission drug charts. Int J Clin Pharmacol Ther, 2012; 50: 639-646.
    • (2012) Int J Clin Pharmacol Ther , vol.50 , pp. 639-646
    • Tompson, A.J.1    Peterson, G.M.2    Jackson, S.L.3
  • 40
    • 67349288080 scopus 로고    scopus 로고
    • The effect on medication errors of pharmacists charting medication in an emergency department
    • Vasileff HM, Whitten LE, Pink JA, et al,. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci, 2009; 31: 373-379.
    • (2009) Pharm World Sci , vol.31 , pp. 373-379
    • Vasileff, H.M.1    Whitten, L.E.2    Pink, J.A.3
  • 41
    • 70349263361 scopus 로고    scopus 로고
    • Improved quality in the hospital discharge summary reduces medication errors - LIMM: Landskrona Integrated Medicines Management
    • Bergkvist A, Midlov P, Hoglund P, et al,. Improved quality in the hospital discharge summary reduces medication errors-LIMM: Landskrona Integrated Medicines Management. Eur J Clin Pharmacol, 2009; 65: 1037-1046.
    • (2009) Eur J Clin Pharmacol , vol.65 , pp. 1037-1046
    • Bergkvist, A.1    Midlov, P.2    Hoglund, P.3
  • 42
    • 84885379990 scopus 로고    scopus 로고
    • A multicentre, double-blind, randomised, controlled, parallel-group study of the effectiveness of a pharmacist-acquired medication history in an emergency department
    • Becerra-Camargo J, Martinez-Martinez F, Garcia-Jimenez E,. A multicentre, double-blind, randomised, controlled, parallel-group study of the effectiveness of a pharmacist-acquired medication history in an emergency department. BMC Health Serv Res, 2013; 13: 337.
    • (2013) BMC Health Serv Res , vol.13 , pp. 337
    • Becerra-Camargo, J.1    Martinez-Martinez, F.2    Garcia-Jimenez, E.3
  • 43
    • 84912106991 scopus 로고    scopus 로고
    • Impact of admission medication reconciliation performed by clinical pharmacists on medication safety
    • Leguelinel-Blache G, Arnaud F, Bouvet S, et al,. Impact of admission medication reconciliation performed by clinical pharmacists on medication safety. Eur J Intern Med, 2014; 25: 808-814.
    • (2014) Eur J Intern Med , vol.25 , pp. 808-814
    • Leguelinel-Blache, G.1    Arnaud, F.2    Bouvet, S.3
  • 45
    • 0032924423 scopus 로고    scopus 로고
    • Validated, reliable method of scoring the severity of medication errors
    • Dean BS, Barber ND,. Validated, reliable method of scoring the severity of medication errors. Am J Health Syst Pharm, 1999; 56: 57-62.
    • (1999) Am J Health Syst Pharm , vol.56 , pp. 57-62
    • Dean, B.S.1    Barber, N.D.2
  • 46
    • 0023971883 scopus 로고
    • Evaluation of the contribution of clinical pharmacists: Inpatient care and cost reduction
    • Hatoum HT, Hutchinson RA, Witte KW, et al,. Evaluation of the contribution of clinical pharmacists: inpatient care and cost reduction. Drug Intell Clin Pharm, 1988; 22: 252-259.
    • (1988) Drug Intell Clin Pharm , vol.22 , pp. 252-259
    • Hatoum, H.T.1    Hutchinson, R.A.2    Witte, K.W.3
  • 47
    • 84991131678 scopus 로고
    • Assessing the quality of ward pharmacists interventions
    • Eadon H,. Assessing the quality of ward pharmacists interventions. Int J Pharm Pract, 1992; 1: 145-147.
    • (1992) Int J Pharm Pract , vol.1 , pp. 145-147
    • Eadon, H.1
  • 48
    • 84055182963 scopus 로고    scopus 로고
    • Best possible medication history in the emergency department: Comparing pharmacy technicians and pharmacists
    • Johnston R, Saulnier L, Gould O,. Best possible medication history in the emergency department: comparing pharmacy technicians and pharmacists. Can J Hosp Pharm, 2010; 63: 359-365.
    • (2010) Can J Hosp Pharm , vol.63 , pp. 359-365
    • Johnston, R.1    Saulnier, L.2    Gould, O.3
  • 49
    • 84921497226 scopus 로고    scopus 로고
    • A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients
    • Cater SW, Luzum M, Serra AE, et al,. A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. J Emerg Med, 2015; 48: 230-238.
    • (2015) J Emerg Med , vol.48 , pp. 230-238
    • Cater, S.W.1    Luzum, M.2    Serra, A.E.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.