Impact of Medication Reconciliation upon Discharge on Reducing Medication Errors

Khansa, Sara; Mukhtar, Amnah; Abduljawad, Merryland; Aseeri, Mohammed

doi:10.4172/2329-6887.1000222

Cited by 2 publications

(4 citation statements)

References 6 publications

(8 reference statements)

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“…The majority of the prescribers are busy and they don't have much time to inquire and document the patient's medical and medication history in this study setup, which may be the reason for most of the unintentional discrepancies. Our study results were supported by Khansa et al [3] who stated that discrepancies were alarmingly high and these discrepancies may cause potential harm to the patients. A study conducted by Lau et al [15] shows that 61 % of all patients of their study had one or more discrepancies, while 17 % had three or more discrepancies.…”

Section: Resultssupporting

confidence: 89%

“…Our study results were supported by Khansa et al [3] who stated that untreated indication is the major error that occurs during the treatment and which needs intervention. Our study results were supported by Hayward et al [17] who stated that most of the medication errors may result in increasing the severity of the patient's condition.…”

Section: Resultssupporting

confidence: 88%

“…Medication errors augmented the risk of patient harm due to lack of medication reconciliation and it was identified by the United States Joint Commission for Accreditation of Healthcare Organizations, U.S Joint Commission on Accreditation of Healthcare Organizations (JCAHO) in 2013 and incorporated as an approach to get better patient care [2] . Within the health care organization the process of identifying the most precise list of all medications which the patient is using including the name, dosage, frequency, route and by furnishing of exact medication to the patient is known as medication reconciliation [3] , to avoid medication errors and to get patient safety at all interfaces (admission, transfer and discharge) is the main goal of this process [1] . This reconciliation is done whenever new medications are added or prescribed or the existing medication orders are rewritten at every transition of care, in order to avoid medication errors [3] : The accurate medication history was one of the patient safety solutions disseminated in 2007 by the World Health Organization [4] .…”

mentioning

confidence: 99%

“…Within the health care organization the process of identifying the most precise list of all medications which the patient is using including the name, dosage, frequency, route and by furnishing of exact medication to the patient is known as medication reconciliation [3] , to avoid medication errors and to get patient safety at all interfaces (admission, transfer and discharge) is the main goal of this process [1] . This reconciliation is done whenever new medications are added or prescribed or the existing medication orders are rewritten at every transition of care, in order to avoid medication errors [3] : The accurate medication history was one of the patient safety solutions disseminated in 2007 by the World Health Organization [4] . The main aim of this process is to eliminate undocumented intentional discrepancies and unintentional discrepancies by reconciling all medications, at all stages of patient care [1] .…”

mentioning

confidence: 99%

See 3 more Smart Citations

Significance of Medication Reconciliation in Intercepting Admission Medication Errors in the General Medicine Department

Meda¹,

Babu²,

Reddy³

et al. 2021

ijps

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Section: Resultssupporting

confidence: 89%

Section: Resultssupporting

confidence: 88%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Significance of Medication Reconciliation in Intercepting Admission Medication Errors in the General Medicine Department

Meda¹,

Babu²,

Reddy³

et al. 2021

ijps

View full text Add to dashboard Cite

Patient Harm Resulting From Medication Reconciliation Process Failures: A Study of Serious Events Reported by Pennsylvania Hospitals

Harper¹,

Kukielka²,

Jones³

2021

PatientSaf

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Medication reconciliation broadly defined includes both formal and informal processes that involve the comprehensive evaluation of a patient’s medications during each transition of care and change in therapy. The medication reconciliation process is complex, and studies have shown that up to 91% of medication reconciliation errors are clinically significant and 1–2% are serious or potentially life-threatening. We queried the Pennsylvania Patient Safety Reporting System (PA-PSRS) and identified 93 serious events related to the medication reconciliation process reported between January 2015 and August 2020. Serious events related to medication reconciliation were most common among patients 65 years or older (55.9%; 52 of 93). The majority of events (58.1%; 54 of 93) contributed to or resulted in temporary harm and required treatment or intervention. Permanent harm or death occurred as a result of 3.3% (3 of 93) of the events. Admission/triage was the most frequent transition of care associated with events (69.9%; 65 of 93). The most common stage of the medication reconciliation process at which failures most directly contributed to patient harm was order entry/transcription (41.9%; 39 of 93) and resulted most frequently in wrong dose (n=21) or dose omission (n=13). Most events were discovered after the patient had a change in condition (76.3%; 71 of 93), and patients most often required readmission, hospitalization, emergency care, intensive care, or transfer to a higher level of care (58.0%; 54 of 93). Among 128 medications identified across all events, neurologic or psychiatric medications were the most common (39.1%; 50 of 128), and anticonvulsants were the most common pharmacologic class among neurologic or psychiatric medications (42.0%; 21 of 50). Based on our findings, risk reduction strategies that may improve patient safety related to the medication reconciliation process include defined clinician roles for medication reconciliation, listing the indication for each medication prescribed, and for facilities to consider adding anticonvulsants to their processes for medications with a high risk for harm.

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Impact of Medication Reconciliation upon Discharge on Reducing Medication Errors

Cited by 2 publications

References 6 publications

Significance of Medication Reconciliation in Intercepting Admission Medication Errors in the General Medicine Department

Significance of Medication Reconciliation in Intercepting Admission Medication Errors in the General Medicine Department

Patient Harm Resulting From Medication Reconciliation Process Failures: A Study of Serious Events Reported by Pennsylvania Hospitals

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