| Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. | |
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MedLine Citation:
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PMID: 21486889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Serious medication errors occur commonly in the period after hospital discharge. Medication reconciliation in the postdischarge ambulatory setting may be one way to reduce the frequency of these errors. The authors describe the design and implementation of a novel tool built into an ambulatory electronic medical record (EMR) to facilitate postdischarge medication reconciliation. The tool compares the preadmission medication list within the ambulatory EMR to the hospital discharge medication list, highlights all changes, and allows the EMR medication list to be easily updated. As might be expected for a novel tool intended for use in a minority of visits, use of the tool was low at first: 20% of applicable patient visits within 30 days of discharge. Clinician outreach, education, and a pop-up reminder succeeded in increasing use to 41% of applicable visits. Review of feedback identified several usability issues that will inform subsequent versions of the tool and provide generalizable lessons for how best to design medication reconciliation tools for this setting. |
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Authors:
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Jeffrey L Schnipper; Catherine L Liang; Claus Hamann; Andrew S Karson; Matvey B Palchuk; Patricia C McCarthy; Melanie Sherlock; Alexander Turchin; David W Bates |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of the American Medical Informatics Association : JAMIA Volume: 18 ISSN: 1527-974X ISO Abbreviation: J Am Med Inform Assoc Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-04-13 Completed Date: 2011-08-23 Revised Date: 2012-05-08 |
Medline Journal Info:
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Nlm Unique ID: 9430800 Medline TA: J Am Med Inform Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 309-13 Citation Subset: IM |
Affiliation:
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Brigham and Women's Hospital Hospitalist Service, Brigham and Women's Hospital, Boston, Massachusetts, USA. jschnipper@partners.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care Information Systems* Continuity of Patient Care* Electronic Health Records* Health Plan Implementation Humans Medication Reconciliation* Patient Discharge* United States User-Computer Interface |
| Grant Support | |
ID/Acronym/Agency:
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1 K08 HL072806-01/HL/NHLBI NIH HHS; 1 U18 HS016970-01/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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