| Evaluation of medication reconciliation in an ambulatory setting before and after pharmacist intervention. | |
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MedLine Citation:
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PMID: 20621867 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVES: To determine the accuracy of medication reconciliation in an internal medicine clinic and to evaluate pharmacist interventions targeted at improving the accuracy of medication reconciliation. DESIGN: Prospective case series. SETTING: Memphis, TN, from October 2007 to March 2008. PATIENTS: 180 adults attending an internal medicine appointment. INTERVENTION: On patient arrival, a nurse completed the medication reconciliation form. In Phase 1 of the study, a pharmacist randomly selected and reviewed a patient's medication reconciliation form, interviewed the patient, and verified information if indicated. A total of 90 forms were reviewed and compared to determine baseline medication reconciliation accuracy. Education interventions were held with the medical and nursing staff, targeting areas for improvement. In Phase 2 of the study, 90 additional medication reconciliation forms were reviewed in the same manner. Phase 1 and Phase 2 results were compared to evaluate differences in accuracy after the pharmacist's education interventions. MAIN OUTCOME MEASURES: Accuracy of medication reconciliation forms and number of potentially significant errors at baseline and after pharmacist interventions. RESULTS: In Phase 1, 14.4% of medication reconciliation forms were correct. The remaining forms contained 190 potentially significant errors. After the education interventions, 18.9% of medication reconciliation forms were correct and the others contained 139 potentially significant errors.Conclusion: Medication reconciliation accuracy is poor. Although education interventions showed a trend toward improvement, continued education training for staff and patients is needed in addition to other interventions to optimize this process and prevent medication errors. |
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Authors:
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Lauren Peyton; Kristie Ramser; Gale Hamann; Dipika Patel; David Kuhl; Laura Sprabery; Bruce Steinhauer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the American Pharmacists Association : JAPhA Volume: 50 ISSN: 1544-3450 ISO Abbreviation: J Am Pharm Assoc (2003) Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-07-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101176252 Medline TA: J Am Pharm Assoc (2003) Country: United States |
Other Details:
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Languages: eng Pagination: 490-5 Citation Subset: IM |
Affiliation:
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Regional Medical Center,Memphis, TN, USA. lpeyton@uu.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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