• Objective: To decrease medication errors that occur during the transfer of patients from a surgical intensive care unit (ICU) by institution of a computerized medication reconciliation tool. • Design: Prospective cohort study. • Setting and participants: Patients admitted to a 16-bed surgical ICU in an academic medical center. • Measurement: Proportion of medical records with at least 1 error...

T he Institute for Safe Medication Practices Canada (ISMP Canada) defines medication reconciliation as " a formal process in which healthcare providers work together with patients, families and care providers to ensure accurate and comprehensive medication information is communicated consistently across transitions of care. " 1 It is based on " a systematic and comprehensive review of all the m...

During a routine audit it was noted that the surgical wards were consistently underperforming in their rate of medicines reconciliation in comparison to other specialities. The process of medication reconciliation is usually performed by junior doctors during the admission process and can be a complex task which is usually undertaken in the midst of several other jobs. The aim of this project w...

OBJECTIVE To evaluate admission medication reconciliation in children with medically complex conditions (MCC) by determining the availability and accuracy of five information sources and characterising admitting order errors. DESIGN Prospective quality improvement cohort study. SETTING Tertiary care free-standing children's hospital in the Intermountain west, USA. PARTICIPANTS 23 children...

Medication Reconciliation has emerged as a major patient safety goal in the management of medication errors and prevention of adverse drug events. The medication reconciliation process supports the task of detecting and correcting potential mistakes in a patient’s medication list so that physicians can make correct, consistent, timely and safe prescribing decisions. Maintaining an accurate list...

PURPOSE The effect of pharmacy students as primary pharmacy members on inpatient interdisciplinary mental health teams was investigated. METHODS This retrospective study used Veterans Affairs data from veterans who were admitted to an inpatient mental health unit from January 1, 2010, through December 31, 2012. Eligible veterans had to have been hospitalized for at least five days and treated...

OBJECTIVE Describe the types of medication discrepancies that persist despite pharmacist-led medication reconciliation using the primary care electronic medical record (EMR). METHODS Observational case series study of established patients from an urban, indigent care clinic. Medication reconciliation was conducted immediately prior to the physician visit at baseline and return visit. Main out...