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Electronic Medication Reconciliation Tools Aimed at Healthcare Professionals to Support Medication Reconciliation: a Systematic Review
The development of health information technology available and accessible to professionals is increasing in the last few years. However, a low number...
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The impact of clinical pharmacists’ medication reconciliation upon patients’ admission to reduce medication discrepancies in the emergency department: a prospective quasi-interventional study
BackgroundThe role of the clinical pharmacist in medication reconciliation is well established. Upon patients’ admission, the reconciliation service...
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Optimisation of medication reconciliation using queueing theory: a computer experiment
BackgroundMedication reconciliation (MedRec) in hospitals is an important tool to enhance the continuity of care, but completing MedRec is...
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Unintended medication discrepancies and associated factors upon patient admission to the internal medicine wards: identified through medication reconciliation
BackgroundMedication reconciliation (MedRec) is a widely accepted tool for the identification and resolution of unintended medication discrepancies...
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The impact of pharmacist-led medication reconciliation and interprofessional ward rounds on drug-related problems at hospital discharge
BackgroundDuring transitions of care, including hospital discharge, patients are at risk of drug-related problems (DRPs).
AimTo investigate the...
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Pharmacist-led medication reconciliation service for patients after discharge from tertiary hospitals to primary care in Singapore: a qualitative study
BackgroundMedication discrepancies commonly occur when patients are transferred between care settings. Despite the presence of medication...
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The value of incorporating patient-consulted medication reconciliation in influencing drug-related actions in the outpatient rheumatology setting
BackgroundUnintentional changes to patients’ medicine regimens and drug non-adherence are discovered by medication reconciliation. High numbers of...
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Differences in medication reconciliation interventions between six hospitals: a mixed method study
BackgroundAlthough medication reconciliation (MedRec) is mandated and effective in decreasing preventable medication errors during transition of...
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Usability and perceived usefulness of patient-centered medication reconciliation using a personalized health record: a multicenter cross-sectional study
BackgroundAdoption of a personal health record (PHR) depends on its usability and perceived usefulness. Therefore, we aimed to assess the usability...
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Improving safety and efficacy with pharmacist medication reconciliation in orthopedic joint surgery within an enhanced recovery after surgery program
PurposeTo investigate the impact of medication reconciliation (MR), through avoidance of unintentional medication discrepancies, on enhanced recovery...
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Pharmacist-led medication reconciliation at patient discharge: a tool to reduce healthcare utilization? an observational study in patients 65 years or older
BackgroundOlder patients often experience adverse drug events (ADEs) after discharge that may lead to unplanned readmission. Medication...
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Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies
Background To overcome resource limitations, Ascension hospitals have implemented a virtual pharmacy technician program to facilitate the completion...
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How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study
BackgroundMedication-related problems are an important cause of emergency department (ED) visits, and medication errors are reported in up to 60% of...
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Medication review and reconciliation in older adults
Older people are frequently exposed to polypharmacy, inappropriate prescribing, and adverse drug events. Two clinical processes can help...
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Providing information about medication changes upon discharge from a geriatric unit: the community healthcare professionals’ point of view
IntroductionIt is well known that polypharmacy is associated with adverse drug events. Accordingly, specialist geriatric units have to pay particular...
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Evaluation of medication reconciliation process in internal medicine wards of an academic medical center by a pharmacist: errors and risk factors
Medication reconciliation based on complete medication histories has been introduced to minimize medication errors and its associated healthcare...
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Implementation strategies in the context of medication reconciliation: a qualitative study
BackgroundMedication reconciliation (MedRec) is an important patient safety initiative that aims to prevent patient harm from medication errors. Yet,...
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Drug stewardship in chronic kidney disease to achieve effective and safe medication use
People living with chronic kidney disease (CKD) often experience multimorbidity and require polypharmacy. Kidney dysfunction can also alter the...
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Personal Electronic Records of Medications (PERMs) for medication reconciliation at care transitions: a rapid realist review
BackgroundMedication reconciliation (MedRec), a process to reduce medication error at care transitions, is labour- and resource-intensive and...
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Clinical pharmacist intervention to improve medication safety for hip fracture patients through secondary and primary care settings: a nonrandomised controlled trial
BackgroundHip fracture patients face a patient safety threat due to medication discrepancies and adverse drug reactions when they have a combination...
