Electronic medication reconciliation and medication errors.
Int J Qual Health Care
; 27(4): 314-9, 2015 Aug.
Article
en En
| MEDLINE
| ID: mdl-26130746
ABSTRACT
OBJECTIVE:
To measure the impact of electronic medication reconciliation implementation on reports of admission medication reconciliation errors (MREs).DESIGN:
Quality improvement project with time-series design.SETTING:
A large, urban, tertiary care children's hospital.PARTICIPANTS:
All admitted patients from 2011 and 2012.INTERVENTIONS:
Implementation of an electronic medication reconciliation tool for hospital admissions and regular compliance reporting to inpatient units. The tool encourages active reconciliation by displaying the pre-admission medication list and admission medication orders side-by-side. MAIN OUTCOMEMEASURE:
Rate of non-intercepted admission MREs identified via a voluntary reporting system.RESULTS:
During the study period, there were 33 070 hospital admissions. The pre-admission medication list was consistently recorded electronically throughout the study period. In the post-intervention period, the use of the electronic medication reconciliation tool increased to 84%. Reports identified 146 admission MREs during the study period, including 95 non-intercepted errors. Pre- to post-intervention, the rate of non-intercepted errors decreased by 53% (P = 0.02). Reported errors were categorized as intercepted potential adverse drug events (ADEs) (35%), non-intercepted potential ADEs (42%), minor ADEs (22%) or moderate ADEs (1%). There were no reported MREs that resulted in major or catastrophic ADEs.CONCLUSIONS:
We successfully implemented an electronic process for admission medication reconciliation, which was associated with a reduction in reports of non-intercepted admission MREs.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Conciliación de Medicamentos
/
Errores de Medicación
Límite:
Humans
Idioma:
En
Revista:
Int J Qual Health Care
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2015
Tipo del documento:
Article
País de afiliación:
Estados Unidos