The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Medication reconciliation: a practical tool to reduce the risk of medication errors
Abstract
Preventable adverse drug events are associated with one out of five injuries or deaths. Estimates reveal that 46% of medication errors occur on admission or discharge from a clinical unit/hospital when patient orders are written. This study was performed to reduce medication errors in patient's discharge orders through a reconciliation process in an adult surgical intensive care unit (ICU). A discharge survey was implemented as part of the medication reconciliation process. The admitting nurse initiated the survey within 24 hours of ICU admission and the charge nurse completed the survey on discharge. Baseline data were obtained through a random sampling of 10% of discharges in first 2 weeks of the study (July 2001-May 2002). Medical and anesthesia records were reviewed, allergies and home medications verified with patient/family and findings compared with orders at time of ICU discharge. Baseline data revealed that 31 of 33 (94%) patients had orders changed. By week 24, nearly all medication errors in discharge orders were eliminated. In conclusion, use of the discharge survey in this medication reconciliation process resulted in a dramatic drop in medications errors for patients discharged from an ICU. The survey is now a part of our electronic medical record and used in 4 adult ICUs and 2 medicine floors.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“In 2017, a single center before and after study reported shorter duration of vasopressor therapy and lower mortality following the administration of combination of high dose vitamin C, hydrocortisone, and thiamine to patients with sepsis and septic shock (521).”
From Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. (2021) · cites this paper as [521]
In the citing paper
“Medication reconciliation has been associated with fewer medication errors [598, 612] and may help reduce hospital readmission [613, 614].”
From Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 (2021) · cites this paper as [612]
Citations
Cites
Wall, A. (2000) · British Journal of Healthcare Management · doi:10.12968/bjhc.2000.6.9.19311 · Cited by 5,912
Human error: models and management
Reason, J. (2000) · BMJ · doi:10.1136/bmj.320.7237.768 · Cited by 5,665
The Nature of Adverse Events in Hospitalized Patients
Leape, L. L., Brennan, T. A., Laird, N. M., Lawthers, A. G., Localio, A. R., Barnes, B. A., Hebert, L. E., Newhouse, J. P., Weiler, P. C., & Hiatt, H. H. (1991) · New England Journal of Medicine · doi:10.1056/nejm199102073240605 · Cited by 3,766
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance
(1997) · Quality Management Journal · doi:10.1080/10686967.1998.11919154 · Cited by 2,878
Bates, D. W. (1997) · JAMA · doi:10.1001/jama.277.4.307 · Cited by 1,678
Effect of Atenolol on Mortality and Cardiovascular Morbidity after Noncardiac Surgery
Mangano, D. T., Layug, E. L., Wallace, A. W., & Tateo, I. M. (1996) · New England Journal of Medicine · doi:10.1056/nejm199612053352301 · Cited by 1,659
Brown, A. B., & Patterson, D. A. (2001) · Cited by 1,390
The improvement guide : a practical approach to enhancing organizational performance
Langley, G. J. (1996) · Jossey-Bass Publishers eBooks · Cited by 875
Smith, S. C., Blair, S. N., Bonow, R. O., Brass, L. M., Cerqueira, M. D., Dracup, K., Fuster, V., Gotto, A., Grundy, S. M., Miller, N. H., et al. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01682-5 · Cited by 691
Smith, S. C., Blair, S. N., Bonow, R. O., Brass, L. M., Cerqueira, M. D., Dracup, K., Fuster, V., Gotto, A., Grundy, S. M., Miller, N. H., et al. (2001) · Circulation · doi:10.1161/hc3801.097475 · Cited by 661
Research works printed but not linked: 1
- Frolkis, 1999, Physician non-compliance with the 1993 national cholesterol education program guidelines, Circulation, 95, 851
Cited by
Sorted by citations
Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021.
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., et al. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005337 · Cited by 2,935
Kripalani, S. B., Jackson, A. T., Schnipper, J. L., & Coleman, E. A. (2007) · Journal of Hospital Medicine · doi:10.1002/jhm.228 · Cited by 841
“Finally, at discharge, the current medication regimen needs to be reconciled with the preadmission medication regimen in a thoughtful manner.(2) This includes resuming medications held or modified at admission for clinical reasons, resuming medications that were substituted in the hospital for formulary or pharmacokin…”
BackgroundReconcilable differences: correcting medication errors at hospital admission and discharge
Vira, T. (2006) · BMJ Quality & Safety · doi:10.1136/qshc.2005.015347 · Cited by 450
Clinical review: Medication errors in critical care
Moyen, E., Camiré, E., & Stelfox, H. T. (2008) · Critical Care · doi:10.1186/cc6813 · Cited by 292
“Strategies that have been shown to be successful include medication standardization [40,41], computerized physician order entry (CPOE) [42,43], bar code technology [44,45], computerized intravenous infusion devices [9], and medication reconciliation [46].”
BackgroundImplementing and Validating a Comprehensive Unit-Based Safety Program
Pronovost, P. J., Weast, B., Rosenstein, B. J., Sexton, J. B., Holzmueller, C. G., Paine, L. A., Davis, R., & Rubin, H. R. (2005) · Journal of Patient Safety · doi:10.1097/01209203-200503000-00008 · Cited by 288
“Our experience with medication reconciliation has been published.(25,26)”
BackgroundMethodSelf-citationBrady, A., Malone, A.-M., & Fleming, S. (2009) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2009.00995.x · Cited by 261
Schnipper, J. L., Hamann, C., Ndumele, C. D., Liang, C. L., Carty, M. G., Karson, A. S., Bhan, I., Coley, C. M., Poon, E. G., Turchin, A., et al. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.51 · Cited by 239
“Preadmission source Emergency department 106 (65) 96 (60) 57 (68) 49 (57) 49 (63) 47 (63) Transfer from other service 17 (10) 15 (9) 0 (0) 0 (0) 17 (22) 15 (20) Transfer from outside institution 16 (10) 23 (14) 6 (7) 14 (16) 10 (13) 9 (12)”
InfluentialGreenwald, J. L., Halasyamani, L. K., Greene, J., LaCivita, C. L., Stucky, E. R., Benjamin, B. E., Reid, W., Griffin, F. A., Vaida, A. J., & Williams, M. V. (2010) · Journal of Hospital Medicine · doi:10.1002/jhm.849 · Cited by 227
“With regulators, payers and the public increasingly demanding action to reduce medication errors in hospitals, all health care providers must support efforts to achieve accurate medication reconciliation.(1,3)”
BackgroundReducing Medical Errors and Adverse Events
Pham, J. C., Aswani, M. S., Rosen, M. A., Lee, H., Huddle, M. G., Weeks, K. R., & Pronovost, P. J. (2011) · Annual Review of Medicine · doi:10.1146/annurev-med-061410-121352 · Cited by 215
Self-citationMedication errors in critical care: risk factors, prevention and disclosure
Camiré, E., Moyen, E., & Stelfox, H. T. (2009) · Canadian Medical Association Journal · doi:10.1503/cmaj.080869 · Cited by 190
Medication reconciliation for reducing drug-discrepancy adverse events
Boockvar, K. S., LaCorte, H. C., Giambanco, V., Fridman, B., & Siu, A. L. (2006) · The American Journal of Geriatric Pharmacotherapy · doi:10.1016/j.amjopharm.2006.09.003 · Cited by 177
Pharmacist Medication Assessments in a Surgical Preadmission Clinic
Kwan, Y. (2007) · Archives of Internal Medicine · doi:10.1001/archinte.167.10.1034 · Cited by 173
“3) Length of stay, median (range), d 4 (1-118) 4 (1-26)”
Opioid utilization and opioid‐related adverse events in nonsurgical patients in US hospitals
Herzig, S. J., Rothberg, M. B., Cheung, M., Ngo, L. H., & Marcantonio, E. R. (2014) · Journal of Hospital Medicine · doi:10.1002/jhm.2102 · Cited by 167
“This database, created to measure healthcare utilization and quality of care, is drawn from voluntarily participating hospitals and contains data on approximately 1 in every 4 discharges nationwide.(11) Participating hospitals are similar in geographic distribution and metropolitan (urban/rural) status to hospitals na…”
Prevalence of adverse events in pediatric intensive care units in the United States*
Agarwal, S., Classen, D. C., Larsen, G. Y., Tofil, N. M., Hayes, L., Sullivan, J. E., Storgion, S. A., COOPES, B. J., Craig, V., Jaderlund, C., et al. (2010) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0b013e3181d8e405 · Cited by 165
Improving Care Transitions: Current Practice and Future Opportunities for Pharmacists
Hume, A. L., Kirwin, J. L., Bieber, H. L., Couchenour, R. L., Hall, D. L., Kennedy, A. K., LaPointe, N. M. A., Burkhardt, C. D., Schilli, K., Seaton, T., et al. (2012) · Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy · doi:10.1002/phar.1215 · Cited by 168
Multidisciplinary approach to inpatient medication reconciliation in an academic setting
Varkey, P., Cunningham, J. L., O’Meara, J. G., Bonacci, R. P., Desai, N., & Sheeler, R. (2007) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp060314 · Cited by 147
Adverse drug events in intensive care units: Risk factors, impact, and the role of team care
Kane‐Gill, S. L., Jacobi, J., & Rothschild, J. M. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181dd8364 · Cited by 147
“This step of coordinated medication reconciliation at each change in level of care has been associated with a dramatic drop in medication errors (19).”
BackgroundSociotechnical systems analysis in health care: a research agenda
Carayon, P., Bass, E. J., Bellandi, T., Gürses, A. P., Hallbeck, M. S., & Mollo, V. (2011) · IIE Transactions on Healthcare Systems Engineering · doi:10.1080/19488300.2011.619158 · Cited by 139
“Another research study indicated that using a paper-based discharge survey for medication reconciliation almost eliminated medication errors in ICU discharge orders (Pronovost et al., 2003).”
BackgroundInterventions to reduce medication errors in adult intensive care: a systematic review
Manias, E., Williams, A. F., & Liew, D. (2012) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.2012.04220.x · Cited by 129
Latif, A., Rawat, N., Pustavoitau, A., Pronovost, P. J., & Pham, J. C. (2012) · Critical Care Medicine · doi:10.1097/ccm.0b013e318274156a · Cited by 122
Self-citationSurviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., et al. (2021) · Intensive Care Medicine · doi:10.1007/s00134-021-06506-y · Cited by 5,082
Cornu, P., Steurbaut, S., Leysen, T., Baere, E. D., Ligneel, C., Mets, T. F., & Dupont, A. G. (2012) · Annals of Pharmacotherapy · doi:10.1345/aph.1q594 · Cited by 119
Clinical Practice Guideline: Safe Medication Use in the ICU
Kane‐Gill, S. L., Dasta, J. F., Buckley, M. S., Devabhakthuni, S., Liu, M., Cohen, H., GEORGE, E. L., Pohlman, A. S., Agarwal, S., Henneman, E. A., et al. (2017) · Critical Care Medicine · doi:10.1097/ccm.0000000000002533 · Cited by 118
Self-citationRole of Medical Students in Preventing Patient Harm and Enhancing Patient Safety
Seiden, S. C. (2006) · Quality and Safety in Health Care · doi:10.1136/qshc.2006.018044 · Cited by 112
Design of high reliability organizations in health care
Carroll, J., & Rudolph, J. (2006) · BMJ Quality & Safety · doi:10.1136/qshc.2005.015867 · Cited by 114
Medication errors in anaesthesia and critical care
Wheeler, S. J., & Wheeler, D. W. (2005) · Anaesthesia · doi:10.1111/j.1365-2044.2004.04062.x · Cited by 111
Medication reconciliation at admission and discharge: a time and motion study
Meguerditchian, A. N., Krotneva, S., Reidel, K. E., Huang, A. R., & Tamblyn, R. M. (2013) · BMC Health Services Research · doi:10.1186/1472-6963-13-485 · Cited by 108
“Although nurses and physicians believe that medication reconciliation is associated with significant improvements in patient safety [11], resource-intensiveness cited as the main reasons for the current low rates of adherence [8,17,18,21-27].”
BackgroundInsufficient communication about medication use at the interface between hospital and primary care
Glintborg, B., Andersen, S. E., & Dalhoff, K. (2007) · BMJ Quality & Safety · doi:10.1136/qshc.2006.019828 · Cited by 108
Boockvar, K. S., Santos, S. L., Kushniruk, A. W., Johnson, C., & Nebeker, J. R. (2011) · Journal of Hospital Medicine · doi:10.1002/jhm.891 · Cited by 107
Implementation of an electronic system for medication reconciliation
Kramer, J. S., Hopkins, P. J., Rosendale, J. C., Garrelts, J. C., Hale, L. S., Nester, T. M., Cochran, P., Eidem, L. A., & Haneke, R. D. (2007) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp060506 · Cited by 107
Medication Use in the Transition from Hospital to Home
Cua, Y. M., & Kripalani, S. B. (2008) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.v37n2p136 · Cited by 105
Planning and Implementing a Systems-Based Patient Safety Curriculum in Medical Education
Thompson, D. A., Cowan, J., Holzmueller, C. G., Wu, A. W., Bass, E. B., & Pronovost, P. J. (2008) · American Journal of Medical Quality · doi:10.1177/1062860608317763 · Cited by 108
“These examples, along with discussions of the numerous communication and system problems depicted in the video First, Do No Harm, all served to underscore the pivotal role that communication plays in patient safety.(18,20) During final assignments, the students highlighted system factors leading to the death of a heal…”
BackgroundSelf-citationStrategies for reducing medication errors in the emergency department
Weant, K. A., Bailey, A. M., & Baker, S. N. (2014) · Open Access Emergency Medicine · doi:10.2147/oaem.s64174 · Cited by 112
“05.(61,62) The importance of including the patient in the reconciliation process has been recommended, and increased the detection of discrepancies at discharge from 2.”
Impact of admission medication reconciliation performed by clinical pharmacists on medication safety
Leguelinel, G., Arnaud, F., Bouvet, S., Dubois, F., Castelli, C., Roux‐Marson, C., Ray, V., Sotto, A., & Kinowski, J. (2014) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2014.09.012 · Cited by 102
“, omissions of needed home medications, and errors associated with orders having incorrect doses or dosage forms [8–10].”
BackgroundPrinciples and Practices of Medication Safety in the ICU
Kane‐Gill, S. L., & Weber, R. J. (2006) · Critical Care Clinics · doi:10.1016/j.ccc.2006.02.005 · Cited by 102
“This is particularly important in preventing unnecessary or dangerous medications from being administered when patients are transferred from an ICU to another hospital unit [57].”
BackgroundAddressing Postdischarge Adverse Events: A Neglected Area
Tsilimingras, D., & Bates, D. W. (2008) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(08)34011-2 · Cited by 102
Improving Medication Reconciliation in the Outpatient Setting
Varkey, P., Cunningham, J. L., & Bisping, S. (2007) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(07)33033-x · Cited by 101
Reconciling Medications at Admission: Safe Practice Recommendations and Implementation Strategies
Rogers, G., Alper, E., Brunelle, D., Federico, F. A., Fenn, C. A., Leape, L. L., Kirle, L., Ridley, N., Clarridge, B. R., Bolcic‐Jankovic, D., et al. (2006) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(06)32006-5 · Cited by 97
Effectiveness of a Medication Reconciliation Project Conducted by PharmD Students
Lubowski, T. J., Cronin, L. M., Pavelka, R. W., Briscoe-Dwyer, L. A., Briceland, L. L., & Hamilton, R. A. (2007) · American Journal of Pharmaceutical Education · doi:10.1016/s0002-9459(24)03585-x · Cited by 95
Predictors of Medication Errors Among Elderly Hospitalized Patients
Picone, D. M., Titler, M. G., Dochterman, J. M., Shever, L. L., Kim, T., Abramowitz, P. W., Kanak, M. F., & Qin, R. (2008) · American Journal of Medical Quality · doi:10.1177/1062860607313143 · Cited by 93
Chhabra, P. T., Rattinger, G. B., Dutcher, S. K., Hare, M. E., Parsons, K. L., & Zuckerman, I. H. (2011) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2010.12.002 · Cited by 93
Sawyer, M. D., Weeks, K. R., Goeschel, C. A., Thompson, D. A., Berenholtz, S. M., Marsteller, J. A., Lubomski, L. H., Cosgrove, S. E., Winters, B. D., Murphy, D. J., et al. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181e6a165 · Cited by 89
Self-citationEvaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location
Tully, A. P., Hammond, D. A., Li, C., Jarrell, A. S., & Kruer, R. M. (2019) · Critical Care Medicine · doi:10.1097/ccm.0000000000003633 · Cited by 87
Barnsteiner, J. (2005) · AJN American Journal of Nursing · doi:10.1097/00000446-200503001-00007 · Cited by 86
Antipsychotic utilization in the intensive care unit and in transitions of care
Marshall, J., Herzig, S. J., Howell, M. D., Le, S. H., Mathew, C. P., Kats, J. S., & Stevens, J. P. (2015) · Journal of Critical Care · doi:10.1016/j.jcrc.2015.12.017 · Cited by 89
Mansukhani, R. P., Bridgeman, M. B., Candelario, D. M., & Eckert, L. J. (2015) · Europe PMC (PubMed Central) · Cited by 84
Medication discrepancies affecting senior patients at hospital admission
Lessard, S., DeYoung, J., & Vazzana, N. (2006) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp050291 · Cited by 81
“26 (28) 20 (22) 8 (9) 6 (6) 5 (5) 4 (4) 4 (4) 3 (3) 3 (3) 2 (2) 12 (13)”
Zierler-Brown, S., Brown, T. R., Chen, D., & Blackburn, R. W. (2007) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp060682 · Cited by 80
“Furthermore, documentation should reflect patient agreement with the care plan among multiple providers in terms of medication reconciliation, data collection, continuity of care, and the transitioning of care.(9,10) Practitioners should focus on treating the patient and not merely interpreting laboratory results.”
BackgroundSánchez, O. D., Jiménez, L. A., Fabiá, A. S., & Picó, J. N. (2007) · Medicina Clínica · doi:10.1157/13109550 · Cited by 80
Prevalence and Clinical Significance of Medication Discrepancies at Pediatric Hospital Admission
Coffey, M., Mack, L., Streitenberger, K., Bishara, T., Faveri, L. D., & Matlow, A. (2009) · Academic Pediatrics · doi:10.1016/j.acap.2009.04.007 · Cited by 76
Reconciliation Failures Lead to Medication Errors
Santell, J. P. (2006) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(06)32029-6 · Cited by 75
Bosma, L. B. E., Hunfeld, N., Quax, R. A. M., Meuwese, E., Melief, P. H. G. J., van Bommel, J., Tan, S. S., van Kranenburg, M. J., & van den Bemt, P. M. L. A. (2018) · Annals of Intensive Care · doi:10.1186/s13613-018-0361-2 · Cited by 73
“[17] who found a reduction in almost 94% MTE at ICU discharge, the effect of our TIM program seems far less with 41.”
BackgroundThom, D. H., Willard‐Grace, R., Hessler, D., DeVore, D., Prado, C., Bodenheimer, T. S., & Chen, E. (2015) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2015.01.140123 · Cited by 74
Nurse‐pharmacist collaboration on medication reconciliation prevents potential harm
Feldman, L. S., Costa, L., Feroli, E. R., Nelson, T. S., Poe, S., Frick, K. D., Efird, L. E., & Miller, R. G. (2012) · Journal of Hospital Medicine · doi:10.1002/jhm.1921 · Cited by 71
Creating the Web-based Intensive Care Unit Safety Reporting System
Holzmueller, C. G. (2004) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1408 · Cited by 71
Scales, D. C., Fischer, H. D., Li, P., Bierman, A. S., Fernandes, O., Mamdani, M., Rochon, P., Urbach, D. R., & Bell, C. M. (2016) · Journal of General Internal Medicine · doi:10.1007/s11606-015-3501-5 · Cited by 70
Agrawal, A., & Wu, W. Y. (2009) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(09)35014-x · Cited by 70
COST EFFECTIVENESS OF A CLINICAL PHARMACIST ON A NEUROSURGICAL TEAM
Weant, K. A., Armitstead, J. A., Ladha, A. M., Sasaki‐Adams, D., Hadar, E. J., & Ewend, M. G. (2009) · Neurosurgery · doi:10.1227/01.neu.0000347090.22818.35 · Cited by 68
“The reconciliation of home medications has the potential to reduce 46% of all medication errors and 20% of the adverse drug events in the hospital setting (25).”
BackgroundPatient Safety and Error Management
Hoffmann, B., & Rohe, J. (2010) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2010.0092 · Cited by 68
Drug related problems after discharge from an Australian teaching hospital
Ellitt, G. R., Engblom, E., Aslani, P., Westerlund, T., & Chen, T. F. (2010) · Pharmacy World & Science · doi:10.1007/s11096-010-9406-9 · Cited by 67
Medication Errors in Psychiatry
Procyshyn, R. M., Barr, A. M., Brickell, T. A., & Honer, W. G. (2010) · CNS Drugs · doi:10.2165/11533710-000000000-00000 · Cited by 65
Medication Errors in Critically Ill Adults: A Review of Direct Observation Evidence
Kiekkas, P., Karga, M., Lemonidou, C., Αρέθα, Δ., & Καρανικόλας, Μ. (2010) · American Journal of Critical Care · doi:10.4037/ajcc2011331 · Cited by 61
Discontinuity of Chronic Medications in Patients Discharged from the Intensive Care Unit
Bell, C. M., Rahimi-Darabad, P., & Orner, A. I. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2006.00499.x · Cited by 59
Chen, C., Hsiao, F., Shen, L., & Wu, C. (2017) · Medicine · doi:10.1097/md.0000000000007883 · Cited by 57
Medication error in anaesthesia and critical care: A cause for concern
Kothari, D., Gupta, S. L., Sharma, C., & Kothari, S. (2010) · Indian Journal of Anaesthesia · doi:10.4103/0019-5049.65351 · Cited by 60
Lancet: a high precision medication event extraction system for clinical text
Li, Z., Liu, F., Antieau, L. D., Cao, Y.-G., & Yu, H. Q. (2010) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2010.004077 · Cited by 55
Clay, B. J., Halasyamani, L. K., Stucky, E. R., Greenwald, J. L., & Williams, M. V. (2008) · Journal of Hospital Medicine · doi:10.1002/jhm.370 · Cited by 54
“32 Unsure 2/58 (3) 3/77 (4) 7/123 (5) 0.”
InfluentialBourne, R. S., Jennings, J. K., Panagioti, M., Hodkinson, A., Sutton, A., & Ashcroft, D. M. (2022) · BMJ Quality & Safety · doi:10.1136/bmjqs-2021-013760 · Cited by 55
Thierry Hamon, C., & Grabar, N. (2010) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2010.004036 · Cited by 53
“extraction of mode (1, 2) and frequency (3,4) information”
A Web-based Tool for the Comprehensive Unit-based Safety Program (CUSP)
Pronovost, P. J., King, J., Holzmueller, C. G., Sawyer, M. D., Bivens, S., Michael, M., Haig, K., Paine, L. A., Moore, D., & Miller, M. R. (2006) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(06)32017-x · Cited by 53
Self-citationTeam care: beyond open and closed intensive care units
Pronovost, P. J., Holzmueller, C. G., Clattenburg, L., Berenholtz, S. M., Martinez, E. A., Paz, J. R., & Needham, D. M. (2006) · Current Opinion in Critical Care · doi:10.1097/mcc.0b013e32800ff3da · Cited by 52
Self-citationLee, J. Y., Leblanc, K., Fernandes, O. A., Huh, J., Wong, G. G., Hamandi, B., Lazar, N. M., Morra, D. J., Bajcar, J., & Harrison, J. J. (2010) · Annals of Pharmacotherapy · doi:10.1345/aph.1p314 · Cited by 52
Implementing medication reconciliation from the planner’s perspective: a qualitative study
Sanchez, S. H., Sethi, S. S., Santos, S. L., & Boockvar, K. S. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-290 · Cited by 50
“Evidence suggests that medication reconciliation can reduce ADEs associated with transitions within and between healthcare settings, especially for patients who are at higher risk because of older age, multiple chronic conditions, or use of many medications [5-7].”
BackgroundMedication Reconciliation in Ambulatory Oncology
Weingart, S. N., Cleary, A. M., Seger, A. C., Eng, T. K., Saadeh, M., Gross, A., & Shulman, L. N. (2007) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(07)33090-0 · Cited by 50
Crespin, D., Modi, A. V., Wei, D., Williams, C. E., Greene, S. B., Pierson, S., & Hansen, R. A. (2010) · The American Journal of Geriatric Pharmacotherapy · doi:10.1016/j.amjopharm.2010.05.005 · Cited by 49
Discontinuity of chronic medications in patients discharged from the intensive care unit
Bell, C., Rahimi-Darabad, P., & Orner, A. (2006) · Journal of general internal medicine · doi:10.1007/bf02743141 · Cited by 67
Ammenwerth, E., Duftschmid, G., Gall, W., Hackl, W. O., Hoerbst, A., Janzek‐Hawlat, S., Jeske, M., Jung, M., Woertz, K., & Dorda, W. (2014) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2014.06.004 · Cited by 49
“Several studies reported decreases in medication error rates after successfully implementing medication reconciliation programmes [9–11].”
BackgroundLesselroth, B., Felder, R. S., Adams, S. M., Cauthers, P., Dorr, D. A., Wong, G. J., & Douglas, D. (2009) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2642 · Cited by 48
“Many errors are the result of discrepancies between prescriptions written at different times by the same or different providers for the same patient. Although initial studies suggest that processes directed at medication reconciliation may reduce discrepancies by up to 75%,”
BackgroundWright, J., Lawton, R., O'Hara, J. K., Armitage, G., Sheard, L., Marsh, C., Grange, A., McEachan, R., Cocks, K., Hrisos, S., et al. (2016) · Programme Grants for Applied Research · doi:10.3310/pgfar04150 · Cited by 48
Etchells, E. E., Matlow, A., Coffey, M., Cornish, P. L., & Koonthanam, T. (2009) · Healthcare Quarterly · doi:10.12927/hcq.2009.20719 · Cited by 48
“Because Med Rec has dramatically reduced discrepancy rates in various settings (Pronovost et al. 2003; Rozich et al. 2004; Whittington and Cohen 2004), it has been endorsed by leading international patient safety organizations (Institute for Healthcare Improvement 2005; Institute for Safe Medication Practices 2005).”
Rodriguez-Paz, J. M., Mark, L. J., Herzer, K. R., Michelson, J. D., Grogan, K. L., Herman, J. M., Hunt, D. G., Wardlow, L., Armour, E. P., & Pronovost, P. J. (2008) · Anesthesia & Analgesia · doi:10.1213/ane.0b013e31818ca423 · Cited by 46
Self-citationLeading Clinical Handover Improvement
Clarke, C. M., & Persaud, D. D. (2011) · Journal of Patient Safety · doi:10.1097/pts.0b013e31820c98a8 · Cited by 46
Assuring Medication Accuracy at Transitions in Care
Abdellatif, A., Bagian, J. P., Barajas, E. R., Cohen, M. R., Cousins, D. D., Denham, C. R., Essinger, K., Gegelashvili, G., Glenister, H., Hoffman, C., et al. (2007) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(07)33131-0 · Cited by 46
Effect of Education on the Recording of Medicines on Admission to Hospital
Chan, A. H. Y., Garratt, E., Lawrence, B. J., Turnbull, N., Pratapsingh, P., & Black, P. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-010-1317-x · Cited by 45
van Sluisveld, N., Bakhshi‐Raiez, F., de Keizer, N. F., Holman, R., Wester, G., Wollersheim, H. C. H., van der Hoeven, J. G., & Zegers, M. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2234-z · Cited by 45
“They were the use of: (1) ICU discharge criteria [29, 30]; (2) a bed manager [31, 32]; (3) early discharge planning [33] (4) step-down facilities [28, 30]; (5) medication reconciliation [32, 34]; (6) verbal and written handover [28, 30, 32]; (7) monitoring of post-ICU patients [36]; and (8) consulting ICU nurses [35].”
MethodReducing medication errors in critical care: a multimodal approach
Latif, A., Kruer, R. M., & Jarrell, A. S. (2014) · Clinical Pharmacology Advances and Applications · doi:10.2147/cpaa.s48530 · Cited by 53
“18 21 Medication safety in ICUs might also be compromised because of the risks associated with the use of multiple medications per patient and the use of high-risk drugs associated with potentially severe adverse events.”
Garedow, A. W., Bobasa, E. M., Wolide, A. D., Dibaba, F. K., Fufa, F. G., Tufa, B. E., Debalke, S., & Kumela, K. (2019) · International Journal of Nephrology · doi:10.1155/2019/1504371 · Cited by 44
“CKD is defined as abnormalities of the kidney structure or function, present for 3months, with implications for health [30].”
BackgroundPaying the Piper: Investing in Infrastructure for Patient Safety
Pronovost, P. J., Rosenstein, B. J., Paine, L. A., Miller, M. R., Haller, K., Davis, R., Demski, R. J., & Garrett, M. R. (2008) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(08)34043-4 · Cited by 43
Self-citationHerzig, S. J., Stefan, M. S., Pekow, P. S., Shieh, M., Soares, W. E., Raghunathan, K., & Lindenauer, P. K. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05490-w · Cited by 41
Greenwald, J. L., Halasyamani, L. K., Greene, J., LaCivita, C. L., Stucky, E. R., Benjamin, B. E., Reid, W., Griffin, F. A., Vaida, A. J., & Williams, M. V. (2010) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(10)36074-0 · Cited by 40
Park, P., McGirt, M. J., Bekelis, K., Holland, C. M., Davies, J. M., Devin, C. J., Atkins, T. G., Knightly, J. J., Groman, R. F., Zyung, I., et al. (2015) · Neurosurgical FOCUS · doi:10.3171/2015.9.focus15355 · Cited by 41
Ferries, E. A., Dye, J. T., Hall, B., Ndehi, L., Schwab, P., & Vaccaro, J. (2019) · Journal of Managed Care & Specialty Pharmacy · doi:10.18553/jmcp.2019.25.6.688 · Cited by 40
An end-to-end hybrid algorithm for automated medication discrepancy detection
Li, Q., Spooner, S. A., Kaiser, M., Lingren, N., Robbins, J., Lingren, T., Tang, H., Solti, I., & Ni, Y. (2015) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-015-0160-8 · Cited by 40
“Initial efforts have been made to improve the efficacy of the medication reconciliation process, but most of them rely on manual vigilance and, subsequently, are prone to clinician fatigue and human errors [9,11,13,14].”
BackgroundImplementing Patient Safety Interventions in Your Hospital: What to Try and What to Avoid
Ranji, S. R., & Shojania, K. G. (2008) · Medical Clinics of North America · doi:10.1016/j.mcna.2007.10.007 · Cited by 40
“This process of ‘‘medication reconciliation’’ [ 52 ] is undoubtedly important because, as multiple studies demonstrate, medications are changed without a clear indication at admission [53], at transitions during hospitalization (ie, when a patient is discharged from the ICU [54,55]), and at discharge [56].”
BackgroundMedication reconciliation in a community pharmacy setting
Johnson, C. M., Marcy, T. R., Harrison, D. L., Young, R. E., Stevens, E. L., & Shadid, J. (2010) · Journal of the American Pharmacists Association · doi:10.1331/japha.2010.09121 · Cited by 39
Mabasa, V. H., Malyuk, D. L., Weatherby, E.-M., & Chan, A. (2011) · The Canadian Journal of Hospital Pharmacy · doi:10.4212/cjhp.v64i5.1073 · Cited by 38
“Ideally, medication reconciliation is performed upon admission to any patient care unit, with each transfer of care (either level or location), and before discharge.(13) The pharmacist plays an integral role in this process, which should be performed routinely.”
BackgroundLee, K. P., Hartridge, C., Corbett, K. K., Vittinghoff, E., & Auerbach, A. D. (2014) · Journal of Hospital Medicine · doi:10.1002/jhm.2289 · Cited by 37
Waitman, L. R., Brown, S. H., & Porcelli, P. J. (2010) · Applied Clinical Informatics · doi:10.4338/aci-2010-02-r-0010 · Cited by 35
“Can they clearly see who collected the information? Should they raise the issue with quality assurance personnel, unit managers, or the individual who collected the PAML? If electronic tools merely shorten the time to enter poorly validated information, it satisfies the regulatory requirement but jeopardizes its objec…”
BackgroundNovel user interface design for medication reconciliation: an evaluation of Twinlist
Catherine Plaisant, B., Wu, J., Hettinger, A. Z., Powsner, S. M., & Shneiderman, B. (2015) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocu021 · Cited by 36
“5 million harmful errors are reported,(13) with most PADEs (75%) occurring during discharge.(20)”
BackgroundBoockvar, K. S., Ho, W., Pruskowski, J. A., Palo, K. E. D., Wong, J. J., Patel, J., Nebeker, J. R., Kaushal, R., & Hung, W. W. (2017) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocx044 · Cited by 36
Metadata
- Authors
- Pronovost, P., Weast, B., Schwarz, M., Wyskiel, R. M., Prow, D., Milanovich, S. N., Berenholtz, S., Dorman, T., & Lipsett, P.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Pronovost, Peter
- Venue
- Journal of Critical Care
- Publisher
- Elsevier BV
- Published
- 2003-12
- Volume
- 18
- Issue
- 4
- Pages
- 201-205
- ISSN
- 0883-9441 (ISSN-L)
- OpenAlex
- W2137815358
- Cited by
- 371
- References
- 20
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 11 · 2023: 11 · 2022: 12 · 2021: 12 · 2020: 12 · 2019: 13 · 2018: 18 · 2017: 23 · 2016: 15 · 2015: 27 · 2014: 17 · 2013: 20 · 2012: 20
- FWCI
- 17.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Critical Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Pharmacovigilance and Adverse Drug Reactions
- Keywords
- medication reconciliation, medication errors, adverse drug reactions, intensive care unit discharge, surgical intensive care unit, electronic health records, medication orders, patient safety
- MeSH terms
- Continuity of Patient Care, Hospitals, University, Humans, Intensive Care Units, Medication Errors, Medication Systems, Hospital, Patient Care Team, Patient Transfer, Quality Assurance, Health Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
