Cited by 371Patient Safety and Medication ErrorsPharmaceutical Practices and Patient OutcomesPharmacovigilance and Adverse Drug Reactions

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

Pronovost, Peter, Weast, Brad, Schwarz, Mandalyn, Wyskiel, Rhonda M, Prow, Donna, Milanovich, Shelley N, Berenholtz, Sean, Dorman, Todd, Lipsett, Pamela·2003·Journal of Critical Care

DOI 10.1016/j.jcrc.2003.10.001

Open this paper in CoChat — free account

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.

Integrity signals

Registry

Crossref · 10.1016/j.jcrc.2003.10.001

Cites

20 of 20 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

Book Review
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
The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group
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
To Err is Human
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
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 update
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
AHA/ACC Guidelines for Preventing Heart Attack and Death in Patients With Atherosclerotic Cardiovascular Disease: 2001 Update: A Statement for Healthcare Professionals From the American Heart Association and the American College of Cardiology
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

Show all 20 references

Research works printed but not linked: 1

Frolkis, 1999, Physician non-compliance with the 1993 national cholesterol education program guidelines, Circulation, 95, 851

Sorted by citations

Items 201–300 of 371

Protocol for a non-randomised pilot and feasibility study evaluating a multicomponent intervention to simplify medication regimens for people receiving community-based home care services
Sluggett, J. K., Page, A. T., Chen, E. Y. H., Ilomäki, J., Corlis, M. E., Emden, J. V., Hogan, M., Caporale, T., Angley, M. T., Hilmer, S. N., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-025345 · Cited by 10
“Medication reconciliation is the process of developing the ‘best possible medication history’ that outlines which medications the participant actually takes, the dose form, the dose of each medication and the corresponding administration schedule.(27) 28 This step is necessary because discrepancies often exist between…”
Background
Drug-related problems at discharge: results on the Spanish pharmacy discharge programme CONSULTENOS
López, M. P., Saliente, M. T. A., Monsalve, A. G., Aparicio, M., Domingo, E. A., Hernández, M. M., Carrión, C. C., Martí, M. C., Querejeta, N. B., Blasco, J. B., et al. (2010) · International Journal of Pharmacy Practice · doi:10.1111/j.2042-7174.2010.00054.x · Cited by 10
“Medication reconciliation is a three-step process of verifying medication use, identifying variances and rectifying medication errors at interfaces of care, comparing a patient’s medication orders to all of the medications that the patient has been taking.([7]) On the other hand, some evidence suggests that educationa…”
Background
Patient Safety in the Intensive Care Unit
Rodriguez-Paz, J. M., & Dorman, T. (2008) · Clinical Pulmonary Medicine · doi:10.1097/cpm.0b013e318160edd3 · Cited by 10
“Therefore, a tool was created to reduce these errors through a reconciliation process by which the practitioner considers previous medications while addressing new orders that the patient may need during transition of care (level of care, ie, transfer from ICU to floor).(56) The tool can be computer based or paper bas…”
MethodSelf-citation
Understanding Reasons for Nonadherence to Medications in a Medicare Part D Beneficiary Sample
Hincapie, A. L., Taylor, A. M., Boesen, K. P., & Warholak, T. L. (2015) · Journal of Managed Care & Specialty Pharmacy · doi:10.18553/jmcp.2015.21.5.391 · Cited by 9
The impact of a daily “medication time out” in the Intensive Care Unit
Tainter, C. “., Nguyen, A. P., Pollock, K. A., O’Brien, E. O., Lee, J., Schmidt, U. H., Jahanasouz, F., Owens, R. L., & Meier, A. (2017) · Journal of Critical Care · doi:10.1016/j.jcrc.2017.09.018 · Cited by 9
A systematic review of medication reconciliation strategies to reduce medication errors in community dwelling older adults.
Cameli, D., Francis, M., Francois, V. E., Medder, N. R., Eden, L. V., & Truglio‐Londrigan, M. (2012) · JBI Library of Systematic Reviews · doi:10.11124/jbisrir-2012-247 · Cited by 9
A Medical Resident Post-Discharge Phone Call Study
Weisman, D., Bashir, L., Mehta, A., Bhatia, L., Levine, S. M., Mete, M., & Padmore, J. S. (2012) · Hospital Practice · doi:10.3810/hp.2012.04.979 · Cited by 9
Executive Summary
Burke, K. G. (2005) · AJN American Journal of Nursing · doi:10.1097/00000446-200503001-00002 · Cited by 9
Pharmacist-led interventions for vascular surgery patients: a prospective study on reducing drug-related problems
Porubcová, S., Szmicsekova, K., Lajtmanová, K., Slezakova, V., Jakubik, M., Drobna, E., Tomka, J., Koblišková, Z., Masaryková, L., Lehocká, Ľ., et al. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-12015-7 · Cited by 8
“Use all available information, such as previous medical records, transfer reports, outpatient reports, telephone calls, information from a community pharmacy, and discussions with the patient or family members [17, 20, 22–24].”
Patient, Physician, Medical Assistant, and Office Visit Factors Associated With Medication List Agreement
Reedy-Cooper, A., Yeh, J. Y., Nowacki, A. S., & Hickner, J. M. (2014) · Journal of Patient Safety · doi:10.1097/pts.0000000000000100 · Cited by 8
Medical Imaging Data Reconciliation, Part 1: Innovation Opportunity
Reiner, B. I. (2011) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2011.05.009 · Cited by 8
Das strukturierte Medikamentenmanagement in der Hausarztpraxis – ein Beitrag zur Förderung der Arzneimitteltherapiesicherheit
Mahler, C., Freund, T., Baldauf, A., Jank, S., Ludt, S., Peters-Klimm, F., Haefeli, W. E., & Szécsényi, J. (2013) · Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen · doi:10.1016/j.zefq.2013.07.011 · Cited by 8
Multidrug use in the Elderly Patients with Multimorbidity: A Great Problem in Family Medicine
Asma, S., Gereklioğlu, Ç., Korur, A., & Erdogan, A. (2014) · Turkish Journal of Family Medicine & Primary Care · doi:10.5455/tjfmpc.47042 · Cited by 8
The pharmacotherapy team: A novel strategy to improve appropriate in‐hospital prescribing using a participatory intervention action method
Mahomedradja, R. F., Sigaloff, K., Bekema, J. K., Dekker, M. J. H. J., Brinkman, D. J., Kuijvenhoven, M. A., van Beneden, M., Lissenberg-Witte, B. I., Tichelaar, J., & van Agtmael, M. A. (2020) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.14418 · Cited by 8
Identification of inactive medications in narrative medical text.
Breydo, E. M., Chu, J. T., & Turchin, A. (2008) · PubMed Central · Cited by 8
HEMŞİRELERİN TIBBİ HATA YAPMA EĞİLİMLERİ: BİR KAMU ÜNİVERSİTESİ TIP FAKÜLTESİ HASTANESİ ÖRNEĞİ
Durmuş, S. Ç., Erdem, Y., & Yılmaz, E. D. (2022) · Kırıkkale Üniversitesi Tıp Fakültesi Dergisi · doi:10.24938/kutfd.1058816 · Cited by 7
“iletişim ve iş birliği yetersizliği, vardiya değişimi sırasında hasta teslimi yapılırken ya da sağlık ekibinin yapısı ve süreçlerde yaşanan sorunlar olduğu belirtilmektedir (28).”
The Effect of Nurses’ Professionalism Attitudes on Nurse–Nurse Collaboration in a City Hospital in Turkey: A Cross-Sectional Study
Alkan, M. Ç., & Durmuş, S. Ç. (2022) · Hospital Topics · doi:10.1080/00185868.2022.2097971 · Cited by 7
Patient Safety at Transitions of Care: Use of a Compulsory Electronic Reconciliation Tool in an Academic Hospital.
Lede, D. A. R., Benítez, S., Mayan, J. C., Smith, M. I., Baum, A., Luna, D. R., & de Quirós, F. G. B. (2015) · PubMed · Cited by 7
Implementation of a checklist to increase adherence to evidence-based practices in a single pediatric intensive care unit
Eulmesekian, P. G., Pérez, A., Díaz, S., & Ferrero, M. (2017) · Archivos Argentinos de Pediatria · doi:10.5546/aap.2017.eng.446 · Cited by 7
Improving Medication Reconciliation compliance at admission
Almidani, E., Khadawardi, E., Alshareef, T., Hussain, I. B., Al-Mofada, S. M., Ham, A. J., Alqarni, A. S., Alobari, R., Bernardo, M. C., & Rajab, M. H. (2015) · International Journal of Pediatrics and Adolescent Medicine · doi:10.1016/j.ijpam.2015.09.005 · Cited by 7
“One of the best measures to prevent these errors is the use of an accurate medication reconciliation process that integrates the effort of different health care providers [4,5].”
Background
Miscellaneous drugs, materials, medical devices, and techniques
Choulis, N. H. (2014) · Side effects of drugs annual · doi:10.1016/b978-0-444-62635-6.00049-8 · Cited by 8
Postdischarge Adverse Events in the Elderly
Tsilimingras, D., Brummel‐Smith, K. V., & Brooks, R. G. (2009) · Journal of Patient Safety · doi:10.1097/pts.0b013e3181c11f70 · Cited by 7
“In other studies, medication reconciliation reduced errors and discrepancies in critical care and inpatient family medicine patients during hospital admission and discharge.(51,52) Roy and colleagues surveyed physicians about pending test results that returned after a patient was discharged from the hospital.”
Result
Nurses' perceptions of and experiences with medication errors
Maurer, M. J. (2010) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 7
Making sense of diseases in medication reconciliation
Vashitz, G., Nunnally, M., Bitan, Y., Parmet, Y., O’Connor, M. F., & Cook, R. I. (2010) · Cognition Technology & Work · doi:10.1007/s10111-010-0162-3 · Cited by 7
How do clinicians reconcile conditions and medications? The cognitive context of medication reconciliation
Vashitz, G., Nunnally, M., Parmet, Y., Bitan, Y., O’Connor, M. F., & Cook, R. I. (2011) · Cognition Technology & Work · doi:10.1007/s10111-011-0189-0 · Cited by 9
“Most of these efforts are prescriptive, such as the use of forms and emphasis on supervision by pharmacists (Pronovost et al. 2003; Boockvar et al. 2006; Hayes et al. 2007; Manning et al. 2007; Weingart et al. 2007; Coffey et al. 2009; Walker et al. 2009), or the use of information technology (IT) as a tool for data m…”
Background
Implementation of a pharmacist resident medication reconciliation program
Rabi, S. M., & Dahdal, W. Y. (2007) · Pharmacy Education · doi:10.1080/15602210701673886 · Cited by 6
“physician’s admission, transfer, or discharge orders; any discrepancieswould then beaddressed (Pronovost et al., 2003; IHI, 2006).”
Background
Characterization of Medication Discrepancies and Interventions Resulting From Pharmacy-Led Medication Reconciliation in the Critical Care Setting
Magrum, B., Smetana, K. S., Thompson, M. J., Elefritz, J. L., Phelps, M. K., Trolli, E., & Murphy, C. V. (2023) · Journal of Pharmacy Practice · doi:10.1177/08971900221149788 · Cited by 6
Maßnahmen zur Verbesserung der Patientensicherheit
Conen, D. (2011) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-010-1201-1 · Cited by 6
Chronic Critical Illness: A Review for Surgeons
Cooper, Z. R., Bernacki, R., & Divo, M. J. (2010) · Current Problems in Surgery · doi:10.1067/j.cpsurg.2010.09.002 · Cited by 6
Implementation of a specialized pharmacy team to monitor high-risk medications during discharge
Martin, E. S., Overstreet, R. L., Jackson-Khalil, L. R., McCollough, H. L., Meyer, T. A., & Xu, Q. (2012) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp120146 · Cited by 6
Potential causes of medication errors: perceptions of Serbian nurses
Svitlica, B. B., Simin, D., & Milutinović, D. (2017) · International Nursing Review · doi:10.1111/inr.12355 · Cited by 6
Paradise by the Dashboard Light*
Martich, G. D. (2013) · Critical Care Medicine · doi:10.1097/ccm.0b013e31828cec19 · Cited by 6
“For instance, although most would argue, and the Joint Commission mandates, that medication reconciliation be performed soon after every transition of care, the medication concept was identified as being used only 2% of the time in the study at time of ICU admission (6, 7).”
Background
The Perceived Effectiveness of Secure Messaging for Medication Reconciliation During Transitions of Care: Semistructured Interviews With Patients
Brady, J. E., Linsky, A. M., Simon, S. R., Yeksigian, K., Rubin, A., Zillich, A. J., & Russ, A. L. (2022) · JMIR Human Factors · doi:10.2196/36652 · Cited by 5
“When reviewing the literature, we found studies that examined several other types of medication reconciliation tools [12,34,38], such as clinician-facing medication reconciliation tools for use in the hospital setting [9] or kiosks for patients to review and comment on their medications prior to their clinical appoint…”
Background
Improving the Timeliness of Discharge Summary Communication: A Quality Improvement Project
Glover, L., Wright, G., Brackley, S., Edwards, M., & Eddy, L. (2022) · Cureus · doi:10.7759/cureus.32602 · Cited by 5
“This is a significant number and could lead to adverse events, especially as medication changes are often enacted [12] as well as complex plans for follow-up investigations.”
Background
Reduce Medication Errors with Clinical Decision Support Systems
Ajami‎, ‎., & Amini, F. (2013) · Journal of Information Technology & Software Engineering · doi:10.4172/2165-7866.s7-e001 · Cited by 5
“Estimates reveal that 46% of medication errors occur on admission or discharge from a clinical unit/hospital when patient orders are written [2].”
Background
Collaboration Amongst Nurses
Durmuş, S. Ç., & Yıldırım, A. (2018) · Sağlık ve Hemşirelik Yönetimi Dergisi · doi:10.5222/shyd.2018.210 · Cited by 5
Effectiveness of an Electronic Communication Tool on Transitions in Care From the Intensive Care Unit: Protocol for a Cluster-Specific Pre-Post Trial
Leigh, J. P., Brundin‐Mather, R., Whalen-Browne, L., Kashyap, D., Sauro, K. M., Soo, A., Petersen, J. A., Taljaard, M., & Stelfox, H. T. (2021) · JMIR Research Protocols · doi:10.2196/18675 · Cited by 5
Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward
Pradeda, A. M., Pérez, M. S. A., Oliveira, C. F., Lamas, A. D., Abalo, M. R., Margusino‐Framiñán, L., Cid‐Silva, P., & Herranz, M. I. M. (2023) · Farmacia Hospitalaria · doi:10.1016/j.farma.2023.02.005 · Cited by 5
Exploratory study of personal health information management using health literacy model
Kim, S., Syn, S. Y., & Sinn, D. (2018) · Aslib Journal of Information Management · doi:10.1108/ajim-03-2017-0062 · Cited by 5
Implementation of a Medication Reconciliation Assistive Technology: A Qualitative Analysis.
Wright, T. B., Adams, K. A., Church, V., Ferraro, M., Ragland, S., Sayers, A., Tallett, S., Lovejoy, T. I., Ash, J. S., Holahan, P. J., et al. (2017) · PubMed Central · Cited by 5
Ambulatory Medication Reconciliation and Frequency of Hospitalizations and Emergency Department Visits in Patients With Diabetes
Turchin, A., Sosina, O. A., Zhang, H., Shubina, M., Desai, S. P., Simonson, D. C., & Testa, M. A. (2018) · Diabetes Care · doi:10.2337/dc17-1260 · Cited by 5
Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Risk, Ambulatory Population
Robbins, C., Stillwell, T., Johnson, D., Wilson, S., & Fitzgerald, L. (2013) · Journal of Patient Safety · doi:10.1097/pts.0b013e318281b879 · Cited by 5
Perceptions Among General Medical Practitioners Toward Implementation of Medication Reconciliation Program for Patients Discharged From Hospitals in Penang, Malaysia
Hassali, M. A., Al-Haddad, M., Shafie, A. A., Tangiisuran, B., Saleem, F., Atif, M., & Al-Qazaz, H. (2012) · Journal of Patient Safety · doi:10.1097/pts.0b013e31824aba86 · Cited by 5
“Medication reconciliation is a formal process to collect and maintain a complete and accurate list of patient’s current medications and compare the list to the physician’s order during admission, transfer, or discharge.(3) This process involves three important steps.”
BackgroundInfluential
Barriers in communicating medication changes at hospital discharge: Informing CancelRx design requirements
Yang, Y., Pitts, S. I., & Chen, A. R. (2021) · Journal of Patient Safety and Risk Management · doi:10.1177/25160435211005928 · Cited by 5
“It was estimated that 46% of the medication errors occur on admission to or discharge from a hospital.(2) Hospital admissions and discharge are two important occasions when clinicians review and reconcile the hospitalized patient’s home medications.”
Background
Medication reconciliation: Coming to a hospital near you
Coffey, M. (2009) · Paediatrics & Child Health · doi:10.1093/pch/14.2.76 · Cited by 5
“Because this process has dramatically reduced discrepancy rates in various settings (6-8), it has been endorsed by leading international patient safety organizations (9,10).”
Background
[Artículo traducido] Conciliación de la medicación en el alta desde la unidad de cuidados intensivos a la planta de hospitalización
Pradeda, A. M., Pérez, M. S. A., Oliveira, C. F., Lamas, A. D., Abalo, M. R., Framiñan, L. M., Cid‐Silva, P., & Herranz, M. I. M. (2023) · Farmacia Hospitalaria · doi:10.1016/j.farma.2023.05.003 · Cited by 4
Matters We Metric Vs. Metrics that Matter
Onizuka, N., Sinvani, L., & Quatman, C. E. (2024) · Geriatric Orthopaedic Surgery & Rehabilitation · doi:10.1177/21514593241277737 · Cited by 4
“46,47 46-49 Age-related changes can increase the risk of medication side effects.”
Background
Unintentional Discontinuation of Chronic Medications for Seniors in Nursing Homes
Stall, N. M., Fischer, H. D., Wu, C., Bierman, A. S., Brener, S. S., Bronskill, S. E., Etchells, E. E., Fernandes, O. A., Lau, D., Mamdani, M., et al. (2015) · Medicine · doi:10.1097/md.0000000000000899 · Cited by 4
“Concurrently, robust research emerged reporting on the positive effects of medication reconciliation programs especially during hospital discharge.(42,43) Additionally, health and social care professional schools were focusing on patient safety, with most medical schools and residency programs offering patient safety…”
Background
Role of Social Knowledge Networking technology in facilitating meaningful use of Electronic Health Record medication reconciliation
Rangachari, P. (2016) · Journal of Hospital Administration · doi:10.5430/jha.v5n3p98 · Cited by 4
“[4,6] [7–10] Medication reconciliation refers to the process of creating the most complete list of a patient’s current medications, comparing the list to the medical record, and communicating the ﬁnal updated list to the patient, family, caregivers, and the next providers of care.”
Background
SOAP progress notes: A systematic approach to record pharmaceutical care interventions
Vijayakumar, T. M. (2016) · Current Medicine Research and Practice · doi:10.1016/j.cmrp.2016.05.004 · Cited by 4
Random effects models for identifying the most harmful medication errors in a large, voluntary reporting database
Venturini, S., Franklin, J. M., Morlock, L., & Dominici, F. (2017) · The Annals of Applied Statistics · doi:10.1214/16-aoas974 · Cited by 3
Developing Process-Support Tools for Patient Safety: Finding the Balance Between Validity and Feasibility
Marsteller, J. A., Holzmueller, C. G., Makary, M. A., Sexton, J. B., Thompson, D. A., Lubomski, L. H., & Pronovost, P. J. (2008) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(08)34075-6 · Cited by 4
Self-citation
Impact of Medication Reconciliation upon Discharge on Reducing Medication Errors
Khansa, S. A., Mukhtar, A., Abduljawad, M., & Aseeri, M. A. (2016) · Journal of Pharmacovigilance · doi:10.4172/2329-6887.1000222 · Cited by 4
“Another study in critical care found that errors at the time of discharge from a critical care unit were virtually eliminated by a reconciliation process [6].”
Background
The PHARMS (Patient Held Active Record of Medication Status) feasibility study: a research proposal
Walsh, E. K., Sahm, L. J., Kearney, P. M., Smithson, H., Kerins, D. M., Ngwa, C., Fitzgerald, C., Carthy, S. M., Connolly, E., Dalton, K., et al. (2018) · BMC Research Notes · doi:10.1186/s13104-017-3118-3 · Cited by 4
“Different strategies used for medication reconciliation include: a multidisciplinary approach [15]; pharmacist-led initiatives [16] and complex multifaceted interventions [17].”
Background
Clinical pharmacists’ role in paediatric patients’ medical care
Balakrishnan, R. P., Ravichandran, R., Batcha, J. S. D., Ravi, A. L., Sam, N. C., & Nuthalapati, R. (2020) · International Journal of Contemporary Pediatrics · doi:10.18203/2349-3291.ijcp20205110 · Cited by 4
“It is also said that patient safety has been improved by reducing medication errors.(40,41)”
Background
Medication reconciliation as a tool for reducing polypharmacy at hospital discharge in Internal Medicine Wards
Zuccheri, P., Manfredi, F., Serra, A., Borsari, M., Nardi, R., Pasquale, A., & Sassone, B. (2014) · Italian Journal of Medicine · doi:10.4081/itjm.2014.432 · Cited by 4
Using a structured reconciliation medication form improves medication transition from hospital to community care and primary care physicians’ adherence with medication adaptations and recommendations
Dumur, J., Chassagne, P., Gbaguidi, X., Csajka, C., Chassagne, P., & Lang, P. O. (2018) · European Geriatric Medicine · doi:10.1007/s41999-018-0125-4 · Cited by 4
Medication reconciliation: time to save? A cross-sectional study from one acute hospital
Walsh, E. K., Kirby, A., Kearney, P. M., Bradley, C., Fleming, A., O’Connor, K. A., Halleran, C., Cronin, T., Calnan, E., Sheehan, P., et al. (2019) · European Journal of Clinical Pharmacology · doi:10.1007/s00228-019-02750-w · Cited by 4
The General Practice and Residential Aged Care Facility Concordance of Medication (GRACEMED) study
Makeham, M., Pont, L., Verdult, C., Hardie, R., Raban, M. Z., Mitchell, R. J., Purdy, H., Teichert, M., Ingersoll, A., & Westbrook, J. I. (2020) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2020.104264 · Cited by 4
Executive Summary
Burke, K. G. (2005) · Journal of Infusion Nursing · doi:10.1097/00129804-200503000-00002 · Cited by 4
Doctors and Drugs : How Swedish Emergency and Family Physicians Understand Drug Prescribing
Rahmner, P. B. (2009) · Figshare · Cited by 4
Scientific Inquiry
Edson, B. S., & Williams, M. C. (2006) · Journal for Specialists in Pediatric Nursing · doi:10.1111/j.1744-6155.2006.00056.x · Cited by 4
Bridging the Gap for Patient Safety: Medication Reconciliation
Generali, J. A. (2004) · Hospital Pharmacy · doi:10.1177/001857870403900801 · Cited by 4
“A recent study examining the medication reconciliation process upon admission to and discharge from an adult surgical intensive care unit (ICU) revealed that 94% of the patients had orders changed after an ICU stay.(4) By reviewing and verifying all medications and allergies within 24 hours after admission, and compar…”
Background
Evaluating time-based outcomes of a pharmacist–doctor collaborative discharge medication reconciliation model: an observational study
Soudah, S., Percival, M., Noble, A., Dalziel, J., Edmunds, C., Hill, K., & Hattingh, L. (2026) · International Journal of Clinical Pharmacy · doi:10.1007/s11096-026-02118-y · Cited by 3
“Medication errors remain the most preventable source of patient harm across hospitals, community settings, and residential aged care facilities [4, 6, 7].”
Medication Reconciliation of Patients by Pharmacist at the Time of Admission and Discharge from Adult Nephrology Wards
Ahmadi, H., Houshmand, Y., Rais-Jalali, G. A., & Karimzadeh, I. (2024) · Pharmacy · doi:10.3390/pharmacy12060170 · Cited by 3
Multi-level factors affecting timely electronic documentation of medication administration: a hierarchical linear modeling approach
Raman, R., & Green, K. (2016) · Health Systems · doi:10.1057/hs.2016.3 · Cited by 2
Enabling the Reuse of Electronic Health Record Data through Data Quality Assessment and Transparency
Weiskopf, N. G. (2015) · doi:10.7916/d8rf5ss2 · Cited by 3
One Size Does Not Fit All: Medication Reconciliation and Review at the Hospital at Home
Madeira, D., Baduy, F., Órfão, A., Matos, C., Osório, R., & Brito, A. C. (2023) · Cureus · doi:10.7759/cureus.47419 · Cited by 3
“The medication reconciliation (MRec) concept was first described in 2003 and is now considered a crucial part of safe medication use and good clinical care by both the Joint Commission and the World Health Organization [3,10,11].”
Comparison between proactive and retroactive models of medication reconciliation in patients hospitalized for acute decompensated heart failure
Ahmadimoghaddam, D., Akbari, P., Mehrpooya, M., Entezari‐Maleki, T., Rangchian, M., Zamanirafe, M., Parvaneh, E., & Mohammadi, Y. (2024) · International Journal of Risk & Safety in Medicine · doi:10.3233/jrs-230034 · Cited by 3
“Extensive data supports the eﬀectiveness of medication reconciliation in reducing errors during transitions of care [28].”
An Interview with Peter Pronovost
Berman, S. (2004) · The Joint Commission Journal on Quality and Safety · doi:10.1016/s1549-3741(04)30077-8 · Cited by 3
Quality Improvement and Reporting Systems
Moe, J. S., Abramowicz, S., & Roser, S. M. (2017) · Oral and Maxillofacial Surgery Clinics of North America · doi:10.1016/j.coms.2016.12.011 · Cited by 3
Aspects on optimisation of drug therapy in the elderly
Bondesson, Å. (2008) · Lund University Publications (Lund University) · Cited by 3
Executive Summary
Burke, K. G. (2005) · Journal of Infusion Nursing · doi:10.1097/00129804-200503001-00002 · Cited by 3
Federated learning using flower framework for enhanced medication safety in intensive care units
Pais, V., Rao, S., Muniyal, B., & Yun, S. (2025) · International Journal of Data Science and Analytics · doi:10.1007/s41060-025-00877-x · Cited by 2
“These technologies can detect and stop mistakes that might otherwise have negative consequences [20, 21].”
Creating a foundation for implementing an electronic health records (EHR)-integrated Social Knowledge Networking (SKN) system on medication reconciliation
Rangachari, P., Dellsperger, K. C., Fallaw, D. J., Davis, I. D., Sumner, M., Ray, W., Fiedler, S., Nguyen, T. H., & Rethemeyer, R. K. (2018) · Journal of Hospital Administration · doi:10.5430/jha.v7n2p36 · Cited by 2
“6] To help prevent medication errors and discrepancies during transitions of care, patient safety advocates have promoted the use of Medication Reconciliation or “MedRec”.”
Method
Effectiveness of an educational intervention in improving the patient medication reconciliation in the emergency department
Garsan, M. A., Leon, E., Alyami, H. S., Miller, D., Breen, M., Cacciata, M. C., Bactista, M., Qahoush, R., & Alshehri, H. (2021) · International Journal of Clinical Practice · doi:10.1111/ijcp.14782 · Cited by 2
Effect of near real-time feedback tool in the electronic medical record on protocol compliance during laparoscopic cholecystectomy: a single-center retrospective analysis
Hand, W. R., Kerr, E., Chambers, R., Ewing, A., & Cancellaro, V. A. (2022) · Journal of Clinical Monitoring and Computing · doi:10.1007/s10877-022-00833-1 · Cited by 2
A Reconciliação da Medicação nos Cuidados de Saúde Primários: Práticas, Conhecimentos e Atitudes na Região de Saúde de Lisboa e Vale do Tejo
Ascenção, R. M. S. E. S., Almeida, M., Ribeiro, C. S., Broeiro, P., & Costa, J. N. (2025) · Acta Médica Portuguesa · doi:10.20344/amp.21629 · Cited by 2
Implementación de una lista de cotejo para mejorar la adherencia a prácticas basadas en evidencia en una Unidad de Cuidados Intensivos Pediátricos
(2017) · Archivos Argentinos de Pediatria · doi:10.5546/aap.2017.446 · Cited by 2
Is Mental Illness a Risk Factor for Hospital Readmission?
Gopalan, K., Horvitz-Lennon, M. V., Stein, B. D., Ghinassi, F. A., Castle, N. G., Chang, C. H., & Donohue, J. M. (2018) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-018-0874-x · Cited by 2
Enhancing Learning Through an Interprofessional Project Competition
McComb, S. A., Banerjee, A., Mechler, K. K., & Morrow, R. B. (2012) · Journal of Nursing Education · doi:10.3928/01484834-20121107-01 · Cited by 2
“Medication reconciliation was selected, as it is a well-documented problem in health care delivery systems (Barnsteiner, 2005; Pippins et al., 2008; Pronovost et al., 2003).”
Background
[Risk management at an Intensive Care Department: conciliation of medication].
Moreno, F. B., Munguira, E. B., Verdejo, J. A. G., Lobato, E. B., Martínez, M. R., & de Cós, P. M. (2013) · PubMed · doi:10.7399/fh.2013.37.6.711 · Cited by 2
Mentoring and supervising clinical pharmacist students at patients' bedside: which benefits?
Rouzaud‐Laborde, C., Damery, L., Cestac, P., Sallerin, B. A.-M., & Calvet, P. (2015) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12444 · Cited by 2
Pharmacist transcribing of drug histories to drug charts: a UK study
Wright, N., Brown, D., & Honeywell, G. (2015) · European Journal of Hospital Pharmacy · doi:10.1136/ejhpharm-2015-000665 · Cited by 2
Optimal handover of ICU patients
Zegers, M., van Sluisveld, N., & Wollersheim, H. C. H. (2016) · Cambridge University Press eBooks · doi:10.1017/cbo9781316218563.007 · Cited by 2
Quality management of patient care
Guidet, B., Valentin, A., & Flaatten, H. K. (2016) · Cambridge University Press eBooks · doi:10.1017/cbo9781316218563.002 · Cited by 2
The Effects of Designated Pharmacist on Intervention and Cost Avoidance in the Surgical Intensive Care Unit
신상미, 김윤희, 송인애, 이은숙, Lee, E. E., 허은정, & 최경숙 (2017) · Journal of Korean Society of Health-System Pharmacists · doi:10.32429/jkshp.2017.34.4.003 · Cited by 2
Determinants of Completing the Medication Reconciliation Form Among Nurses Based on Diffusion of Innovation Theory
Heydari, S., Ardakani, M. F., Jamei, E., & Salahshur, S. (2020) · Journal of Research and Health · doi:10.32598/jrh.10.3.1491.1 · Cited by 2
“Medication reconciliation is an effective strategy to reduce medication errors and several studies have proved its effectiveness [12].”
Background
Miscellaneous drugs and materials, medical devices, and techniques
Choulis, N. H., & Aronson, J. K. (2005) · Side effects of drugs annual · doi:10.1016/s0378-6080(05)80471-4 · Cited by 2
Medication Reconciliation as a Tool to Reduce Medication Discrepancy
Sholihat, N. K., Hanifah, A., Puspaningtyas, M. D., Maharani, L., & Utami, E. D. (2018) · Journal of Applied Pharmaceutical Science · doi:10.7324/japs.2018.8515 · Cited by 2
Medication reconciliation – Responsibilities and barriers facing physicians, pharmacists, and nurses in Saudi Arabia
Alanazi, N. S., Alatawi, W., & Prabahar, K. (2022) · Saudi Journal for Health Sciences · doi:10.4103/sjhs.sjhs_82_21 · Cited by 2
Polypharmazie – Lösungswege für eine verbesserte Arzneimitteltherapiesicherheit
Krause, O., Picksak, G., & Junius‐Walker, U. (2017) · DMW - Deutsche Medizinische Wochenschrift · doi:10.1055/s-0043-100125 · Cited by 2
“Inhalationsgeräten und Insulinpens vonseiten des Patienten neu bewertet [20, 21].”
BackgroundInfluential
Improving medication safety with proactive reconciliation in acute coronary syndrome patients: A randomized trial
Fatemi-Nejad, M., Mehrpooya, M., Ahmadimoghaddam, D., Shirmohammadi, K., Zamanirafe, M., Sharifikia, M., & Eshraghi, A. (2025) · Exploratory Research in Clinical and Social Pharmacy · doi:10.1016/j.rcsop.2025.100577 · Cited by 1
“11 14 The process of medication reconciliation involves systematically verifying and documenting a patient ’ s accurate and complete list of all medications taken prior to admission, known as the Best Possible Medication History (BPMH).”
Optimizing the Pharmacotherapy of Vascular Surgery Patients at Hospital Admission and Discharge (PHAROS): Protocol for a Quasi-Experimental Clinical Uncontrolled Trial
Porubcová, S., Lajtmanová, K., Szmicsekova, K., Slezakova, V., Tomka, J., & Tesař, T. (2025) · JMIR Research Protocols · doi:10.2196/60728 · Cited by 1
“…with the patient’s current medication list to identify discrepancies, which are then discussed with health care professionals and resolved [32-34, 41, Studies on pharmaceutical interventions typically focus on specific patient groups, such as those with cardiovascular diseases, renal failure, or…”
Analysis of the Clinical Nutrition Information System and the Medication Reconciliation Application
Alsaleh, M. (2015) · DalSpace (Dalhousie University) · Cited by 1
OCCURRENCE, COMPLICATIONS AND INTERVENTIONS OF POLYPHARMACY- A REVIEW Review Article
Chakraborty, A. K., Rambhade, S., Patil, U. K., & Sharma, A. (2010) · Cited by 1
errors at hospital admission and discharge Reconcilable differences: correcting medication
Vira, T., Colquhoun, M., & Etchells, E. E. (2006) · Cited by 1
Effects of Medication Reconciliation System on Patient Safety Management
장혜경, Sohn, K., 장승연, 이용석, 김정미, & 황혜숙 (2010) · Journal of Korean Society of Health-System Pharmacists · doi:10.32429/jkshp.2010.27.2.002 · Cited by 1
Kontribusi Kelengkapan Pengisian Formulir Rekonsiliasi Obat terhadap Penggunaan Obat Rasional pada Pasien Rawat Inap di RSU X Bekasi
Hasanah, K., Andrajati, R., & Supardi, S. (2020) · Jurnal Kefarmasian Indonesia · doi:10.22435/jki.v10i1.1839 · Cited by 1
Impact of a computer‐assisted pharmacy transitions of care process on medication de‐prescribing when transferring from the intensive care unit
Nulph, D., Bone, R., Jacobs, A. L., & Kimmons, L. A. (2023) · JACCP JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY · doi:10.1002/jac5.1861 · Cited by 1

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
ORCID: Pronovost, Peter
Dorman, Todd
Lipsett, Pamela
Venue: Journal of Critical Care
Publisher: Elsevier BV
Published: 2003-12
Volume: 18
Issue: 4
Pages: 201-205
ISSN: 0883-9441 (ISSN-L)
DOI: 10.1016/j.jcrc.2003.10.001
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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

Medication reconciliation: a practical tool to reduce the risk of medication errors

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks