Kristine M. Gleason|Molly R. McDaniel|Joseph Feinglass|David W. Baker|Lee A. Lindquist|David T. Liss|Gary A. Noskin
Results of the Medications At Transitions and Clinical Handoffs (MATCH) Study: An Analysis of Medication Reconciliation Errors and Risk Factors at Hospital Admission
Northwestern Memorial Hospital|Northwestern Memorial Hospital|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University
study designed determine risk factors potential harm associated medication errors hospital admission study pharmacist hospitalphysician medication histories compared medication orders identify unexplained history order discrepancies 651 adult medicine service inpatients 5701 prescription medications discrepancies resulting order changes considered errors logistic regression used analyze association patient demographic clinical characteristics including patients number preadmission prescription medications pharmacies prescribing physicians medication changes presentation medication bottles lists factors tested controlling patient demographics admitting service severity illness onethird study patients 359 experienced 309 order errors 85 patients errors originate medication histories almost half omissions cardiovascular agents commonly error 291 undetected 524 order errors rated potentially requiring increased monitoring intervention preclude harm 117 rated potentially harmful logistic regression analysis patients age 65 odds ratio 217 95 confidence interval ci 109430 number prescription medications 121 95 ci 114129 significantly associated errors potentially requiring monitoring causing harm presenting medication list 035 95 ci 019063 bottles 055 95 ci 027110 admission beneficial onethird patients study medication error admission patients 85 errors originate medication histories attempts improve accuracy medication histories focus older patients large number medications primary care physicians clinicians help patients utilize maintain complete accurate understandable medication lists