Amanda H. Salanitro|Chandra Y. Osborn|Jeffrey L. Schnipper|Christianne L. Roumie|Stephanie Labonville|Daniel Johnson|Erin B. Neal|Courtney Cawthon|Alexandra Businger|Anuj K. Dalal|Sunil Kripalani
Effect of Patient- and Medication-Related Factors on Inpatient Medication Reconciliation Errors
Vanderbilt University|Geriatric Research Education and Clinical Center|Vanderbilt University|Harvard University|Brigham and Women's Hospital|Vanderbilt University|Geriatric Research Education and Clinical Center|Brigham and Women's Hospital|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University|Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Vanderbilt University
little research examined incidence clinical relevance predictors medication reconciliation errors hospital admission discharge identify patient medicationrelated factors contribute preadmission medication list paml errors admission order errors test whether errors persist discharge medication list conducted crosssectional analysis 423 adults acute coronary syndromes acute decompensated heart failure admitted two academic hospitals received pharmacistassisted medication reconciliation pharmacist intervention low literacy cardiovascular disease pillcvd study pharmacists assessed number total clinically relevant errors paml admission discharge medication orders used negative binomial regression report incidence rate ratios irr predictors reconciliation errors admission 174 413 patients 42 1 paml error 73 18 1 clinically relevant paml error discharge 158 405 patients 39 1 discharge medication error 126 31 1 clinically relevant discharge medication error clinically relevant paml errors associated older age irr 146 95 ci 100 212 number preadmission medications irr 117 95 ci 110125 less likely recent medication list present electronic medical record emr irr 054 95 ci 030096 clinically relevant admission order errors also associated older age number preadmission medications clinically relevant discharge medication errors likely every paml error irr 131 95 ci 119145 number medications changed prior discharge irr 106 95 ci 101111 medication reconciliation errors common hospital admission discharge errors preadmission medication histories associated older age number medications lead discharge reconciliation errors recent medication list emr protective medication reconciliation errors