Ari N. Meguerditchian|Stanimira Krotneva|Kristen Reidel|Allen Huang|Robyn Tamblyn
Medication reconciliation at admission and discharge: a time and motion study
McGill University|McGill University|McGill University|Ottawa Hospital|University of Ottawa|McGill University
medication reconciliation admission transfer discharge designated required hospital practice reduce adverse drug events however implementation challenges resulted poor hospital adherence aim study assess processes required carry medication reconciliation health professionals involved tasks time devoted medication reconciliation general hospital settings timeandmotion study design used using systematic sample patients admitted discharged geriatric medical surgical units two academic centers health professionals involved medication reconciliation observed timed descriptive statistics used summarize number professionals involved tasks performed mean time devoted 3 professionals 2 disciplines medicine pharmacy involved medication reconciliation process geriatric reconciliations took time complete admission mean 922 minutes sd 443 discharge mean 290 minutes sd 238 followed internal medicine admission mean 462 minutes sd 211 194 sd 117 minutes discharge general surgery minutes discharge mean 99 minutes sd 182 considerable differences order type number tasks performed noted within units tasks independent direct patient interaction took twice time required complete tasks requiring patient interaction lack coordination specialized training agreement roles responsibilities professionals among probable reasons workflow inefficiencies possibly variability quality time required current medication reconciliation process better understanding admission processes general surgery required standardization use electronic tools could improve efficiency hospital adherence