Jennifer R. Pippins|Tejal K. Gandhi|Claus Hamann|Chima D. Ndumele|Stephanie Labonville|Ellen K. Diedrichsen|Marcy G. Carty|Andrew S. Karson|Ishir Bhan|Christopher M. Coley|Catherine L. Liang|Alexander Turchin|Patricia McCarthy|Jeffrey L. Schnipper
Classifying and Predicting Errors of Inpatient Medication Reconciliation
Brigham and Women's Hospital|Brigham and Women's Hospital|Massachusetts General Hospital|Brigham and Women's Hospital|Brigham and Women's Hospital|Massachusetts General Hospital|Brigham and Women's Hospital|Massachusetts General Hospital|Massachusetts General Hospital|Massachusetts General Hospital|Brigham and Women's Hospital|Mass General Brigham|Massachusetts General Hospital|Brigham and Women's Faulkner Hospital|Brigham and Women's Hospital
failure reconcile medications across transitions care important source potential harm patients little known predictors unintentional medication discrepancies occurto determine reasons timing predictors potentially harmful medication discrepanciesprospective observational studyadmitted general medical patientsstudy pharmacists took goldstandard medication histories compared medical teams medication histories admission discharge orders blinded teams physicians adjudicated unexplained discrepancies using modification existing typology main outcome number potentially harmful unintentional medication discrepancies per patient potential adverse drug events padesamong 180 patients 2066 medication discrepancies identified 257 12 unintentional potential harm 14 per patient 186 72 due errors taking preadmission medication history 68 26 due errors reconciling medication history discharge orders pades occurred discharge 75 multivariable analyses low patient understanding preadmission medications number medication changes preadmission discharge medication history taken intern associated padesunintentional medication discrepancies common often due errors taking accurate medication history errors reconciling history patient orders focusing accurate medication histories potential medication errors discharge identifying highrisk patients intensive interventions may improve medication safety hospitalization