Development and Evaluation of Medication Reconciliation Checklist Tool to Improve Patient Safety
Background: Medication reconciliation is a formal process for creating the most complete and accurate list possible of a patient's current medications and comparing the list to those in the patient record or medication orders. This reconciliation is done to avoid medication errors such as omiss...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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Series: | BLDE University Journal of Health Sciences |
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Online Access: | http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2020;volume=5;issue=3;spage=50;epage=50;aulast=Inamdar;type=0 |
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author | S Z Inamdar G Sri Lakshmi K Pradeepthi R V Kulkarni R B Kotnal |
author_facet | S Z Inamdar G Sri Lakshmi K Pradeepthi R V Kulkarni R B Kotnal |
author_sort | S Z Inamdar |
collection | DOAJ |
description | Background: Medication reconciliation is a formal process for creating the most complete and accurate list possible of a patient's current medications and comparing the list to those in the patient record or medication orders. This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions. The lack of precise and complete information about patient's medicines is the most common contributing factor for the precipitation of patient safety problem around the globe.
Objectives: To develop a medication reconciliation checklist tool and evaluate its utility in the assessment of medication discrepancies and contributing factors
Methods: A prospective observational study was carried out in the selected departments at a tertiary care hospital. A checklist tool was prepared based on the critical parameters of the reconciliation approach which was used to assess drug discrepancies during care transition and were categorized under Justified and Unjustified medicine discrepancies.
Results: A total of 200 cases were reviewed out of which164 cases were identified with the scope of reconciliation and were then followed. The observed discrepancies were categorized as follows; A total of Justified Discrepancies [27] were reported (Therapeutic Equivalence: 0, Clinical Preference: 1, Medical reason: 26), and Unjustified Discrepancies [113] (Omission errors: 31, Modification of dose: 16, Incorrect drugs: 61, Therapeutic Duplication: 4, Drug interactions: 1).
Conclusion: The study concluded that medication reconciliation checklist tool was helpful in identifying medication discrepancies. Execution of the medication reconciliation process by a pharmacist can improve drug and patient safety. |
first_indexed | 2024-12-14T03:04:02Z |
format | Article |
id | doaj.art-b8890ca791534ccdb1ed6335024a1a2b |
institution | Directory Open Access Journal |
issn | 2468-838X 2456-1975 |
language | English |
last_indexed | 2024-12-14T03:04:02Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | BLDE University Journal of Health Sciences |
spelling | doaj.art-b8890ca791534ccdb1ed6335024a1a2b2022-12-21T23:19:27ZengWolters Kluwer Medknow PublicationsBLDE University Journal of Health Sciences2468-838X2456-19752020-01-0153505010.4103/2468-838X.303818Development and Evaluation of Medication Reconciliation Checklist Tool to Improve Patient SafetyS Z InamdarG Sri LakshmiK PradeepthiR V KulkarniR B KotnalBackground: Medication reconciliation is a formal process for creating the most complete and accurate list possible of a patient's current medications and comparing the list to those in the patient record or medication orders. This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions. The lack of precise and complete information about patient's medicines is the most common contributing factor for the precipitation of patient safety problem around the globe. Objectives: To develop a medication reconciliation checklist tool and evaluate its utility in the assessment of medication discrepancies and contributing factors Methods: A prospective observational study was carried out in the selected departments at a tertiary care hospital. A checklist tool was prepared based on the critical parameters of the reconciliation approach which was used to assess drug discrepancies during care transition and were categorized under Justified and Unjustified medicine discrepancies. Results: A total of 200 cases were reviewed out of which164 cases were identified with the scope of reconciliation and were then followed. The observed discrepancies were categorized as follows; A total of Justified Discrepancies [27] were reported (Therapeutic Equivalence: 0, Clinical Preference: 1, Medical reason: 26), and Unjustified Discrepancies [113] (Omission errors: 31, Modification of dose: 16, Incorrect drugs: 61, Therapeutic Duplication: 4, Drug interactions: 1). Conclusion: The study concluded that medication reconciliation checklist tool was helpful in identifying medication discrepancies. Execution of the medication reconciliation process by a pharmacist can improve drug and patient safety.http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2020;volume=5;issue=3;spage=50;epage=50;aulast=Inamdar;type=0medication reconciliationpatient safetyjustified discrepanciesunjustified discrepancies |
spellingShingle | S Z Inamdar G Sri Lakshmi K Pradeepthi R V Kulkarni R B Kotnal Development and Evaluation of Medication Reconciliation Checklist Tool to Improve Patient Safety BLDE University Journal of Health Sciences medication reconciliation patient safety justified discrepancies unjustified discrepancies |
title | Development and Evaluation of Medication Reconciliation Checklist Tool to Improve Patient Safety |
title_full | Development and Evaluation of Medication Reconciliation Checklist Tool to Improve Patient Safety |
title_fullStr | Development and Evaluation of Medication Reconciliation Checklist Tool to Improve Patient Safety |
title_full_unstemmed | Development and Evaluation of Medication Reconciliation Checklist Tool to Improve Patient Safety |
title_short | Development and Evaluation of Medication Reconciliation Checklist Tool to Improve Patient Safety |
title_sort | development and evaluation of medication reconciliation checklist tool to improve patient safety |
topic | medication reconciliation patient safety justified discrepancies unjustified discrepancies |
url | http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2020;volume=5;issue=3;spage=50;epage=50;aulast=Inamdar;type=0 |
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