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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Main Authors: S Z Inamdar, G Sri Lakshmi, K Pradeepthi, R V Kulkarni, R B Kotnal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:BLDE University Journal of Health Sciences
Subjects:
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.
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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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AT rvkulkarni developmentandevaluationofmedicationreconciliationchecklisttooltoimprovepatientsafety
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