The role of housestaff in implementing medication reconciliation on admission at an academic medical center. 2011

Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
New York Presbyterian Hospital-Weill Cornell Medical College, New York, NY 10021, USA. asevans3@gmail.com

Since 2006, the Joint Commission has required all hospitals to have a process in place for medication reconciliation (MR). Although it has been shown that MR decreases medical errors, achieving compliance has proven difficult for many health care institutions. This article describes a housestaff-championed intervention of a "hard stop" for on-admission MR orders that led to a statistically significant increase in compliance that was sustained at 6 months after intervention. Academic medical centers, which comprise large numbers of housestaff, can improve compliance with on-admission MR by engaging housestaff in the development of solutions and in communication to their peers, leading to sustained results.

UI MeSH Term Description Entries
D008505 Medical Staff, Hospital Professional medical personnel approved to provide care to patients in a hospital. Attending Physicians, Hospital,Hospital Medical Staff,Physicians, Junior,Registrars, Hospital,Attending Physician, Hospital,Hospital Attending Physician,Hospital Attending Physicians,Hospital Medical Staffs,Medical Staffs, Hospital,Hospital Registrar,Hospital Registrars,Junior Physician,Junior Physicians,Physician, Junior,Registrar, Hospital,Staff, Hospital Medical,Staffs, Hospital Medical
D009518 New York State bounded on the north by Lake Ontario and Canada, on the east by Vermont, Massachusetts, and Connecticut, on the south by the Atlantic Ocean, New Jersey, and Pennsylvania, and on the west by Pennsylvania, Lake Erie, and Canada.
D010343 Patient Admission The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution. Voluntary Admission,Admission, Patient,Admission, Voluntary,Admissions, Patient,Admissions, Voluntary,Patient Admissions,Voluntary Admissions
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000046 Academic Medical Centers Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc. Medical Centers, Academic,Medical Centers, University,University Medical Centers,Academic Medical Center,Center, Academic Medical,Center, University Medical,Centers, Academic Medical,Centers, University Medical,Medical Center, Academic,Medical Center, University,University Medical Center
D000078329 Workforce The number of people working or available for work or service. Human Resources,Labor Supply,Manpower,Staffing,Womanpower,Human Resource,Labor Supplies,Manpowers,Staffings,Supply, Labor,Womanpowers,Workforces
D059065 Medication Reconciliation The formal process of obtaining a complete and accurate list of each patient's current home medications including name, dosage, frequency, and route of administration, and comparing admission, transfer, and/or discharge medication orders to that list. The reconciliation is done to avoid medication errors. Medication Reconciliations,Reconciliation, Medication,Reconciliations, Medication
D019300 Medical Errors Errors or mistakes committed by health professionals which result in harm to the patient. They include errors in diagnosis (DIAGNOSTIC ERRORS), errors in the administration of drugs and other medications (MEDICATION ERRORS), errors in the performance of surgical procedures, in the use of other types of therapy, in the use of equipment, and in the interpretation of laboratory findings. Medical errors are differentiated from MALPRACTICE in that the former are regarded as honest mistakes or accidents while the latter is the result of negligence, reprehensible ignorance, or criminal intent. Medical Mistakes,Surgical Errors,Critical Incidents, Medical,Critical Medical Incidents,Errors, Medical,Errors, Surgical,Medical Error of Commission,Medical Error of Omission,Medical Errors of Commission,Medical Errors of Omission,Medical Mistake,Mistake, Medical,Mistakes, Medical,Never Event,Surgical Error,Wrong-Patient Surgery,Wrong-Procedure Errors,Wrong-Site Surgery,Commission Medical Error,Commission Medical Errors,Critical Incident, Medical,Critical Medical Incident,Error, Medical,Error, Surgical,Error, Wrong-Procedure,Errors, Wrong-Procedure,Event, Never,Events, Never,Incident, Critical Medical,Incident, Medical Critical,Incidents, Critical Medical,Incidents, Medical Critical,Medical Critical Incident,Medical Critical Incidents,Medical Error,Medical Incident, Critical,Medical Incidents, Critical,Never Events,Omission Medical Error,Omission Medical Errors,Surgeries, Wrong-Patient,Surgeries, Wrong-Site,Surgery, Wrong-Patient,Surgery, Wrong-Site,Wrong Patient Surgery,Wrong Procedure Errors,Wrong Site Surgery,Wrong-Patient Surgeries,Wrong-Procedure Error,Wrong-Site Surgeries
D019983 Guideline Adherence Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards. Institutional Adherence,Policy Compliance,Protocol Compliance,Adherence, Guideline,Adherence, Institutional,Compliance, Policy,Compliance, Protocol

Related Publications

Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
September 2008, Joint Commission journal on quality and patient safety,
Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
December 2009, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists,
Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
January 2006, American journal of medical quality : the official journal of the American College of Medical Quality,
Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
March 2018, Pharmacy (Basel, Switzerland),
Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
April 2016, Joint Commission journal on quality and patient safety,
Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
June 2016, Hospital pharmacy,
Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
February 2016, Journal of evaluation in clinical practice,
Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
April 2020, International journal of clinical pharmacy,
Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
June 2015, Hospital pharmacy,
Adam S Evans, and Eliot J Lazar, and Victoria L Tiase, and Peter Fleischut, and Susan B Bostwick, and George Hripcsak, and Richard Liebowitz, and Laura L Forese, and Gregory Kerr
December 2012, European journal of internal medicine,
Copied contents to your clipboard!