Medication Errors Despite Using Electronic Health Records: The Value of a Clinical Pharmacist Service in Reducing Discharge-Related Medication Errors

Quality Management in Health Care
Sumana AlexJennifer C Kerns

Abstract

Medication errors continue to exist despite the use of electronic health records and electronic prescribing; patient-centered medication reconciliation is important to decrease errors. To identify whether a team-based approach with a pharmacist performing medication management and discharge medication reconciliation will reduce discharge-related medication errors in an academic tertiary care hospital already using an electronic health record and computerized physician order entry. Prospective nonrandomized controlled trial. All patients were admitted to 2 of the 6 medicine teams from August 1, 2012, through October 31, 2012. On the intervention team, a pharmacist assisted with medication management, medication reconciliation, and medication education upon discharge. Although the physicians on the control team had access to a pharmacist, they rarely collaborated with the pharmacist. The numbers of discharge-related medication discrepancies on the intervention and control teams were compared. Collaboration with a pharmacist reduced discharge-related medication errors. The percentage of patients without medication errors within 72 hours of discharge was 93.8% on the intervention team compared with 40.2% on the control team (P < .0...Continue Reading

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Citations

Oct 11, 2017·Qualitative Health Research·Sara F HawkinsJanice M Morse
May 4, 2018·Basic & Clinical Pharmacology & Toxicology·Helene Skjøt-ArkilTrine Graabaek
May 22, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Louis Krenn, David Schlossman
Sep 27, 2020·BMJ Quality & Safety·William V Padula, Irving Steinberg
Jun 5, 2021·Quality Management in Health Care·M KhammarniaM Peyvand
Jun 23, 2021·BMC Medical Informatics and Decision Making·Michael Patrick O'SheaMichael Barry
Oct 29, 2021·International Journal of Clinical Practice·Lincoln Marques Cavalcante-SantosDivaldo Pereira de Lyra

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