Department of Anesthesiology

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

TitleThe role of housestaff in implementing medication reconciliation on admission at an academic medical center.
Publication TypeJournal Article
Year of Publication2011
AuthorsEvans AS, Lazar EJ, Tiase VL, Fleischut P, Bostwick SB, Hripcsak G, Liebowitz R, Forese LL, Kerr G
JournalAm J Med Qual
Volume26
Issue1
Pagination39-42
Date Published2011 Jan-Feb
ISSN1555-824X
KeywordsAcademic Medical Centers, Guideline Adherence, Humans, Medical Errors, Medical Staff, Hospital, Medication Reconciliation, New York, Patient Admission
Abstract

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.

DOI10.1177/1062860610370712
Alternate JournalAm J Med Qual
PubMed ID20501865