From MedWreck to MedRec: A Call to Action to Improve Medication Reconciliation

Nitu Kashyap; Sean Jeffery; Thomas Agresta

doi:10.1055/a-2181-1847

Applied Clinical Informatics, Table of Contents

CC BY-NC-ND 4.0 · Appl Clin Inform 2024; 15(02): 230-233
DOI: 10.1055/a-2181-1847

Invited Editorial

From MedWreck to MedRec: A Call to Action to Improve Medication Reconciliation

Nitu Kashyap

¹Internal Medicine, Emory Healthcare, Emory University school of Medicine, Atlanta, Georgia, United States

,

Sean Jeffery

²University of Connecticut School of Pharmacy, Storrs, Connecticut, United States

,

Thomas Agresta

³Family Medicine, Center for Quantitative Medicine, University of Connecticut School of Medicine, Storrs, Connecticut, United States

› Author Affiliations

Abstract

Full Text

References

References
1 Monte AA, Anderson P, Hoppe JA, Weinshilboum RM, Vasiliou V, Heard KJ. Accuracy of electronic medical record medication reconciliation in emergency department patients. J Emerg Med 2015; 49 (01) 78-84
2 Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med 2003; 138 (03) 161-167
3 Institute for Healthcare Improvement. Accuracy at every step: the challenge of medication reconciliation. Accessed September 4, 2023 at: https://www.ihi.org/resources/Pages/ImprovementStories/AccuracyatEveryStep.aspx
4 Najafzadeh M, Schnipper JL, Shrank WH, Kymes S, Brennan TA, Choudhry NK. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. Am J Manag Care 2016; 22 (10) 654-661
5 Kilcup M, Schultz D, Carlson J, Wilson B. Postdischarge pharmacist medication reconciliation: impact on readmission rates and financial savings. J Am Pharm Assoc (Wash DC) 2013; 53 (01) 78-84
6 Pitts SI, Barasch N, Maslen AT. et al. Understanding CancelRx: results of end-to-end functional testing, proactive risk assessment, and pilot implementation. Appl Clin Inform 2019; 10 (02) 336-347
7 Pitts SI, Yang Y, Thomas B, Chen AR. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med Inform Assoc 2022; 29 (12) 2101-2104
8 Komashie A, Ward J, Bashford T. et al. Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. BMJ Open 2021; 11 (01) e037667
9 Agresta T, Tran R, CedarBridge Group. Kashyap N, Jeffery S. Medication Reconciliation and Polypharmacy Committee final report. Submitted to the Office of Health Strategy. 2021. Accessed September 4, 2023 at: https://portal.ct.gov/OHS/HIT-Work-Groups/Health-IT-Advisory-Council/Meeting-Materials/November-18-2021
10 National Council for Prescription Drug Program. NCPDP SCRIPT implementation recommendations. Accessed September 30, 2022 at: https://www.ncpdp.org/NCPDP/media/pdf/SCRIPT-Implementation-Recommendations.pdf
11 BPMH WorkGroup Minutes - Connie CT. Accessed September 4, 2023 at https://conniect.org/other-meetings/
12 U.S. Department of Health and Human Services. Office of National Coordinator for Heath Information technology. 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program Proposed Rule. Accessed September 4, 2023 at: https://www.healthit.gov/sites/default/files/facas/2019-03-22_ONC_Cures_Act_NPRM_IB_%20HITAC_IB_Task_Force_508.pdf
13 U.S. Department of Health and Human Services, Office of the National Coordinator for Health Information Technology. Accessed September 4, 2023 at: https://www.healthit.gov/sites/default/files/page/2022-01/Trusted_Exchange_Framework_0122.pdf
14 Watterson TL, Stone JA, Brown R. et al. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. J Am Med Inform Assoc 2021; 28 (07) 1526-1533
15 Nelson SD, Kumah-Crystal Y. Underuse of electronic health record features-the case for CancelRx. JAMA Intern Med 2021; 181 (10) 1384-1385
16 Lester CA, Flynn AJ, Marshall VD, Rochowiak S, Bagian JP. Implementation outcomes of the structured and codified SIG format in electronic prescription directions. J Am Med Inform Assoc 2022; 29 (11) 1859-1869
17 National Library of Medicine pill image library project. Accessed September 4, 2023 at: https://www.nlm.nih.gov/databases/download/pill_image.html
18 Lesselroth BJ, Adams K, Church VL. et al. Evaluation of multimedia medication reconciliation software: a randomized controlled, single-blind trial to measure diagnostic accuracy for discrepancy detection. Appl Clin Inform 2018; 9 (02) 285-301
19 Polomoff CM, Jeffery SM, Agresta T. et al. Experiences with cyclical user-centered design for patient and clinician facing medication reconciliation mHealth applications. AMIA Annu Symp Proc 2023; 2022: 874-883
20 Institute for Healthcare Improvement. Medication list for patients and families. Accessed September 4, 2023 at: http://www.ihi.org/resources/Pages/Tools/MedListforPatientsFamilies.aspx