Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Conference Paper

Confusion about patients' medication regimens during the hospital admission and discharge process accounts for many preventable and serious medication errors. Many organizations have begun to redesign their clinical processes to address this patient safety concern. Partners HealthCare, an integrated delivery network in Boston, Massachusetts, has answered this interdisciplinary challenge by leveraging its multiple outpatient electronic medical records (EMR) and inpatient computerized provider order entry (CPOE) systems to facilitate the process of medication reconciliation. This manuscript describes the design of a novel application and the associated services that aggregate medication data from EMR and CPOE systems so that clinicians can efficiently generate an accurate pre-admission medication list. Information collected with the use of this application subsequently supports the writing of admission and discharge orders by physicians, performance of admission assessment by nurses, and reconciliation of inpatient orders by pharmacists. Results from early pilot testing suggest that this new medication reconciliation process is well accepted by clinicians and has significant potential to prevent medication errors during transitions of care.

Full Text

Duke Authors

Cited Authors

  • Poon, EG; Blumenfeld, B; Hamann, C; Turchin, A; Graydon-Baker, E; McCarthy, PC; Poikonen, J; Mar, P; Schnipper, JL; Hallisey, RK; Smith, S; McCormack, C; Paterno, M; Coley, CM; Karson, A; Chueh, HC; Van Putten, C; Millar, SG; Clapp, M; Bhan, I; Meyer, GS; Gandhi, TK; Broverman, CA

Published Date

  • November 2006

Published In

Volume / Issue

  • 13 / 6

Start / End Page

  • 581 - 592

PubMed ID

  • 17114640

Pubmed Central ID

  • PMC1656965

Electronic International Standard Serial Number (EISSN)

  • 1527-974X

International Standard Serial Number (ISSN)

  • 1067-5027

Digital Object Identifier (DOI)

  • 10.1197/jamia.m2142