Evaluation of an inpatient computerized medication reconciliation system.
We designed the Pre-Admission Medication List (PAML) Builder medication reconciliation application and implemented it at two academic hospitals. We asked 1,714 users to complete a survey of their satisfaction with the application and analyzed factors associated with user efficiency. The survey was completed by 626 (36.5%) users. Most (64%) responders agreed that medication reconciliation improves patient care. Improvement requests included better medication information sources and propagation of medication information to order entry. Sixty-nine percent of admitting clinicians reported a typical time to build a PAML of <10 min. Decreased reported time to build a PAML was associated with reported experience with the application and ease of use but not the average number of medications on the PAML. Most users agreed that medication reconciliation improves patient care but requested tighter integration of the different stages of the medication reconciliation process. Further training may be helpful in improving user efficiency.
Turchin
Alexander
A
Brigham and Women's Hospital, Boston, MA, USA. aturchin@partners.org
Hamann
Claus
C
Schnipper
Jeffrey L
JL
Graydon-Baker
Erin
E
Millar
Sally G
SG
McCarthy
Patricia C
PC
Coley
Christopher M
CM
Gandhi
Tejal K
TK
Broverman
Carol A
CA
D000046:Academic Medical Centers; D001291:Attitude of Health Personnel; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003625:Data Collection; D020000:Decision Support Systems, Clinical; D004526:Efficiency; D006801:Humans; D050316:Medical Order Entry Systems; D008505:Medical Staff, Hospital; D008508:Medication Errors / Q000517:prevention & control*; D008510:Medication Systems, Hospital / Q000458:organization & administration*; D010343:Patient Admission