title: The role of housestaff in implementing medication reconciliation on admission at an academic medical center.
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.
authors.affiliation: New York Presbyterian Hospital-Weill Cornell Medical College, New York, NY 10021, USA. asevans3@gmail.com
authors.forename: Adam S
authors.initials: AS
authors.lastname: Evans
authors.forename: Eliot J
authors.initials: EJ
authors.lastname: Lazar
authors.forename: Victoria L
authors.initials: VL
authors.lastname: Tiase
authors.forename: Peter
authors.initials: P
authors.lastname: Fleischut
authors.forename: Susan B
authors.initials: SB
authors.lastname: Bostwick
authors.forename: George
authors.initials: G
authors.lastname: Hripcsak
authors.forename: Richard
authors.initials: R
authors.lastname: Liebowitz
authors.forename: Laura L
authors.initials: LL
authors.lastname: Forese
authors.forename: Gregory
authors.initials: G
authors.lastname: Kerr
mesh_terms: D000046:Academic Medical Centers / Q000592:standards*; D019983:Guideline Adherence; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control* / Q000639:trends; D008505:Medical Staff, Hospital; D059065:Medication Reconciliation; D009518:New York; D010343:Patient Admission; D000078329:Workforce