The role of housestaff in implementing medication reconciliation on admission at an academic medical center.
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.
Evans
Adam S
AS
New York Presbyterian Hospital-Weill Cornell Medical College, New York, NY 10021, USA. asevans3@gmail.com
Lazar
Eliot J
EJ
Tiase
Victoria L
VL
Fleischut
Peter
P
Bostwick
Susan B
SB
Hripcsak
George
G
Liebowitz
Richard
R
Forese
Laura L
LL
Kerr
Gregory
G
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