Journal article
An On-Treatment Analysis of the MARQUIS Study: Interventions to Improve Inpatient Medication Reconciliation
Journal of hospital medicine, Vol.14(10), pp.614-617
10/01/2019
DOI: 10.12788/jhm.3308
PMCID: PMC6817307
PMID: 31433768
Abstract
It is unclear which medication reconciliation interventions are most effective at reducing inpatient medication discrepancies. Five United States hospitals’ interdisciplinary quality improvement (QI) teams were virtually mentored by QI-trained physicians. Sites implemented one to seven evidence-based interventions in 791 patients during the 25-month implementation period. Three interventions were associated with significant decreases in potentially harmful discrepancy rates: (1) defining clinical roles and responsibilities, (2) training, and (3) hiring staff to perform discharge medication reconciliation. Two interventions were associated with significant increases in potentially harmful discrepancy rates: training staff to take medication histories and implementing a new electronic health record (EHR). Hospitals should focus first on hiring and training pharmacy staff to assist with medication reconciliation at discharge and delineating roles and responsibilities of clinical staff. We caution hospitals implementing a large vendor EHR, as medication discrepancies may increase. Finally, the effect of medication history training on discrepancies needs further study.
Details
- Title: Subtitle
- An On-Treatment Analysis of the MARQUIS Study: Interventions to Improve Inpatient Medication Reconciliation
- Creators
- Amanda S Mixon - Vanderbilt University Medical CenterSunil Kripalani - Vanderbilt University Medical CenterJason SteinTosha B Wetterneck - University of Wisconsin–MadisonPeter Kaboli - Roy J. and Lucille A. Carver College of MedicineStephanie Mueller - Brigham and Women's HospitalElisabeth Burdick - Brigham and Women's HospitalNyryan V Nolido - Brigham and Women's HospitalStephanie Labonville - Brigham and Women's HospitalJacquelyn A Minahan - Brigham and Women's HospitalE John Orav - Brigham and Women's HospitalJenna Goldstein - Society of Hospital MedicineJeffrey L Schnipper - Brigham and Women's Hospital
- Resource Type
- Journal article
- Publication Details
- Journal of hospital medicine, Vol.14(10), pp.614-617
- Publisher
- Journal of Hospital Medicine
- DOI
- 10.12788/jhm.3308
- PMID
- 31433768
- PMCID
- PMC6817307
- ISSN
- 1553-5592
- eISSN
- 1553-5606
- Grant note
- DOI: 10.13039/100000133, name: Agency for Healthcare Research and Quality, award: R18 HS019598
- Language
- English
- Date published
- 10/01/2019
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9984359776502771
Metrics
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