Medication reconciliation methods used in the hospital scope: An integrative review

Abstract

Medication Reconciliation (RM) is a systematic and formal process that consists of obtaining and comparing the complete and accurate list of prehospital pharmacotherapies with the hospital medical prescription (on admission, transfer, and discharge), leading to the detection of medication errors (discrepancies). This article aims to identify which medication reconciliation methods are used in hospitals through an integrative review. The results revealed that, out of 12 articles, only 10 cite the use of electronic tool methods, such as electronic medical records, applications, electronic medical records, multimedia software, and toolkit. Electronic tool methods are widely embedded and employed in medication reconciliation in a variety of ways. In conclusion, we highlight that, although electronic methodologies are widely inserted and disseminated as solutions for medication reconciliation, it is unusual. Ideally, a combination of different MRI methods should be combined, according to the reality of each institution, such as a targeted interview with the patient or caregiver, associated with electronic methods to obtain better quality medication reconciliation with better results.