Web Exclusive. Annals for Hospitalists Inpatient Notes - Improving Medication Reconciliation in Hospitals.

Abstract

Web ExclusivesAugust 2022Annals for Hospitalists Inpatient Notes - Improving Medication Reconciliation in HospitalsJeffrey L. Schnipper, MD, MPHJeffrey L. Schnipper, MD, MPHHospital Medicine Unit, Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (J.L.S.).Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M22-1954 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Transitions of care into and out of the hospital are vulnerable times for patients, especially when it comes to medication safety. One type of medication error that occurs during care transitions is medication discrepancies, defined as unexplained differences among documented regimens across different sites of care. Discrepancies are the result of 2 different breakdowns in our care processes: history errors and reconciliation errors. History errors occur when ordered medications are incorrect because the preadmission medication history is incorrect (for example, failure to realize a patient was prescribed aspirin before admission). Reconciliation errors occur when ordered medications are incorrect despite an ...