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Medication reconciliation in hospital patients over the age of 65: How long does it take and how much does it cost? A time-motion study in an internal medicine ward

Published:December 17, 2019DOI:https://doi.org/10.1016/j.ejim.2019.12.003
Medication reconciliation in hospital patients over the age of 65: How long does it take and how much does it cost? A time-motion study in an internal medicine ward
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      Hospitalization is associated with a higher risk of medication errors [
      • Kohn L.T.
      • Corrigan J.M.
      • Donaldson M.S.
      To err is human: building a safer health system.
      National Academy Press, Washington, DC2000
      ]. Indeed, many of the patient's usual prescriptions may be modified on admission, during the hospital stay itself, and/or on discharge [
      • Grimmsmann T.
      • Schwabe U.
      • Himmel W
      The influence of hospitalisation on drug prescription in primary care – a large-scale follow-up study.
      Eur J Clin Pharmacol. 2007; 63: 783-790
      ]. These modifications concern up to 70% of patients and may account for more than half of the adverse drug events (ADEs) that occur in hospital or after discharge [
      • Classen D.C.
      • Pestotnik S.L.
      • Evans R.S.
      • Lloyd J.F.
      • Burke J.P
      Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.
      JAMA. 1997; (277): 301-306
      ,
      • Leape L.L.
      • Bates D.W.
      • Cullen D.J.
      • Cooper J.
      • Demonaco H.J.
      • Gallivan T.
      • Hallisey R.
      • Ives J.
      • Laird N.
      • Laffel G.
      Systems analysis of adverse drug events.
      JAMA. 1995; (274): 35
      ]. To reduce medication errors at care transitions, medication reconciliation (MR) was developed in the early 2000s. In a systematic, comprehensive review of all the medications a patient is taking, an accurate and comprehensive medication information is communicated consistently across care transitions [

      Haute Autorité de Santé. Mettre en œuvre la conciliation des traitements médicamenteux en établissement de santé. [quoted 2 february 2019]. Available fromhttps://www.has-sante.fr/portail/jcms/c_2736442/fr/mettre-en-oeuvre-la-conciliation-des-traitements-medicamenteux-en-etablissement-de-sante.

      ].

      Keywords

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      Article info

      Publication history

      Published online: December 17, 2019
      Accepted: December 7, 2019
      Received in revised form: December 4, 2019
      Received: August 13, 2019

      Identification

      DOI: https://doi.org/10.1016/j.ejim.2019.12.003

      Copyright

      © 2019 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

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