| Study type/ Setting | Methods | Outcomes | Recommendations | Source |
| Book chapter
Setting: Multiple
|
Discussed medication reconciliation in different care settings | - Ambulatory setting: Miller et al. studies found about 87% of charts had incomplete documentation of medications
- Inpatient: Vira et al. found 38% discrepancy rate for inpatient hospital setting - Transition of care: Pronovost et al. found 94% discrepancy between discharge orders from ICU to transition of care |
Recommendations:
- Identify a standard location where the med history would be reported, an assigned person to document the med history, time frame to resolve the variations, and a standard template to document medication history - Educate provider as well as patient, caregivers - Design and implement monitoring process to evaluate the outcome of the process |
Barnsteiner, J (2008) |
| Hughes R. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008 pp.459-468. | ||||