NDLI: A systems approach to improving medication reconciliation in an academic medical center

Content Provider	IEEE Xplore Digital Library
Author	Giannetto, D. Harris, A. Mayo, K. Smith, M. Patel, S.
Copyright Year	2015
Description	Author affiliation: Dept. of Syst. & Inf. Eng., Univ. of Virginia, Charlottesville, VA, USA (Giannetto, D.; Harris, A.; Mayo, K.; Smith, M.; Patel, S.)
Abstract	Medication reconciliation decreases errors in patient medication lists by comparing patient medication orders with other medications a patient is currently taking. Discrepancies in medication lists can lead to adverse drug effects that are harmful to patients. Lack of standard procedures and best practices leads to miscommunication, procedural variability, and lack of accountability, especially given time and resource constraints. Nationwide, hospitals must comply with the regulations for medication reconciliation set forth in the American Recovery and Reinvestment Act of 2009. Observations in four ambulatory clinics at the University of Virginia Medical Center reveal patient-specific and clinic-specific factors contributing to variation in the medication reconciliation process. Current literature and studies of medication reconciliation offer a foundation for studying clinic workflows. Observations within the four ambulatory clinics focused on clinic-specific factors: engagement, procedural, and technological. The team observed the hospital staff interactions, clinic workflow, and electronic medical record use throughout the process. Comparisons reveal inconsistencies among clinic-specific factors, which affect the accuracy of medication reconciliation. These insights provide clinic managers with evidence to facilitate more accurate medication reconciliation and decrease medication errors.
Starting Page	312
Ending Page	317
File Size	321003
Page Count	6
File Format	PDF
e-ISBN	9781479918324
DOI	10.1109/SIEDS.2015.7116996
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2015-04-24
Publisher Place	USA
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Surgery Interviews Standards Hospitals Drugs Time factors Procedural Variability Clinical Engagement Medication Reconciliation Observation Methods
Content Type	Text
Resource Type	Article

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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