Use of Information Technology in Medication Reconciliation: A Scoping Review

Bassi, Jesdeep; Lau, Francis; Bardal, Stan K.

doi:10.1345/aph.1m699

Cited by 68 publications

(51 citation statements)

References 36 publications

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“…admissions, discharges, ambulatory and home health visits) secondary to: (1) fragmentation of record documentation, (2) changes in patient clinical status, (3) discontinuity in providers, (4) limited patient functional health literacy and (5) changes in therapy. [16][17][18][19] For this reason, healthcare quality organisations, including the Joint Commission (TJC), have called for the implementation of standardised medication reconciliation (MR) processes to narrow information gaps at interfaces. 20 The four steps required by TJC for MR include: (1) collection of a medication history, (2) comparison with existing documentation, (3) resolution of unexplained differences in medication lists and (4) communication with the patient and the healthcare team.…”

Section: Introductionmentioning

confidence: 99%

Primary care provider perceptions and use of a novel medication reconciliation technology

Lesselroth¹,

Holahan²,

Adams³

et al. 2011

Journal of Innovation in Health Informatics

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Section: Introductionmentioning

confidence: 99%

Primary care provider perceptions and use of a novel medication reconciliation technology

Lesselroth¹,

Holahan²,

Adams³

et al. 2011

Journal of Innovation in Health Informatics

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“…Plusieurs autres pays ont adopté des orientations technologiques favorisant le déploiement d'un dossier santé électronique permettant aux cliniciens des hôpitaux de travailler plus efficacement. Nul doute qu'un tel outil contribuera significativement à la démarche de bilan comparatif des médicaments 27,28 . Toutefois, il incombe de rappeler qu'il ne suffit pas d'informatiser les données pour que les processus soient optimisés.…”

Section: Qualité Des Bcm à L'admissionunclassified

Conformité des bilans comparatifs des médicaments à l’admission transmis au département de pharmacie par télécopieur

Penfornis¹,

Bédard

Bailey³

et al. 2012

CJHP

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“…Continuity of medication is a worldwide patient safety concern requiring information-sharing among providers, patients, and families across different settings [1][2][3][4]. Medication discrepancies are unexplained differences between medication lists at different transition points of care [5].…”

Section: Introductionmentioning

confidence: 99%

“…The use of information technology (IT) seems a promising approach for relieving clinicians' cognitive burdens and time spent on MedRec [3,15,16]. According to recent reports[17] [18], IT is also an important tool for reducing unintentional discrepancies.…”

Section: Introductionmentioning

confidence: 99%

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study (Preprint)

Marien¹,

Legrand²,

Ramdoyal³

et al. 2017

Preprint

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Background: Medication discrepancies consist of unexplained differences between medication lists at different transition points of care; they are a threat to patient safety. These discrepancies can be solved through medication reconciliation (MedRec), a complex and time-consuming process. Several approaches to optimizing MedRec have been encouraged, including the development of information technology (IT) tools and patient engagement. The SEAMPAT project aims to develop a MedRec IT platform based on two applications (one for the patient, the "patient app", the other for healthcare professionals), which were developed using a three-iteration user-centered design. The patient app presents the patient with a medication list compiled from different medication resources. Objective: To evaluate the usability and usefulness of the third iteration of the patient app, from the perspective of different categories of users, with the aims of making recommendations for wider use and informing further research. Methods: We performed a four-month user-centered observational study. After a kick-off session, patients, identified through purposive sampling, were invited to use the patient app at home, to update their medication lists whenever required. Quantitative and qualitative data were collected at different time points to evaluate three dimensions of usability (efficiency, satisfaction, and effectiveness), as well as usefulness. Participants completed two questionnaires on satisfaction and usefulness (including the system usability scale, SUS) at the kick-off and the end of the study. Effectiveness was assessed by measuring the completeness and correctness (i.e. medication discrepancies) of the final medication list generated by the patient application. Qualitative data were collected from observations at different time points and from semi-structured interviews at the end of the study. Results: Forty-eight patients agreed to participate and 42 completed the study, of whom 32 connected at least once to the application at home. Sixty-nine percent of patients considered the patient app to be acceptable (SUS Score ≥ 70) and perceived usefulness was high. The medication list was complete for a quarter of the patients and there was a median of two discrepancies per patient. The main causes were technology-related. The qualitative data enabled the identification of several barriers and, thus, of approaches to optimizing usability and usefulness. These relate to both functional (e.g. access, on-screen display, additional functionalities) and non-functional aspects (e.g. patient awareness, concordance between patient and physician) of the application. For future adoption of the tool, it will be important to address these issues. Conclusions: Our findings highlight the importance and value of user-centered usability testing of a patient application implemented in "real-world" conditions. We believe our study also underlines the need to take patients' points of view into consideration. To achieve adoption and sustained use by...

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Use of Information Technology in Medication Reconciliation: A Scoping Review

Abstract: MedRec is an important process to ensure patient medication safety. Evidence was found that IT can and has been used to facilitate some MedRec activities and new applications are being developed to support the entire MedRec process.

Cited by 68 publications

References 36 publications

Primary care provider perceptions and use of a novel medication reconciliation technology

Primary care provider perceptions and use of a novel medication reconciliation technology

Conformité des bilans comparatifs des médicaments à l’admission transmis au département de pharmacie par télécopieur

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study (Preprint)

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