This prospective cohort of 651 general medical admissions found that 36% had a medication reconciliation error on admission, over half of which would have required an intervention or monitoring to prevent harm. Age >65 and increasing numbers of medications increased the likelihood of a discrepancy, but the presentation of a medication list or bottles decreased the likelihood of a discrepancy. In older patients with multiple medications, medication lists or bottles can reduce the likelihood of a discrepancy (and harm) and should be sought after (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.