ArticleBMC health services research2013
Medication reconciliation at admission and discharge: a time and motion study.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Clinical and economic impact of medication reconciliation in cancer patients: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Pooled it
- Risk factors of adverse health outcomes after hospital discharge modifiable by clinical pharmacist interventions: a review with a systematic approach.British journal of clinical pharmacology · 2017Pooled it
- Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial.JAMA network open · 2019Trial
- Engaging hospital patients in the medication reconciliation process using tablet computers.Journal of the American Medical Informatics Association : JAMIA · 2018Trial
- Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial.BMJ quality & safety · 2018Trial
- Pharmacist provided medicines reconciliation within 24 hours of admission and on discharge: a randomised controlled pilot study.BMJ open · 2017Trial
- A Time and Motion Study of Pharmacists and Pharmacy Technicians Obtaining Admission Medication Histories.Journal of hospital medicine · 2017Trial
- AI-Based Automation for Medication Reconciliation: Scoping Review.Journal of medical Internet research · 2026Article
- Evaluating the quality, feasibility and patient satisfaction of medication history taking by telephone for patients with scheduled admissions: a pilot study.International journal of clinical pharmacy · 2026Article
- Challenges in implementing pharmacist-led admission medication reconciliation in hospital practice: a qualitative study.BMC health services research · 2025Article
- Medication reconciliation and drug interactions in adult cystic fibrosis patients attending an outpatient clinic: A Cross-sectional study.Scientific reports · 2025Article
- Framework for Improving Patient Safety: Reference Model for FHIR-Enabled, Patient-Centric Home Medication List Management and Medication Reconciliation.Applied clinical informatics · 2025Article
- Improving medication safety with proactive reconciliation in acute coronary syndrome patients: A randomized trial.Exploratory research in clinical and social pharmacy · 2025Article
- UsingHealth information management : journal of the Health Information Management Association of Australia · 2025Observational
- A Time Study Analysis of Fluoride Varnish Application in Pediatric Well Visits to Address Health Disparities among Children.Journal of applied research on industrial engineering · 2024Article
- Discrepancies in Electronic Medical Prescriptions Found in a Hospital Emergency Department: A Prospective Observational Study.Pharmaceuticals (Basel, Switzerland) · 2024Article
- Proposal for a new study design and endpoint in research on medication history taking.Journal of pharmaceutical policy and practice · 2024Article
- Medication reconciliationEuropean journal of hospital pharmacy : science and practice · 2023Article
- Implementation and effectiveness of pharmacist-led interviews at patient hospital admission in a rheumatology department.European journal of hospital pharmacy : science and practice · 2023Observational
- Effectiveness of Medication Reconciliation in a Chinese Hospital: A Pilot Randomized Controlled Trial.Journal of multidisciplinary healthcare · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundMedication reconciliation at admission, transfer and discharge has been designated as a required hospital practice to reduce adverse drug events. However, implementation challenges have resulted in poor hospital adherence. The aim of this study was to assess the processes required to carry out medication reconciliation: the health professionals involved, the tasks and time devoted to medication reconciliation in general hospital settings.
methodsA time-and-motion study design was used. Using a systematic sample of patients admitted and discharged from geriatric, medical and surgical units in two academic centers, health professionals involved in medication reconciliation were observed and timed. Descriptive statistics were used to summarize the number of professionals involved, tasks performed, and mean time devoted.
resultsUp to 3 professionals from 2 disciplines (medicine and pharmacy) were involved in the medication reconciliation process. Geriatric reconciliations took the most time to complete at admission (mean: 92.2 minutes (SD = 44.3)) and discharge (mean: 29.0 minutes (SD = 23.8)), followed by internal medicine at admission (mean: 46.2 minutes (SD = 21.1)) and 19.4 (SD = 11.7) minutes at discharge) and general surgery minutes at discharge (mean: 9.9 minutes (SD = 18.2)). Considerable differences in order, type and number of tasks performed were noted between and within units. Tasks independent of direct patient interaction took more than twice the time required to complete than tasks requiring patient interaction.
conclusionLack of coordination, specialized training and agreement on the roles and responsibilities of professionals are among the most probable reasons for work-flow inefficiencies, possibly variability in quality, and time required for the current medication reconciliation process. A better understanding of the admission processes in general surgery is required. Standardization and use of electronic tools could improve efficiency and hospital adherence.
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