Observational studyThe Journal of emergency medicine2015
Accuracy of Electronic Medical Record Medication Reconciliation in Emergency Department Patients.
Observational study in The Journal of emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Medications and patient safety in the trauma setting: a systematic review.World journal of emergency surgery : WJES · 2019Pooled it
- From MedWreck to MedRec: A Call to Action to Improve Medication Reconciliation.Applied clinical informatics · 2024Article
- Effectiveness of Microinvasive Glaucoma Surgery in the United States: Intelligent Research in Sight Registry Analysis 2013-2019.Ophthalmology · 2023Article
- Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.PloS one · 2023Article
- Impact of integrated medication management program on medication errors in a medical center: an interrupted time series study.BMC health services research · 2022Article
- Patient Perspectives on the Development of a Novel Mobile Health (mHealth) Application for Dietary Supplement Tracking and Reconciliation-A Qualitative Focus Group Study.Global advances in health and medicine · 2022Article
- Medication history-wide association studies for pharmacovigilance of pregnant patients.Communications medicine · 2022Article
- Personal Electronic Records of Medications (PERMs) for medication reconciliation at care transitions: a rapid realist review.BMC medical informatics and decision making · 2021Review
- Electronic Medical Record Inaccuracies: Multicenter Analysis of Challenges with Modified Lung Cancer Screening Criteria.Canadian respiratory journal · 2020Article
- Use of a tablet computer application to engage patients in updating their medication list.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2019Article
- Clinical Utility of Definitive Drug⁻Drug Interaction Testing in Primary Care.Journal of clinical medicine · 2018Article
- Rethinking the outpatient medication list: increasing patient activation and education while architecting for centralization and improved medication reconciliation.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Medication discrepancies across multiple care transitions: A retrospective longitudinal cohort study in Italy.PloS one · 2018Article
- Opioid and opioid substitution therapy in liver transplant candidates: A survey of center policies and practices.Clinical transplantation · 2017Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundMedication history discrepancies have the potential to cause significant adverse clinical effects for patients. More than 40% of medication errors can be traced to inadequate reconciliation.
objectiveThe objective of this study was to determine the accuracy of electronic medical record (EMR)-reconciled medication lists obtained in an academic emergency department (ED).
methodsComprehensive research medication ingestion histories for the 48 h preceding ED visit were performed and compared to reconciled EMR medication lists in a convenience sample of ED patients. The reconciled EMR list of prescription, nonprescription, vitamins, herbals, and supplement medications were compared against a structured research medication history tool. We measured the accuracy of the reconciled EMR list vs. the research history for all classes of medications as the primary outcome.
resultsFive hundred and two subjects were enrolled. The overall accuracy of EMR-recorded ingestion histories in the preceding 48 h was poor. The EMR was accurate in only 21.9% of cases. Neither age ≥ 65 years (odds ratio [OR] = 1.3; 95% confidence interval [CI] 0.6-2.6) nor sex (female vs. male: OR = 1.5; 95% CI 0.9-2.5) were predictors of accurate EMR history. In the inaccurate EMRs, prescription lists were more likely to include medications that the subject did not report using (78.9%), while the EMR was more likely not to capture nonprescriptions (76.1%), vitamins (73.0%), supplements (67.3%), and herbals (89.1%) that the subject reported using.
conclusionsMedication ingestion histories procured through triage EMR reconciliation are often inaccurate, and additional strategies are needed to obtain an accurate list.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.