Evidence map›Paper›PMID 30189000›Full record

Trial reportJournal of the American Medical Informatics Association : JAMIA2018

Engaging hospital patients in the medication reconciliation process using tablet computers.

Jennifer E Prey, Fernanda Polubriaginof, Lisa V Grossman, Ruth Masterson Creber, Demetra Tsapepas, Rimma Perotte, Min Qian, Susan Restaino, Suzanne Bakken, George Hripcsak and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Medication reconciliationEuropean journal of hospital pharmacy : science and practice · 2023
    Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. PRN Medicines Optimization and Nurse Education.Pharmacy (Basel, Switzerland) · 2020
    Article
  14. Use and impact of an online community for hospital patients.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  15. Informatics opportunities to involve patients in hospital safety: a conceptual model.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  16. Easy Medication Reconciliation at Hospital Admission: The EzMedRec Decision Support System.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020
    Article
  17. Designing Inpatient Portals to Support Patient Agency and Dynamic Hospital Experiences.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020
    Article
  18. Article
  19. Article
  20. Using Priorities of Hospitalized Patients and Their Caregivers to Develop Personas.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jennifer E PreyDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Fernanda PolubriaginofDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Lisa V GrossmanDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Ruth Masterson CreberSchool of Nursing, Columbia University, New York, New York, USA.
Demetra TsapepasValue Institute at NewYork-Presbyterian Hospital, New York, New York, USA.
Rimma PerotteDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Min QianDepartment of Biostatistics, Columbia University, New York, New York, USA.
Susan RestainoValue Institute at NewYork-Presbyterian Hospital, New York, New York, USA.
Suzanne BakkenDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
George HripcsakDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Leigh EfirdValue Institute at NewYork-Presbyterian Hospital, New York, New York, USA.
Joseph UnderwoodValue Institute at NewYork-Presbyterian Hospital, New York, New York, USA.
David K VawdreyDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.

Funding

Training in Biomedical Informatics at Columbia UniversityT15LM007079 · NLM · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI NOEMIE ELHADAD, GEORGE M HRIPCSAK · 1992 to 2026
$28.9M
Addressing Hospital Patient Information Needs Using a PHR PortalR01HS021816 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI VAWDREY, DAVID K. · 2013 to 2016
$2.0M
Should we return patient reported outcomes to human subjects participants?-exploring ethical obligationsR00NR016275 · NINR · WEILL MEDICAL COLL OF CORNELL UNIV · PI MASTERSON CREBER, RUTH MARIE · 2018 to 2020
$896k
mHealth for Heart Failure Symptom MonitoringK99NR016275 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MASTERSON CREBER, RUTH MARIE · 2016 to 2017
$182k
AHRQ HHS R01 HS021816NINR NIH HHS K99 NR016275NINR NIH HHS R00 NR016275NLM NIH HHS T15 LM007079
6 · The paper itself

Abstract

Objective: Unintentional medication discrepancies contribute to preventable adverse drug events in patients. Patient engagement in medication safety beyond verbal participation in medication reconciliation is limited. We conducted a pilot study to determine whether patients' use of an electronic home medication review tool could improve medication safety during hospitalization. Materials and Methods: Patients were randomized to use a tool before or after hospital admission medication reconciliation to review and modify their home medication list. We assessed the quantity, potential severity, and potential harm of patients' and clinicians' medication changes. We also surveyed clinicians to assess the tool's usefulness. Results: Of 76 patients approached, 65 (86%) participated. Forty-eight (74%) made changes to their home medication list [before: 29 (81%), after: 19 (66%), p = .170]. Before group participants identified 57 changes that clinicians subsequently missed on admission medication reconciliation. Thirty-nine (74%) had a significant or greater potential severity, and 19 (36%) had a greater than 50-50 chance of harm. After group patients identified 68 additional changes to their reconciled medication lists. Fifty-one (75%) had a significant or greater potential severity, and 33 (49%) had a greater than 50-50 chance of harm. Clinicians reported believing that the tool would save time, and patients would supply useful information. Discussion: The results demonstrate a high willingness of patients to engage in medication reconciliation, and show that patients were able to identify important medication discrepancies and often changes that clinicians missed. Conclusion: Engaging patients in admission medication reconciliation using an electronic home medication review tool may improve medication safety during hospitalization.

Indexed as

Computers, HandheldPatient ParticipationAdultEmergency Service, HospitalFemaleHospitalizationHumansMaleMedication ReconciliationMiddle AgedPatient-Centered CarePatient SafetyPilot ProjectsSocioeconomic Factors

Identifiers

PMID30189000
PMCPMC7263785

What OpenQuestion holds

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Registered trials

None linked

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.