Evidence map›Paper›PMID 35921139›Full record

ArticleJMIR human factors2022

The Perceived Effectiveness of Secure Messaging for Medication Reconciliation During Transitions of Care: Semistructured Interviews With Patients.

Julianne E Brady, Amy M Linsky, Steven R Simon, Kate Yeksigian, Amy Rubin, Alan J Zillich, Alissa L Russ-Jara

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR human factors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02482025 (The Secure Messaging for Medication Reconciliation Tool), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% of its field
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.

NCT02482025 nacompletednot on this map

The Secure Messaging for Medication Reconciliation Tool (SMMRT) Trial

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2018 to 2020Enrolled240ConditionsDrug-Related Side Effects and Adverse Reactions, Adverse Drug EventsArmsSMMRT
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

7 authors at 5 institutions in 1 country.

Julianne E Brady *Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, United States.ORCID https://orcid.org/0000-0003-4919-9770
Amy M Linsky *Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, United States.ORCID https://orcid.org/0000-0002-8090-3431
Steven R Simon *Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States.ORCID https://orcid.org/0000-0002-4624-4364
Kate Yeksigian *Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, United States.ORCID https://orcid.org/0000-0001-9189-9282
Amy Rubin *Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, United States.ORCID https://orcid.org/0000-0001-9080-4237
Alan J Zillich *Department of Pharmacy Practice, College of Pharmacy, Purdue University, West Lafayette, IN, United States.ORCID https://orcid.org/0000-0002-7495-3678
Alissa L Russ-Jara *Department of Pharmacy Practice, College of Pharmacy, Purdue University, West Lafayette, IN, United States.ORCID https://orcid.org/0000-0003-2841-8401
Boston University · USVA Boston Healthcare System · USPurdue University West Lafayette · USUnited States Department of Veterans Affairs · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedication discrepancies can lead to adverse drug events and patient harm. Medication reconciliation is a process intended to reduce medication discrepancies. We developed a Secure Messaging for Medication Reconciliation Tool (SMMRT), integrated into a web-based patient portal, to identify and reconcile medication discrepancies during transitions from hospital to home.

objectiveWe aimed to characterize patients' perceptions of the ease of use and effectiveness of SMMRT.

methodsWe recruited 20 participants for semistructured interviews from a sample of patients who had participated in a randomized controlled trial of SMMRT. Interview transcripts were transcribed and then qualitatively analyzed to identify emergent themes.

resultsAlthough most patients found SMMRT easy to view at home, many patients struggled to return SMMRT through secure messaging to clinicians due to technology-related barriers. Patients who did use SMMRT indicated that it was time-saving and liked that they could review it at their own pace and in the comfort of their own home. Patients reported SMMRT was effective at clarifying issues related to medication directions or dosages and that SMMRT helped remove medications erroneously listed as active in the patient's electronic health record.

conclusionsPatients viewed SMMRT utilization as a positive experience and endorsed future use of the tool. Veterans reported SMMRT is an effective tool to aid patients with medication reconciliation. Adoption of SMMRT into regular clinical practice could reduce medication discrepancies while increasing accessibility for patients to help manage their medications.

trial registrationClinicalTrials.gov NCT02482025; https://clinicaltrials.gov/ct2/show/NCT02482025.

Indexed as

medication errorsmedication reconciliationpatient portalspharmacist-patient relationshiptelemedicine

Identifiers

PMID35921139
PMCPMC9386577
OpenAlexW4289550382

What OpenQuestion holds

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LicenceCC BY
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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.