ArticleBMC health services research2022
Unintended medication discrepancies and associated factors upon patient admission to the internal medicine wards: identified through medication reconciliation.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Medication Management Strategies at Hospital Admission: A Systematic Review and Meta-Analysis.Clinical and translational science · 2026Pooled it
- Hospital seamless care beyond medication reconciliation: a 1-year evaluation in a Slovenian general hospital.Wiener klinische Wochenschrift · 2026Article
- Impact of Clinical Pharmacy Residents on Medication Reconciliation upon Admission in a Tertiary Care Hospital.Global journal on quality and safety in healthcare · 2026Article
- Unintended medication discrepancies across key stages of the in-hospital medication process: a retrospective real-world study in hospitalized patients.BMC health services 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
- Observational
- Implications of pharmacy students' involvement in collecting the best possible medication histories in hospital settings: A scoping review.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2025Article
- Toward Interoperable Digital Medication Records on Fast Healthcare Interoperability Resources: Development and Technical Validation of a Minimal Core Dataset.JMIR medical informatics · 2025Article
- Implementation and User Satisfaction Analysis of an Electronic Medication Reconciliation Tool (ConciliaMed) in Patients Undergoing Elective Colorectal Surgery.Healthcare (Basel, Switzerland) · 2025Article
- Pharmacist-led interventions for vascular surgery patients: a prospective study on reducing drug-related problems.BMC health services research · 2024Observational
- Medication discrepancies identified by medication reconciliation among patients with acute coronary syndrome.Naunyn-Schmiedeberg's archives of pharmacology · 2024Observational
- Identifying older inpatients at high risk of unintentional medication discrepancies: a classification tree analysis.Aging clinical and experimental research · 2023Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedication reconciliation (MedRec) is a widely accepted tool for the identification and resolution of unintended medication discrepancies (UMD).
objectiveThis study aimed at assessing the magnitude and associated factors of UMD identified through medication reconciliation upon patient admission to the internal medicine wards.
methodsProspective cross-sectional study was conducted at the internal medicine wards of Felege Hiwot and Tibebe Ghion comprehensive specialized hospitals in Bahir Dar city, Northwest Ethiopia, from May 01 to July 30, 2021. Data were collected by using a data abstraction format prepared based on standard MedRec tools and previous studies on medication discrepancy. Pharmacists-led MedRec was made by following the WHO High5s "retroactive medication reconciliation model". SPSS® (IBM Corporation) version 25.0 was used to analyze the data with descriptive and inferential statistics. A binary logistic regression analysis was used to identify factors associated with UMD. A statistical significance was declared at a p-value < 0.05.
resultsAmong 635 adult patients, 248 (39.1%) of them had at least one UMD. The most frequent types of UMDs were omission (41.75%) and wrong dose (21.9%). The majority (75.3%) of pharmacists' interventions were accepted. Polypharmacy at admission (p-value < 0.001), age ≥ 65 (p-value = 0.001), a unit increase on the number of comorbidities (p-value = 0.008) and information sources used for MedRec (p-value < 0.001), and medium (p-value = 0.019) and low adherence (p-value < 0.001) were significantly associated with UMD.
conclusionThe magnitude of UMD upon patient admission to the internal medicine wards was considerably high. Omission and the wrong dose of medication were common. Older age, polypharmacy, low and medium adherence, and an increase in the number of comorbidities and information sources used for MedRec are significantly associated with UMDs. Pharmacists' interventions were mostly acceptable. Thus, the implementation of pharmacists-led MedRec in the two hospitals is indispensable for patient safety.
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