• Jonathan D Hron, Shannon Manzi, Roger Dionne, Vincent W Chiang, Marcie Brostoff, Stephanie A Altavilla, A L Patterson, and Marvin B Harper.
• Department of Medicine, Division of General Pediatrics, Boston Children's Hospital, Boston, MA, USA.
• Int J Qual Health Care. 2015 Aug 1; 27 (4): 314-9.

ObjectiveTo measure the impact of electronic medication reconciliation implementation on reports of admission medication reconciliation errors (MREs).DesignQuality improvement project with time-series design.SettingA large, urban, tertiary care children's hospital.ParticipantsAll admitted patients from 2011 and 2012.InterventionsImplementation of an electronic medication reconciliation tool for hospital admissions and regular compliance reporting to inpatient units. The tool encourages active reconciliation by displaying the pre-admission medication list and admission medication orders side-by-side.Main Outcome MeasureRate of non-intercepted admission MREs identified via a voluntary reporting system.ResultsDuring the study period, there were 33 070 hospital admissions. The pre-admission medication list was consistently recorded electronically throughout the study period. In the post-intervention period, the use of the electronic medication reconciliation tool increased to 84%. Reports identified 146 admission MREs during the study period, including 95 non-intercepted errors. Pre- to post-intervention, the rate of non-intercepted errors decreased by 53% (P = 0.02). Reported errors were categorized as intercepted potential adverse drug events (ADEs) (35%), non-intercepted potential ADEs (42%), minor ADEs (22%) or moderate ADEs (1%). There were no reported MREs that resulted in major or catastrophic ADEs.ConclusionsWe successfully implemented an electronic process for admission medication reconciliation, which was associated with a reduction in reports of non-intercepted admission MREs.© The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

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