Implementation and Evaluation of a Medical Reconciliation Protocol at Brigham and Women's Hospital

Completed · Not applicable

Conditions studied: Medication Reconciliation

In brief

An incomplete understanding of patients' preadmission medications and failure to reconcile these with medications ordered in the hospital and at discharge are major, previously unappreciated, causes of adverse drug events (ADEs). The Joint Commission for Accreditation of Healthcare Organizations has now mandated a process for reconciling all medications at hospital admission and discharge. The best ways to implement medication reconciliation and the impact on patient outcomes are unknown. We, the researchers at at Brigham and Women's Hospital, will design and implement a medication reconciliation process with two major components: 1) information technology to integrate medication reconciliation into the current workflow at Brigham and Women's Hospital (BWH); and 2) process re-design involving physicians, nurses, and pharmacists to ensure that reconciliation takes place. We will then conduct a randomized controlled trial on the General Medical Service of BWH to evaluate the effects of this new process on reducing medication reconciliation errors with the potential to cause patient harm (potential ADEs).

Key facts

Study ID

NCT00296426

Run by

Brigham and Women's Hospital

People needed

322

Starts

2006-05-01

Expected to finish

2010-08-01

Last updated by the study team

2019-08-13

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Must be inpatients on the General Medical Service at Brigham and Women's Hospital

You may not qualify if…

• Any other patients at BWH hospital

Where it is running

• Brigham and Women's Hospital — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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