Title
Making sense of diseases in medication reconciliation
Abstract
Patients are most at risk during transitions in care across settings and providers. The communication and reconciliation of an accurate medication list throughout the care continuum are essential in the reduction in transition-related adverse drug events. Most current research focuses on the outcomes of reconciliation interventions, yet not on the clinician’s perspective. We aimed to explore clinicians’ cognitive processes and heuristics of making sense of patients’ disease histories. We used the affinity diagram method to simulate real-life medication reconciliation with 24 clinicians. The participants were given paper cards with diseases and medications representing a real case from an anesthesiology department. The task was to sort the cards in a set that made sense to the clinician. The experiment was video-recorded, and the data were analyzed using a quantitative spatial analysis technique. Levene’s test for equality of variance showed that 79% of the 24 participants arranged the diseases along a straight line (p 2(44) = 291.9, p
Year
DOI
Venue
2011
10.1007/s10111-010-0162-3
Cognition, Technology & Work
Keywords
Field
DocType
medication reconciliationmedical expertise � medical cognitiondiagnostic reasoningpatient safety � card-sortingaffinity diagram,reconciliation intervention,paper card,affinity diagram method,real-life medication reconciliation,current research,cognitive process,accurate medication list,anesthesiology department,care continuum,disease history,spatial analysis,medical history,coping strategies
Card sorting,Disease,Psychological intervention,Nursing,Anesthesiology,Patient safety,Coping (psychology),Knowledge management,Psychology,Heuristics,Cognition,Psychotherapist
Journal
Volume
Issue
ISSN
13
2
1435-5566
Citations 
PageRank 
References 
1
0.37
4
Authors
6
Name
Order
Citations
PageRank
Geva Vashitz1132.58
Mark E. Nunnally210.71
Yuval Bitan3225.07
Yisrael Parmet46112.33
Michael F. O’Connor5111.89
Richard I. Cook619037.51