Title
Implementation Brief: Evaluation of an Inpatient Computerized Medication Reconciliation System
Abstract
We designed the Pre-Admission Medication List (PAML) Builder medication reconciliation application and implemented it at two academic hospitals. We asked 1,714 users to complete a survey of their satisfaction with the application and analyzed factors associated with user efficiency. The survey was completed by 626 (36.5%) users. Most (64%) responders agreed that medication reconciliation improves patient care. Improvement requests included better medication information sources and propagation of medication information to order entry. Sixty-nine percent of admitting clinicians reported a typical time to build a PAML of <10 min. Decreased reported time to build a PAML was associated with reported experience with the application and ease of use but not the average number of medications on the PAML. Most users agreed that medication reconciliation improves patient care but requested tighter integration of the different stages of the medication reconciliation process. Further training may be helpful in improving user efficiency.
Year
DOI
Venue
2008
10.1197/jamia.M2561
Journal of the American Medical Informatics Association
Keywords
DocType
Volume
ease of use
Journal
15
Issue
ISSN
Citations 
4
1067-5027
0
PageRank 
References 
Authors
0.34
0
9