{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T22:55:21Z","timestamp":1767826521413,"version":"3.49.0"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2017,10,11]],"date-time":"2017-10-11T00:00:00Z","timestamp":1507680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objective<\/jats:title>\n                  <jats:p>Many countries require hospitals to implement medication reconciliation for accreditation, but the process is resource-intensive, thus adherence is poor. We report on the impact of prepopulating and aligning community and hospital drug lists with data from population-based and hospital-based drug information systems to reduce workload and enhance adoption and use of an e-medication reconciliation application, RightRx.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The prototype e-medical reconciliation web-based software was developed for a cluster-randomized trial at the McGill University Health Centre. User-centered design and agile development processes were used to develop features intended to enhance adoption, safety, and efficiency. RightRx was implemented in medical and surgical wards, with support and training provided by unit champions and field staff. The time spent per professional using RightRx was measured, as well as the medication reconciliation completion rates in the intervention and control units during the first 20 months of the trial.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Users identified required modifications to the application, including the need for dose-based prescribing, the role of the discharge physician in prescribing community-based medication, and access to the rationale for medication decisions made during hospitalization. In the intervention units, both physicians and pharmacists were involved in discharge reconciliation, for 96.1% and 71.9% of patients, respectively. Medication reconciliation was completed for 80.7% (surgery) to 96.0% (medicine) of patients in the intervention units, and 0.7% (surgery) to 82.7% of patients in the control units. The odds of completing medication reconciliation were 9 times greater in the intervention compared to control units (odds ratio: 9.0, 95% confidence interval, 7.4-10.9, P\u2009&amp;lt;\u2009.0001) after adjusting for differences in patient characteristics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>High rates of medication reconciliation completion were achieved with automated prepopulation and alignment of community and hospital medication lists.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocx107","type":"journal-article","created":{"date-parts":[[2017,9,8]],"date-time":"2017-09-08T19:11:27Z","timestamp":1504897887000},"page":"482-495","source":"Crossref","is-referenced-by-count":36,"title":["Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project"],"prefix":"10.1093","volume":"25","author":[{"given":"Robyn","family":"Tamblyn","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montr\u00e9al, Canada"},{"name":"Department of Medicine, McGill University, Montr\u00e9al, Canada"},{"name":"Clinical and Health Informatics Research Group, McGill University, Montr\u00e9al, Canada"}]},{"given":"Nancy","family":"Winslade","sequence":"additional","affiliation":[{"name":"Department of Medicine, McGill University, Montr\u00e9al, Canada"}]},{"given":"Todd C","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine, McGill University, Montr\u00e9al, Canada"},{"name":"McGill University Health Centre, Montr\u00e9al, Canada"}]},{"given":"Aude","family":"Motulsky","sequence":"additional","affiliation":[{"name":"Department of Medicine, McGill University, Montr\u00e9al, Canada"},{"name":"Centre de Recherche du Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al, School of Public Health, University of Montr\u00e9al, Montr\u00e9al, Canada"}]},{"given":"Ari","family":"Meguerditchian","sequence":"additional","affiliation":[{"name":"Department of Medicine, McGill University, Montr\u00e9al, Canada"},{"name":"Clinical and Health Informatics Research Group, McGill University, Montr\u00e9al, Canada"},{"name":"McGill University Health Centre, Montr\u00e9al, Canada"}]},{"given":"Melissa","family":"Bustillo","sequence":"additional","affiliation":[{"name":"Clinical and Health Informatics Research Group, McGill University, Montr\u00e9al, Canada"},{"name":"The Research Institute of the McGill University Health Centre, Montr\u00e9al, Canada"}]},{"given":"Sarah","family":"Elsayed","sequence":"additional","affiliation":[{"name":"Clinical and Health Informatics Research Group, McGill University, Montr\u00e9al, Canada"},{"name":"The Research Institute of the McGill University Health Centre, Montr\u00e9al, Canada"}]},{"given":"David L","family":"Buckeridge","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montr\u00e9al, Canada"},{"name":"Clinical and Health Informatics Research Group, McGill University, Montr\u00e9al, Canada"}]},{"given":"Isabelle","family":"Couture","sequence":"additional","affiliation":[{"name":"McGill University Health Centre, Montr\u00e9al, Canada"},{"name":"The Research Institute of the McGill University Health Centre, Montr\u00e9al, Canada"}]},{"given":"Christina J","family":"Qian","sequence":"additional","affiliation":[{"name":"Clinical and Health Informatics Research Group, McGill University, Montr\u00e9al, Canada"}]},{"given":"Teresa","family":"Moraga","sequence":"additional","affiliation":[{"name":"Clinical and Health Informatics Research Group, McGill University, Montr\u00e9al, Canada"}]},{"given":"Allen","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine, University of Ottawa, Ottawa, Canada"}]}],"member":"286","published-online":{"date-parts":[[2017,10,11]]},"reference":[{"issue":"2","key":"2020110612380342500_ocx107-B1","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1093\/intqhc\/mzu010","article-title":"Standardization in patient safety: the WHO High 5s project","volume":"26","author":"Leotsakos","year":"2014","journal-title":"Int J Qual Health Care."},{"key":"2020110612380342500_ocx107-B2","volume-title":"Medication Reconciliation in Canada: Raising the Bar. Progress to date and the course ahead","author":"Accreditation Canada, the Canadian Patient Safety Institute, and the Institute for Safe Medication Practices Canada","year":"2012"},{"issue":"8","key":"2020110612380342500_ocx107-B3","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1001\/jama.2011.1206","article-title":"Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases","volume":"306","author":"Bell","year":"2011","journal-title":"JAMA."},{"issue":"5","key":"2020110612380342500_ocx107-B4","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.annemergmed.2008.03.021","article-title":"Medication reconciliation in a rural trauma population","volume":"52","author":"Miller","year":"2008","journal-title":"Ann Emerg Med."},{"issue":"5","key":"2020110612380342500_ocx107-B5","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1345\/aph.1L579","article-title":"Medication reconciliation performed by pharmacy technicians at the time of preoperative screening","volume":"43","author":"van den Bemt","year":"2009","journal-title":"Ann Pharmacother."},{"issue":"5","key":"2020110612380342500_ocx107-B6","doi-asserted-by":"crossref","first-page":"94","DOI":"10.5688\/aj710594","article-title":"Effectiveness of a medication reconciliation project conducted by PharmD students","volume":"71","author":"Lubowski","year":"2007","journal-title":"Am J Pharm Educ."},{"issue":"6","key":"2020110612380342500_ocx107-B7","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1016\/j.jen.2006.07.003","article-title":"Medication reconciliation: doing what's right for safe patient care","volume":"32","author":"Paparella","year":"2006","journal-title":"J Emerg Nurs."},{"issue":"4","key":"2020110612380342500_ocx107-B8","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.ccell.2006.09.003","article-title":"Medication reconciliation: developing and implementing a program","volume":"18","author":"Schwarz","year":"2006","journal-title":"Crit Care Nurs Clin North Am."},{"issue":"5","key":"2020110612380342500_ocx107-B9","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1177\/1062860606292395","article-title":"Medication reconciliation","volume":"21","author":"Haig","year":"2006","journal-title":"Am J Med Qual."},{"issue":"2","key":"2020110612380342500_ocx107-B10","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.jopan.2006.01.002","article-title":"Reconciliation of medications","volume":"21","author":"Saufl","year":"2006","journal-title":"J Perianesth Nurs."},{"issue":"4","key":"2020110612380342500_ocx107-B11","first-page":"695","article-title":"Evaluation of patient care interventions and recommendations by a transitional care pharmacist","volume":"3","author":"Bayley","year":"2007","journal-title":"Therapeutics Clin Risk Manag."},{"issue":"5","key":"2020110612380342500_ocx107-B12","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1177\/1062860606292393","article-title":"Medication reconciliation implementation in an academic center","volume":"21","author":"Varkey","year":"2006","journal-title":"Am J Med Qual."},{"issue":"3","key":"2020110612380342500_ocx107-B13","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1177\/1049909108328698","article-title":"Medication reconciliation in hospice: a pilot study","volume":"26","author":"Kemp","year":"2009","journal-title":"Am J Hosp Palliat Care."},{"issue":"4","key":"2020110612380342500_ocx107-B14","first-page":"41","article-title":"Medication reconciliation in hemodialysis patients","volume":"18","author":"Ledger","year":"2008","journal-title":"CANNT J."},{"issue":"16","key":"2020110612380342500_ocx107-B15","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1093\/ajhp\/61.16.1689","article-title":"Reconciliation of discrepancies in medication histories and admission orders of newly hospitalized patients","volume":"61","author":"Gleason","year":"2004","journal-title":"Am J Health-Sys Pharm."},{"issue":"12","key":"2020110612380342500_ocx107-B16","first-page":"750","article-title":"Medication reconciliation in ambulatory oncology","volume":"33","author":"Weingart","year":"2007","journal-title":"Jt Comm J Qual Patient Saf."},{"issue":"1","key":"2020110612380342500_ocx107-B17","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1093\/jamia\/ocw068","article-title":"Electronic tools to support medication reconciliation: a systematic review","volume":"24","author":"Marien","year":"2017","journal-title":"J Am Med Inform Assoc."},{"key":"2020110612380342500_ocx107-B18","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1186\/1472-6963-13-485","article-title":"Medication reconciliation at admission and discharge: a time and motion study","volume":"13","author":"Meguerditchian","year":"2013","journal-title":"BMC Health Services Res"},{"issue":"6","key":"2020110612380342500_ocx107-B19","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1197\/jamia.M2142","article-title":"Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network","volume":"13","author":"Poon","year":"2006","journal-title":"J Am Med Inform Assoc."},{"issue":"8","key":"2020110612380342500_ocx107-B20","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1001\/archinternmed.2009.51","article-title":"Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial","volume":"169","author":"Schnipper","year":"2009","journal-title":"Arch Int Med."},{"issue":"3","key":"2020110612380342500_ocx107-B21","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1197\/jamia.M2642","article-title":"Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID)","volume":"16","author":"Lesselroth","year":"2009","journal-title":"J Am Med Inform Assoc."},{"key":"2020110612380342500_ocx107-B22","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1186\/1745-6215-13-150","article-title":"Using novel Canadian resources to improve medication reconciliation at discharge: study protocol for a randomized controlled trial","volume":"13","author":"Tamblyn","year":"2012","journal-title":"Trials."},{"key":"2020110612380342500_ocx107-B23","first-page":"1","volume-title":"Partnerships Moving Forward Together: The MUHC 2015\u20132016 Annual Report","author":"McGill University Health Centre","year":"2016"},{"key":"2020110612380342500_ocx107-B24","author":"Manifesto for Agile Software Development","year":"2001"},{"issue":"1","key":"2020110612380342500_ocx107-B25","doi-asserted-by":"crossref","first-page":"87","DOI":"10.2307\/20721416","article-title":"Toward agile: an integrated analysis of quantitative and qualitative field data on software development agility","volume":"34","author":"Lee","year":"2010","journal-title":"MIS Quarterly."},{"issue":"6","key":"2020110612380342500_ocx107-B26","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1016\/j.jss.2012.02.033","article-title":"A decade of agile methodologies: towards explaining agile software development","volume":"85","author":"Dings\u00f8yr","year":"2012","journal-title":"J Syst Software."},{"issue":"6","key":"2020110612380342500_ocx107-B27","first-page":"549","article-title":"The medical office of the 21st century (MOXXI): effectiveness of computerized decision-making support in reducing inappropriate prescribing in primary care","volume":"169","author":"Tamblyn","year":"2003","journal-title":"CMAJ."},{"issue":"1","key":"2020110612380342500_ocx107-B28","first-page":"39","article-title":"Validation of diagnostic codes in medical services claims data","volume":"8","author":"Wilchesky","year":"2001","journal-title":"Can J Clin Pharmacol."},{"issue":"2","key":"2020110612380342500_ocx107-B29","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S0895-4356(99)00136-5","article-title":"Using medical services claims to assess injuries in the elderly: sensitivity of diagnostic and procedure codes for injury ascertainment","volume":"53","author":"Tamblyn","year":"2000","journal-title":"J Clin Epidemiol."},{"issue":"11","key":"2020110612380342500_ocx107-B30","first-page":"1277","article-title":"Coding accuracy of hospital discharge data for elderly survivors of myocardial infarction","volume":"15","author":"Levy","year":"1999","journal-title":"Can J Cardiol."},{"issue":"8","key":"2020110612380342500_ocx107-B31","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1016\/0895-4356(94)00234-H","article-title":"The use of prescription claims databases in pharmacoepidemiological research: the accuracy and comprehensiveness of the prescription claims database in Quebec","volume":"48","author":"Tamblyn","year":"1995","journal-title":"J Clin Epidemiol."},{"key":"2020110612380342500_ocx107-B32","first-page":"1150","article-title":"Twinlist: novel user interface designs for medication reconciliation","author":"Plaisant","year":"2013","journal-title":"AMIA Annu Symp Proc."},{"key":"2020110612380342500_ocx107-B33","first-page":"878","article-title":"Medication reconciliation: work domain ontology, prototype development, and a predictive model","author":"Markowitz","year":"2011","journal-title":"AMIA Annu Symp Proc."},{"key":"2020110612380342500_ocx107-B34","volume-title":"Paper to Electronic MedRec Implementation Toolkit","author":"The Electronic Medication Reconciliation Group","year":"2014"},{"key":"2020110612380342500_ocx107-B35","year":"2013"},{"key":"2020110612380342500_ocx107-B36","first-page":"77","article-title":"Evidence-based health informatics frameworks for applied use","volume":"222","author":"Craven","year":"2016","journal-title":"Stud Health Technol Inform."},{"key":"2020110612380342500_ocx107-B37","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1146\/annurev-publhealth-031816-044348","article-title":"Public health surveillance systems: recent advances in their use and evaluation","volume":"38","author":"Groseclose","year":"2017","journal-title":"Annu Rev Public Health."},{"key":"2020110612380342500_ocx107-B38","volume-title":"NHS Dose Syntax Recommendations 2015","author":"National Health Service","year":"2015"},{"key":"2020110612380342500_ocx107-B39","volume-title":"ISMP\u2019s Guidelines for Standard Order Sets","author":"ISMP","year":"2010"},{"issue":"1","key":"2020110612380342500_ocx107-B40","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1023\/B:JOMS.0000021517.51673.f3","article-title":"Standardized pill imprint codes: a pharma fantasy","volume":"28","author":"Schiff","year":"2004","journal-title":"J Med Syst."},{"key":"2020110612380342500_ocx107-B41","first-page":"37","article-title":"Extracting and standardizing medication information in clinical text \u2013 the MedEx-UIMA system","author":"Jiang","year":"2014","journal-title":"AMIA Jt Summits Transl Sci Proc."},{"issue":"8","key":"2020110612380342500_ocx107-B42","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1001\/archinte.163.8.893","article-title":"Linking laboratory and pharmacy: opportunities for reducing errors and improving care. [Review] [106 refs]","volume":"163","author":"Schiff","year":"2003","journal-title":"Arch Int Med."},{"issue":"3","key":"2020110612380342500_ocx107-B43","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1111\/jcpt.12140","article-title":"Providing systematic detailed information on medication upon hospital discharge as an important step towards improved transitional care","volume":"39","author":"Hohmann","year":"2014","journal-title":"J Clin Pharm Ther."},{"issue":"5","key":"2020110612380342500_ocx107-B44","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1002\/jhm.228","article-title":"Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists","volume":"2","author":"Kripalani","year":"2007","journal-title":"J Hosp Med."},{"issue":"e1","key":"2020110612380342500_ocx107-B45","doi-asserted-by":"crossref","first-page":"e157","DOI":"10.1136\/amiajnl-2013-001995","article-title":"Engaging patients in medication reconciliation via a patient portal following hospital discharge","volume":"21","author":"Heyworth","year":"2014","journal-title":"J Am Med Inform Assoc."},{"issue":"4","key":"2020110612380342500_ocx107-B46","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.jbspin.2011.06.001","article-title":"The Hawthorne effect: stronger than the placebo effect?","volume":"78","author":"Berthelot","year":"2011","journal-title":"Joint Bone Spine."}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/25\/5\/482\/34150687\/ocx107.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/25\/5\/482\/34150687\/ocx107.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T17:55:24Z","timestamp":1604685324000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/25\/5\/482\/4443115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,11]]},"references-count":46,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2017,10,11]]},"published-print":{"date-parts":[[2018,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocx107","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"value":"1067-5027","type":"print"},{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2018,5]]},"published":{"date-parts":[[2017,10,11]]}}}