{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T14:22:08Z","timestamp":1748960528864,"version":"3.37.3"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2018,5,17]],"date-time":"2018-05-17T00:00:00Z","timestamp":1526515200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/academic.oup.com\/journals\/pages\/about_us\/legal\/notices"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R01HS021495"],"award-info":[{"award-number":["R01HS021495"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000092","name":"National Library of Medicine","doi-asserted-by":"publisher","award":["T15LM007092-23"],"award-info":[{"award-number":["T15LM007092-23"]}],"id":[{"id":"10.13039\/100000092","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Identify barriers impacting the time consuming and error fraught process of medication reconciliation. Design and implement an electronic medication management system where patient and trusted healthcare proxies can participate in establishing and maintaining an inclusive and up-to-date list of medications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A patient-facing electronic medication manager was deployed within an existing research project focused on elder care management funded by the AHRQ, InfoSAGE, allowing patients and patients\u2019 proxies the ability to build and maintain an accurate and up-to-date medication list. Free and open-source tools available from the U.S. government were used to embed the tenets of centralization, interoperability, data federation, and patient activation into the design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Using patient-centered design and free, open-source tools, we implemented a web and mobile enabled patient-facing medication manager for complex medication management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patient and caregiver participation are essential to improve medication safety. Our medication manager is an early step towards a patient-facing medication manager that has been designed with data federation and interoperability in mind.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jamia\/ocy047","type":"journal-article","created":{"date-parts":[[2018,4,10]],"date-time":"2018-04-10T19:10:40Z","timestamp":1523387440000},"page":"1047-1053","source":"Crossref","is-referenced-by-count":7,"title":["Rethinking the outpatient medication list: increasing patient activation and education while architecting for centralization and improved medication reconciliation"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1382-1524","authenticated-orcid":false,"given":"Frank","family":"Pandolfe","sequence":"first","affiliation":[{"name":"Division of Clinical Informatics, Beth Israel Deaconess Medical Center, Boston, MA 02446, USA"},{"name":"Department of Biomedical Informatics, Harvard Medical School, Boston, MA 02115, USA"}]},{"given":"Adam","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Harvard Medical School, Boston, MA 02115, USA"},{"name":"Division of General Internal Medicine and Primary Care, Brigham & Women\u2019s Hospital, Boston, MA 02115, USA"}]},{"given":"Warner V","family":"Slack","sequence":"additional","affiliation":[{"name":"Division of Clinical Informatics, Beth Israel Deaconess Medical Center, Boston, MA 02446, USA"},{"name":"Department of Biomedical Informatics, Harvard Medical School, Boston, MA 02115, USA"}]},{"given":"Charles","family":"Safran","sequence":"additional","affiliation":[{"name":"Division of Clinical Informatics, Beth Israel Deaconess Medical Center, Boston, MA 02446, USA"},{"name":"Department of Biomedical Informatics, Harvard Medical School, Boston, MA 02115, USA"}]}],"member":"286","published-online":{"date-parts":[[2018,5,17]]},"reference":[{"issue":"5","key":"2020110612241360600_ocy047-B1","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1056\/NEJMra050100","article-title":"Adherence to medication","volume":"353","author":"Osterberg","year":"2005","journal-title":"N Engl J Med"},{"issue":"10","key":"2020110612241360600_ocy047-B2","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1177\/106002809603001003","article-title":"Assessment of medication management skills in older outpatients","volume":"30","author":"Ruscin","year":"1996","journal-title":"Ann Pharmacother"},{"year":"2015","author":"CRICO","key":"2020110612241360600_ocy047-B3"},{"issue":"4","key":"2020110612241360600_ocy047-B4","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1001\/jama.1997.03540280045032","article-title":"The costs of adverse drug events in hospitalized patients","volume":"277","author":"Bates","year":"1997","journal-title":"JAMA"},{"issue":"3","key":"2020110612241360600_ocy047-B5","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1056\/NEJMp1511131","article-title":"ACOs and high-cost patients","volume":"374","author":"Powers","year":"2016","journal-title":"N Engl J Med"},{"issue":"3","key":"2020110612241360600_ocy047-B6","first-page":"120","article-title":"The costs of adverse drug events in community hospitals","volume":"38","author":"Hug","year":"2012","journal-title":"Jt Comm J Qual Patient Saf"},{"issue":"3","key":"2020110612241360600_ocy047-B7","doi-asserted-by":"crossref","first-page":"161","DOI":"10.7326\/0003-4819-138-3-200302040-00007","article-title":"The incidence and severity of adverse events affecting patients after discharge from the hospital","volume":"138","author":"Forster","year":"2003","journal-title":"Ann Intern Med"},{"issue":"9823","key":"2020110612241360600_ocy047-B8","doi-asserted-by":"crossref","first-page":"1310","DOI":"10.1016\/S0140-6736(11)61817-5","article-title":"A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis","volume":"379","author":"Avery","year":"2012","journal-title":"Lancet"},{"volume-title":"Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. 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