{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T23:27:44Z","timestamp":1756682864702,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Qual Improv Report"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>Medicines reconciliation is integral to patient safety, symptom control and reducing patient anxiety. During a 3-month period on the respiratory ward at St. Peter's Hospital, 54% of drug charts were not reconciled with pre-admission medicines at the point of discharge for admissions up to 17 days. Only 18% were reconciled within 24 hours of admission. 50% of drug charts were missing 0-2 pre-admission medicines and 50% were missing 3-5 pre-admission medicines. The most common medicines that were not reconciled included topical applications which included eye, ear, nasal and skin applications (14%); vitamins i.e. vitamin B12 and thiamine, analgesia, PRN inhalers (11% individually); antidepressants and lipid regulators (6% individually); amongst a range of other medications including antiplatelets, calcium channel blockers, ACE inhibitors and diuretics.<\/jats:p>\n               <jats:p>Two interventions were carried out to improve the rate of medicines reconciliation onto hospital drug charts with pre-admission medicines. These were: 1) a green sticker placed in the medical notes by the pharmacist when drug charts were incomplete, which required a date and signature from the doctor when the drug chart had been reconciled 2) the placing of the loose medicines reconciliation record (a list of pre-admission medicines retrieved from a reliable source usually by the pharmacist) to the front of the drug chart. These measures were designed to alert the doctors that the drug chart was incomplete.<\/jats:p>\n               <jats:p>After 2 PDSA cycles, the results showed positive outcomes. In 75% of the cases where the interventions were used, medicines reconciliation was complete at the point of discharge with 34% of drug charts reconciled within 24 hours of admission. Of the 25% of drug charts that were not reconciled despite the use of the interventions, 100% of them were missing 0-2 medicines however 0% were missing 3-5 medicines. This highlights that the interventions were effective in improving the rates of medicines reconciliation.<\/jats:p>","DOI":"10.1136\/bmjquality-2017-000064","type":"journal-article","created":{"date-parts":[[2017,6,9]],"date-time":"2017-06-09T21:00:47Z","timestamp":1497042047000},"page":"e000064","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Improving medicines reconciliation rates at Ashford and St. Peter's Hospitals NHS Foundation Trust"],"prefix":"10.1136","volume":"6","author":[{"given":"Reshmee","family":"Doolub","sequence":"first","affiliation":[{"name":"United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,6,8]]},"reference":[{"key":"2025083113322736000_6.1.e000064.1","unstructured":"National Institute for Health and Clinical Excellence. Medicines Optimisation: the safe and effective use of medicines to enable the best possible outcomes. NICE; 2015."},{"key":"2025083113322736000_6.1.e000064.2","unstructured":"National Electronic Library for Medicines. Medicines Management Overview. 2011."},{"key":"2025083113322736000_6.1.e000064.3","unstructured":"National Patient Safety Agency [Internet]. London: Patient Safety - Medication Safety. Reducing harm from omitted and delayed medicines in hospital [cited 2015 May 1]. Available from: http:\/\/www.nrls.npsa.nhs.uk\/resources\/patient-safety- topics\/medication-safety\/?entryid45=66720&p=2"},{"key":"2025083113322736000_6.1.e000064.4","unstructured":"The Royal Pharmaceutical Society of Great Britain. Moving patients medicines safely: Guidance on Discharge and Transfer Planning. London: RPSGB; 2006."},{"key":"2025083113322736000_6.1.e000064.5","doi-asserted-by":"crossref","unstructured":"Mueller, Stephanie K , et al . \"A Toolkit To Disseminate Best Practices In Inpatient Medication Reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS)\". The Joint Commission Journal on Quality and Patient Safety 2013;39:371\u2013AP3.","DOI":"10.1016\/S1553-7250(13)39051-5"}],"container-title":["BMJ Quality Improvement Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjquality-2017-000064","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T20:32:32Z","timestamp":1756672352000},"score":1,"resource":{"primary":{"URL":"https:\/\/qir.bmj.com\/lookup\/doi\/10.1136\/bmjquality-2017-000064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":5,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2017,6,8]]},"published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1136\/bmjquality-2017-000064"],"URL":"https:\/\/doi.org\/10.1136\/bmjquality-2017-000064","relation":{},"ISSN":["2050-1315"],"issn-type":[{"type":"electronic","value":"2050-1315"}],"subject":[],"published":{"date-parts":[[2017,6]]}}}