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Related Experiment Video

Updated: Jul 18, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

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Published on: June 11, 2012

Medication reconciliation: developing and implementing a program.

Mandalyn Schwarz1, Rhonda Wyskiel

  • 1Johns Hopkins Health System, Baltimore, MD, USA. mschwar2@jhmi.edu

Critical Care Nursing Clinics of North America
|November 23, 2006
PubMed
Summary

Formalized medication reconciliation ensures patient safety with zero adverse drug events. This process maintains high patient intervention rates and continuity of care, reducing medication-related complications.

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Last Updated: Jul 18, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety Initiatives
  • Clinical Pharmacy Practice

Background:

  • Medication reconciliation formalized and automated over 5 years ago.
  • Initially a nurse-driven initiative lacking consistent administrative support.
  • Recent institutional mandate for hospital-wide implementation.

Purpose of the Study:

  • To evaluate the impact of a formalized medication reconciliation process on patient safety.
  • To assess intervention and adverse drug event (ADE) rates.
  • To facilitate hospital-wide standardization and implementation.

Main Methods:

  • Automated medication reconciliation process.
  • Focus on accuracy of prehospital and ICU medication restarts.
  • Inclusion of home medication omissions, dosage, and frequency inaccuracies.
  • Multidisciplinary monthly meetings to address implementation barriers.

Main Results:

  • Sustained patient intervention rates between 30% and 35%.
  • Zero adverse drug events (ADEs) directly related to medication reconciliation.
  • Ensured continuity of care and reduced medication-related complications.

Conclusions:

  • Medication reconciliation is a low-cost, high-impact patient safety initiative.
  • Strategic planning and multidisciplinary collaboration are crucial for successful hospital-wide implementation.
  • Standardization across units is a key challenge requiring ongoing effort.