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Published on: June 11, 2012
Evaluation of an inpatient computerized medication reconciliation system
Alexander Turchin1, Claus Hamann, Jeffrey L Schnipper
1Brigham and Women's Hospital, Boston, MA, USA. aturchin@partners.org
Summary
The Pre-Admission Medication List (PAML) Builder application aids medication reconciliation, with most users finding it improves patient care. User efficiency is linked to experience and ease of use, not medication quantity.
Area of Science:
- Health Informatics
- Clinical Pharmacy
- Patient Safety
Background:
- Medication reconciliation is crucial for patient safety.
- Existing tools may have limitations in efficiency and integration.
- Academic hospitals seek to optimize pre-admission medication processes.
Purpose of the Study:
- To evaluate user satisfaction and efficiency of the Pre-Admission Medication List (PAML) Builder application.
- To identify factors influencing the time required to build a PAML.
- To gather user feedback for improving medication reconciliation workflows.
Main Methods:
- Design and implementation of the PAML Builder application at two academic hospitals.
- Survey of 1,714 users regarding satisfaction and efficiency.
- Statistical analysis of factors associated with reported time to build a PAML.
Main Results:
- 626 users (36.5%) completed the survey.
- 64% agreed medication reconciliation improves patient care.
- 69% of clinicians reported building a PAML in <10 minutes.
- Application experience and ease of use correlated with decreased build time.
- Users requested better medication information sources and order entry integration.
Conclusions:
- The PAML Builder is a valuable tool for medication reconciliation, with most users perceiving its benefit to patient care.
- User efficiency is enhanced by application familiarity and intuitive design.
- Further integration and training are recommended to optimize the medication reconciliation process.
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