Medication Reconciliation in the Hospital: An Interactive Case-Based Session for Internal Medicine Residents.

Area of Science:

• Medical Education
• Patient Safety
• Internal Medicine

Background:

• Medication reconciliation is crucial for patient safety but often performed by internal medicine residents with limited educational resources.
• Inaccurate medication reconciliation can lead to medical errors and adverse events.

Purpose of the Study:

• To develop and evaluate an educational intervention for internal medicine residents on medication reconciliation.
• To assess the impact of the intervention on resident confidence and the accuracy of medication lists.

Main Methods:

• A 1-hour, case-based, experiential curriculum was delivered to 31 internal medicine residents.
• Evaluation included learner satisfaction, confidence surveys, and pre/post patient chart audits.

Main Results:

• Residents reported positive experiences with the educational session.
• No significant change in resident confidence was observed.
• Medication list accuracy in audited inpatient charts improved from 67%-83% to 100% one month post-intervention.

Conclusions:

• A novel, case-based medication reconciliation teaching session can be effectively implemented in internal medicine residency programs.
• The intervention led to improved accuracy in medication reconciliation performed by residents, enhancing patient safety.