AHRQ Innovations Exchange | Reconciliation of Patient and Provider Medication Lists Reduces Discrepancies and Enhances Medication Safety in Physician Clinics

Reconciliation of Patient and Provider Medication Lists Reduces Discrepancies and Enhances Medication Safety in Physician Clinics

Summary
PeaceHealth, a nonprofit integrated system, established a process to allow patients and providers in physician offices to reconcile two medication lists—one maintained by patients either manually or on a Web-based personal health record and one maintained by providers on an electronic medical record. The new process resulted in more accurate medication lists, an enhanced culture of medication safety, and high levels of patient and provider satisfaction.

See Sustaining the Innovation section for information on the new process to stimulate improvement (updated September 2009).

Evidence Rating
Moderate: The evidence consists of before-and-after comparisons of medication discrepancies, along with post-implementation provider and patient survey data on their experiences with the reconciliation process.

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AHRQ Innovations Exchange | Reconciliation of Patient and Provider Medication Lists Reduces Discrepancies and Enhances Medication Safety in Physician Clinics