SHM Converge Scientific Abstract ePoster Gallery-Right Meds, Right Time: Tools to Improve Medication Reconciliation

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This poster describes a quality improvement project to improve medication reconciliation (MR) on resident acute care services. MR is a key patient safety process at admission and discharge, but errors are common and can be clinically significant. The team identified barriers such as EMR complexity, limited time, poor communication between facilities, and inconsistent practices.<br /><br />To address this, they created an EMR-integrated report to measure MR completion and implemented a structured educational guide for trainees that included instructions, FAQs, and other resources. Completion rate and time-to-completion were tracked for three months before and after the intervention. A baseline survey informed the intervention, and a post-intervention survey was planned to guide future steps.<br /><br />Results showed improvement in both MR timeliness and completion. At Campus A, average time to completion changed from 14.4 to 14.1 hours, and completion increased from 64.9% to 66.4%. At Campus B, time improved more substantially, from 17.2 to 10.75 hours, and completion rose from 46.8% to 52.1%. The authors note that site-specific factors may strongly influence performance, though the reasons are unclear.<br /><br />The conclusion is that structured MR education for trainees can improve both completion and timeliness, potentially making care safer and more reliable. The project also showed that serial EMR-based measurement of MR is feasible, though assessing MR quality remains challenging. The authors highlight that a multidisciplinary approach, especially with pharmacy support, may further reduce errors and costs while improving safety.

Asset Subtitle

William A. White

Meta Tag

Author List Diana Liu, Diyu Pearce-Fisher, Kavya Sudireddy, Nina Tang, Sahil Chaudhuri, Sherry Yan, William A. White

Category Innovations

Concept Medication Reconciliation

Concept Patient Safety

Concept Medication Reconciliation Error

Concept Transitional Care

Concept Shared Electronic Medical Record Results Pool

Distinguished Non-Finalist

Presenter Organization UMass Chan Medical School

Presenting Author William A. White

Track Quality Improvement

Keywords

medication reconciliation

quality improvement

patient safety

electronic medical record

resident acute care

trainee education

admission discharge

completion timeliness

multidisciplinary approach

pharmacy support

Medication Reconciliation

Patient Safety

Medication Reconciliation Error

Transitional Care

Shared Electronic Medical Record Results Pool