Medication review and reconciliation in the outpatient setting

Mitchell MD, Macolino P, Ahya VN, Miller A, Prior B, Mull NK
Record ID 32018005347
Authors' objectives: Identify high-level evidence relating to medication review and reconciliation in the outpatient setting.
Authors' results and conclusions:  Joint Commission Patient Safety Goals and other guidelines call for obtaining and reviewing a list of all medications taken by a patient, at the beginning of each care encounter, including outpatient visits.  The guidelines do not provide any recommendations regarding specific tools to use when collecting medication information, for determining whether a patient may be at increased risk for medication-related problems, or for determining when a specific medication may be inappropriate for the patient.  Numerous systematic reviews of medication reconciliation in the outpatient setting have been published. They consistently find that published studies are of low quality and that interventions are heterogeneous, precluding any quantitative data synthesis. Review authors report that medication reconciliation interventions can reduce inappropriate prescribing and usually have favorable cost-effectiveness. The effect on patient-oriented outcomes such as readmission to the hospital is uncertain.  Studies directly comparing different tools for medication reconciliation or directly comparing different methods for performing medication reconciliation in the outpatient setting are lacking.
Project Status: Completed
Year Published: 2023
English language abstract: An English language summary is available
Publication Type: Rapid Review
Country: United States
MeSH Terms
  • Drug-Related Side Effects and Adverse Reactions
  • Patient Safety
  • Medication Reconciliation
  • Medication Review
  • Outpatients
  • drug-related adverse effect
  • joint commission patient safety goal
Organisation Name: Penn Medicine Center for Evidence-based Practice
Contact Address: Penn Medicine Center for Evidence-based Practice, University of Pennsylvania Health System, 3600 Civic Center Blvd, 3rd Floor West, Philadelphia PA 19104
Contact Name: Nikhil Mull
Contact Email:
Copyright: <p>Center for Evidence-based Practice (CEP)</p>
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