Medication reconciliation in surgical patients. A literature review
DOI:
https://doi.org/10.35381/s.v.v10i1.4959Keywords:
Medication reconciliation, surgical patient, medication error, patient safety, (Source: DeCS).Abstract
Objective: To identify best practices and scientific evidence available in the medical literature on medication reconciliation in surgical patients. Methods: The literature review took a descriptive documentary approach. A systematic and exhaustive review of the literature was conducted in databases such as Google Scholar, the Regional Portal of the Virtual Health Library, Scielo, PubMed, and Dialnet. Results: Omission and incorrect dosage discrepancies were the most frequent. Prescription errors were reduced through medication reconciliation. The number of unintentional discrepancies was significantly reduced. The existence of unintentional medication discrepancies upon admission of surgical patients can expose patients to potential harm. Conclusions: Reconciliation reduces the number of patients who experience medication errors. Appropriate strategies should be developed to support its effective implementation.
Downloads
References
Torroba-Sanz B, de Lorenzo-Pinto A, Ribed-Sánchez A, Martín-Barbero ML, Giménez-Manzorro Á, García-González X, et al. Hacia la excelencia en la atención farmacéutica al paciente quirúrgico. Farm Hosp. 2023;47(1):T26-T30. https://doi.org/10.1016/j.farma.2022.12.013
Pavón K. Importancia de la conciliación de medicamentos a pacientes previo su ingreso. Guayaquil: Universidad de Guayaquil; 2021. https://n9.cl/09a34q
Organización Mundial de la Salud. Medicación sin daño. Ginebra: OMS; 2022. https://n9.cl/pcvm3
Rodríguez Vinueza VI, Morales S, Moyota QA, et al. Identification of medication errors in patients with non communicable chronic diseases in a Tungurahua hospital, Ecuador. An Real Acad Farm. 2019;85:182-188. https://acortar.link/5nARwb
Patel E, Pevnick JM, Kennelty KA. Pharmacists and medication reconciliation: a review of recent literature. Integr Pharm Res Pract. 2019;8:39-45. https://n9.cl/hfncma
Andersen TS, Gemmer MN, Sejberg HRC, Jørgensen LM, Kallemose T, Andersen O, et al. Medicines reconciliation in the emergency department: important prescribing discrepancies between the shared medication record and patients’ actual use of medication. Pharmaceuticals (Basel). 2022;15(2):142. https://doi.org/10.3390/ph15020142
Milanez-Azevedo M, Zago-Oliveira T, Alves-Reis D, Leira-Pereira LR, Rossi-Varallo F. Conciliación de medicamentos dirigida por farmacéuticos en los servicios de urgencias hospitalarias de Brasil: revisión sistemática exploratoria. Farm Hosp. 2022;46(4):234-243. https://dx.doi.org/10.7399/fh.11838
Iturgoyen DP. Conciliación de medicación al ingreso hospitalario en pacientes pediátricos. Madrid: Universidad Complutense de Madrid; 2022. https://hdl.handle.net/20.500.14352/3751
Latimer S, Hewitt J, de Wet C, Teasdale T, Gillespie BM. Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses’ perceptions of their roles and responsibilities. J Clin Nurs. 2023;32(7-8):1276-1285. https://n9.cl/3wm6v
Alanazi AS, Awwad S, Khan TM, Asdaq SMB, Mohzari Y, Alanazi F, et al. Medication reconciliation at discharge in a tertiary care hospital in Riyadh: an observational study. PLoS One. 2022;17(3):e0265042. https://doi.org/10.1371/journal.pone.0265042
Ben Abdel-Lah L, Tamayo-Bermejo R, Cantudo-Cuenca MR. Conciliación de la medicación al ingreso en el servicio de Cirugía Ortopédica y Traumatológica. Ars Pharm. 2021;62(1):75-84. https://dx.doi.org/10.30827/ars.v62i1.15829
Carrión Madroñal I, Sánchez Gómez E. Conciliación de la medicación en las transiciones asistenciales de pacientes previamente ingresados. Rev OFIL-ILAPHAR. 2020;30(1):60-64. https://dx.doi.org/10.4321/s1699-714x2020000100015
Manias E, Kusljic S, Wu A. Interventions to reduce medication errors in adult medical and surgical settings: a systematic review. Ther Adv Drug Saf. 2020;11:1-29. https://doi.org/10.1177/2042098620968309
Hammour KA, Farha RA, Ya’acoub R, Salman Z, Basheti I. Impact of pharmacist-directed medication reconciliation in reducing medication discrepancies: a randomized controlled trial. Can J Hosp Pharm. 2022;75(3):169-177. https://doi.org//10.4212/cjhp.3143
Chiewchantanakit D, Meakchai A, Pituchaturont N, Dilokthornsakul P, Dhippayom T. The effectiveness of medication reconciliation to prevent medication error: a systematic review and meta-analysis. Res Social Adm Pharm. 2020;16(7):886-894. https://doi.org//10.1016/j.sapharm.2019.10.004
Killin L, Hezam A, Anderson KK, Welk B. Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. Jt Comm J Qual Patient Saf . 2021;47(7):438-451. https://doi.org//10.1016/j.jcjq.2021.03.011.
Zheng X, Xiao L, Li Y, Qiu F, Huang W, Li X. Improving safety and efficacy with pharmacist medication reconciliation in orthopedic joint surgery within an enhanced recovery after surgery program. BMC Health Serv Res. 2022;22(1):541. https://doi.org//10.1186/s12913-022-07884-9
Ebbens MM, Gombert-Handoko KB, Wesselink EJ, van den Bemt PMLA. The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. J Am Med Dir Assoc. 2021;22(12):2553-2558. https://doi.org//10.1016/j.jamda.2021.03.022
Deep L, Schneider CR, Moles R, Patanwala AE, Do LL, Burke R, et al. Medication reconciliation by pharmacy students: number and types of medication discrepancies identified. Pharm Pract (Granada). 2021;19(3):1-6. https://doi.org//10.18549/PharmPract.2021.3.2471
Alanazi AS, Awwad S, Khan TM, Asdaq SMB, Mohzari Y, Alanazi F, et al. Medication reconciliation at discharge in a tertiary care hospital in Riyadh: an observational study. PLoS One. 2022;17(3):e0265042. https://n9.cl/jr1dz
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Jenny Maricela Llugsa-Llambo, Miguel Eduardo Ramos-Argilagos, Riber Fabián Donoso-Noroña
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
CC BY-NC-SA : Esta licencia permite a los reutilizadores distribuir, remezclar, adaptar y construir sobre el material en cualquier medio o formato solo con fines no comerciales, y solo siempre y cuando se dé la atribución al creador. Si remezcla, adapta o construye sobre el material, debe licenciar el material modificado bajo términos idénticos.
OAI-PMH: https://fundacionkoinonia.com.ve/ojs/index.php/saludyvida/oai.
