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Providers were frustrated with a poorly functioning medication reconciliation system that was often ignored or not completed by the family doctor.
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These studies provide salient evidence suggesting that implementing medication reconciliation systems in health care institutions is not a process limited to hospital administrators and staff physicians.
This approach is ideal for complex QI interventions, [ 23] allowing sites to: 1) integrate intervention components with their baseline medication reconciliation efforts, information system capabilities, and organizational structures; and 2) add, customize, and iteratively refine the toolkit components and their implementation over time.
However, this system is likely to be more expensive than the outpatient medication reconciliation or medication refill system.
The computer system should be considered later if outpatient medication reconciliation or medication refill systems are not effective.
An effective outpatient medication reconciliation and medication refill system should be considered because they are not costly strategies but are likely to be effective.
A previous study [ 30] conducted to determine potential strategies to prevent unnecessary loss due to medication oversupply in Thailand also suggested that an effective outpatient medication reconciliation and medication refill system should be considered.
These scenarios illustrate how system integration initiatives such as medication reconciliation tools need to be coordinated with other system reforms for optimum benefits to be achieved.
The Joint Commission, an independent non-profit accreditation body of hospital systems, introduced medication reconciliation as a National Patient Safety Goal in 2006 [ 8].
Experiential teaching methods have also been used in educating medical residents in medication reconciliation (Table 1).
A nurse confided that "at times the nurses will simply cut and paste medication profile information from [the system] into the medication reconciliation document without properly verifying all of the medications on the list".
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