What do systematic reviews say?

Medication reconciliation: 1 or 2 vs 4 charts open simultaneously

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  no estimate extracted
  11504 participants
  Very low

Medication reconciliation interventions vs no medication reconciliation

Medication reconciliation showed no clear difference in medication errors ( compared with no medication reconciliation (low certainty).

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  OR 0.55 [0.17, 1.74]
  3 studies · 379 participants
  Low

Medication reconciliation interventions vs no medication reconciliation

Medication reconciliation probably leads to lower ADEs ( compared with no medication reconciliation (moderate certainty).

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  OR 0.38 [0.18, 0.8]
  3 studies · 1336 participants
  Moderate

Medication reconciliation interventions vs no medication reconciliation

It is very uncertain whether medication reconciliation changes mortality during hospitalisation ( compared with no medication reconciliation (very low certainty).

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  RR 3.85 [0.44, 33.89]
  1 study · 212 participants
  Very low

Medication reconciliation interventions vs no medication reconciliation

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 527 participants
  Low

Medication reconciliation interventions vs no medication reconciliation

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 131 participants
  Low

Medication reconciliation interventions vs no medication reconciliation

Medication reconciliation probably leads to higher discrepancy resolution ( compared with no medication reconciliation (moderate certainty).

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  RR 7.48 [5.62, 9.95]
  1 study · 564 participants
  Moderate

Medication reconciliation interventions vs usual care

It is very uncertain whether medication reconciliation interventions changes ≥ 1 medication discrepancy per participant (dichotomous) compared with standard care (very low certainty).

• Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
  RR 0.53 [0.42, 0.67]
  20 studies · 4629 participants
  Very low

Medication reconciliation interventions vs usual care

• Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
  no estimate extracted
  4 studies · 1963 participants
  Very low
• Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
  RR 0.13 [0.01, 1.29]
  2 studies · 3595 participants
  Very low

Medication reconciliation: pharmacist vs other professionals

Medication reconciliation: pharmacist may leads to lower medication errors ( compared with other professionals (low certainty).

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  OR 0.21 [0.09, 0.48]
  8 studies · 2648 participants
  Low

Medication reconciliation: multimodal intervention vs usual care

It is very uncertain whether medication reconciliation: multimodal intervention changes medication error ( compared with usual care (very low certainty).

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  RR 0.92 [0.87, 0.97]
  1648 participants
  Very low

Medication reconciliation by trained pharmacist technician vs pharmacist

It is very uncertain whether medication reconciliation by trained pharmacist technician changes medication errors ( compared with pharmacist (very low certainty).

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  OR 0.65 [0.25, 1.7]
  2 studies · 306 participants
  Very low

Medication reconciliation interventions vs usual care

It is very uncertain whether medication reconciliation interventions changes PADEs compared with standard care (very low certainty).

• Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
  RR 0.37 [0.09, 1.57]
  3 studies · 1253 participants
  Very low

Medication reconciliation interventions vs usual care

Medication reconciliation interventions showed no clear difference in ADEs compared with standard care (low certainty).

• Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
  RR 1.09 [0.91, 1.3]
  4 studies · 1363 participants
  Low

Medication reconciliation interventions vs usual care

Medication reconciliation interventions showed no clear difference in unplanned rehospitalisation compared with standard care (moderate certainty).

• Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
  RR 0.72 [0.44, 1.18]
  5 studies · 1206 participants
  Moderate

Medication reconciliation interventions vs usual care

It is very uncertain whether medication reconciliation interventions changes hospital usage (composite measure of ED, rehospitalisation) compared with standard care (very low certainty).

• Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
  RR 0.78 [0.5, 1.22]
  4 studies · 597 participants
  Very low

Medication reconciliation: before vs at admission

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 307 participants
  Low

Medication reconciliation: pharmacist vs other professionals

Medication reconciliation: pharmacist showed no clear difference in readmission at 1 month ( compared with other professionals (moderate certainty).

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  RR 0.93 [0.76, 1.14]
  2 studies · 997 participants
  Moderate

Medication reconciliation: pharmacist vs other professionals

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  no estimate extracted
  6 studies · 3983 participants
  Low

Medication reconciliation: pharmacist vs other professionals

• Reducing medication errors for adults in hospital settings 2021 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 724 participants
  Low