From: Medication reconciliation at admission and discharge: a time and motion study
Medication reconciliation tasks | Geriatrics | Internal medicine | General surgery | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
 | Time (minutes) |  | Time (minutes) |  | Time (minutes) | |||||||
N (%) | Mean (SD) | Min | Max | N (%) | Mean (SD) | Min | Max | N (%) | Mean (SD) | Min | Max | |
Preparing the discharge prescription | 21 | 29.0 (23.8) | 5.2 | 91.7 | 21 | 19.4 (11.7) | 1.2 | 44.0 | 20 | 9.9 (18.2) | 1.9 | 84.0 |
  Reviewing in-hospital medications | 19 (90.5) | 2.4 (1.5) | 0.1 | 6.2 | 18 (85.7) | 2.4 (2.2) | 0.0 | 8.1 | 15 (75.0) | 2.2 (2.0) | 0.3 | 7.8 |
  Reviewing community medications or chart notes | 18 (85.7) | 1.9 (1.0) | 0.6 | 4.4 | 11 (52.4) | 2.3 (2.4) | 0.2 | 8.5 | 9 (45.0) | 1.4 (1.5) | 0.2 | 5.2 |
  Self-reported timea | 1 (4.8) | 5 (.) | 5.0 | 5.0 | 3 (14.3) | 4.7 (3.5) | 1.0 | 8.0 | 0 (0.0) |  |  |  |
  Discussing community medications with patient | 0 (0.0) |  |  |  | 1 (4.8) | 1.4 (.) | 1.4 | 1.4 | 0 (0.0) |  |  |  |
  Discussing the discharge prescription with patient | 4 (19.0) | 20.0 (13.4) | 7.4 | 38.8 | 6 (28.6) | 5.1 (2.7) | 2.5 | 8.4 | 3 (15.0) | 25 (43.0) | 0.2 | 74.7 |
  Consulting with other health professionals about the discharge prescription | 14 (66.7) | 5.3 (7.4) | 0.0 | 27.7 | 13 (61.9) | 5.3 (4.2) | 0.1 | 15.5 | 5 (25.0) | 1.8 (1.8) | 0.2 | 4.2 |
  Writing the discharge prescription | 21 (100.0) | 7.1 (6.5) | 0.4 | 23.7 | 21 (100.0) | 5.5 (3.9) | 1.1 | 19.7 | 19 (95.0) | 3.4 (2.6) | 0.6 | 9.4 |
  Reviewing the discharge prescription | 17 (81.0) | 4.7 (2.8) | 1.0 | 11.4 | 16 (76.2) | 4 (4.9) | 0.1 | 19.9 | 2 (10.0) | 0.7 (0.3) | 0.6 | 0.9 |
  Revising the discharge prescription after consulting other clinicians | 7 (33.3) | 1.6 (1.6) | 0.0 | 4.8 | 3 (14.3) | 1.3 (1.9) | 0.1 | 3.5 | 0 (0.0) |  |  |  |
  Revising the discharge prescription after consulting the patient | 1 (4.8) | 1.5 (.) | 1.5 | 1.5 | 0 (0.0) |  |  |  | 0 (0.0) |  |  |  |
  Other final documentation | 4 (19.0) | 29.8 (12.7) | 19.3 | 48.0 | 1 (4.8) | 0.8 (.) | 0.8 | 0.8 | 1 (5.0) | 1.6 (.) | 1.6 | 1.6 |
  Faxing discharge information to pharmacy | 2 (9.5) | 3.8 (3.8) | 1.1 | 6.5 | 4 (19.0) | 9.9 (6.5) | 2.3 | 16.2 | 0 (0.0) |  |  |  |