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Editor's Correspondence
Feb 11, 2013

Medication Reconciliation Practices and Potential Clinical Impact of Unintentional Discrepancies

Author Affiliations

Author Affiliations: Departments of Pharmacy (Drs Michel and Quelennec) and Internal Medicine, Diabetes, and Metabolic Disorders (Dr Andres), Hôpitaux Universitaires de Strasbourg, Strasbourg, France.

JAMA Intern Med. 2013;173(3):246-247. doi:10.1001/jamainternmed.2013.1235

We read with interest the excellent article by Mueller and colleagues1 about hospital-based medication reconciliation practices. We would like to offer some elements about our own experience. The evaluation of the potential clinical impact of the unintentional discrepancies identified and corrected during medication reconciliation process is particularly of high interest. Recently, we have set up conciliation at admission within our hospital and estimated in parallel the potential clinical significance of identified unintentional discrepancies by using a 3-category scale: level 1, “no potential harm”; level 2, “monitoring or intervention potentially required to preclude harm”; and level 3, “potential harm.”

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