Table 3.
Reconciliation actions and errors by EHR used
| EHR1 |
EHR2 |
|||||
|---|---|---|---|---|---|---|
| Medications | Action | Errors | Medications | Action | Errors | Pr > Paired |t| |
| Discrepant | ||||||
| Clonidine (catapres) 0.1 mg tablet by mouth two times a day | D/C | 6 | Clonidine (catapres) 0.1 mg tablet by mouth two times a day | Verify | 0 | |
| Clonidine (catapres) 0.1 mg patch transdermal once a week | Add | 6 | Clonidine (catapres) 0.1 mg patch transdermal once a week | Verify | 0 | |
| Crestor (rosuvastatin) 40 mg tablet by mouth daily | D/C | 6 | Crestor (rosuvastatin) 40 mg tablet by mouth daily | Verify | 0 | |
| Lipitor (atorvastatin) 40 mg tablet by mouth daily | Add | 2 | Lipitor (atorvastatin) 40 mg tablet by mouth daily | Verify | 0 | |
| Zestril (lisinopril) 20 mg tablet by mouth daily | Verify | 2 | Zestril (lisinopril) 20 mg tablet by mouth daily | D/C | 2 | |
| Lisinopril 40 mg tablet by mouth daily | Verify | 2 | Lisinopril 40 mg tablet by mouth daily | Add | 2 | |
| Subtotal, N | 24 | 4 | ||||
| Mean per clinician | 1.41 | 0.24 | P = .008 | |||
| In EHR records | ||||||
| Aspirin 81 mg chewable tablet by mouth daily | Verify | 3 | Amlodipine 10 mg tablet by mouth daily | Verify | 0 | |
| Ambien (zolpidem) 5 mg tablet by mouth nightly as needed for sleep | Verify | 1 | Humulin (insulin 70/30 human) 70-30/ml vial 10 ml subcutaneously every morning before breakfast | Verify | 0 | |
| Zoloft (sertraline) 100 mg tablet by mouth daily | Verify | 1 | Tramadol 50 mg tablet by mouth two times a day as needed for pain | D/C | 0 | |
| Subtotal, N | 5 | 0 | ||||
| Mean per clinician | 0.29 | 0 | P = .136 | |||
| On CCD documents | ||||||
| Amlodipine 10 mg tablet by mouth daily | Add | 3 | Aspirin 81 mg chewable tablet by mouth daily | Add | 3 | |
| Humulin (insulin 70/30 human) 70-30/ml vial 10 mL subcutaneously every morning before breakfast | Add | 3 | Ambien (zolpidem) 5 mg tablet by mouth nightly as needed for sleep | Add | 2 | |
| Tramadol 50 mg tablet by mouth two times a day as needed for pain | Verify | 0 | Zoloft (sertraline) 100 mg tablet by mouth daily | Add | 2 | |
| Subtotal, N | 6 | 7 | ||||
| Mean per clinician | 0.35 | 0.41 | P = 0.805 | |||
| On both EHR and CCD lists | ||||||
| Abacavir (ziagen) 300 mg tablet by mouth two times a day take with or without food | Verify | 0 | Abacavir (ziagen) 300 mg tablet by mouth two times a day take with or without food | Verify | 0 | |
| Adefovir (hepsera) 10 mg tablet by mouth every other day | Verify | 0 | Adefovir (hepsera) 10 mg tablet by mouth every other day | Verify | 0 | |
| Klonopin (clonazepam) 0.5 mg tablet by mouth two times a day as needed for anxiety attacks | Verify | 0 | Klonopin (clonazepam) 0.5 mg tablet by mouth two times a day as needed for anxiety attacks | Verify | 1 | |
| Lamivudine (epivir) 150 mg tablet by mouth daily | Verify | 1 | Lamivudine (epivir) 150 mg tablet by mouth daily | Verify | 0 | |
| Lasix (furosemide) 20 mg tablet by mouth every other day | Verify | 0 | Lasix (furosemide) 20 mg tablet by mouth every other day | Verify | 0 | |
| Miralax (polyethylene glycol) 17 g packet by mouth daily as needed for constipation | Verify | 2 | Miralax (polyethylene glycol) 17 g packet by mouth daily as needed for constipation | Verify | 0 | |
| Novolog (insulin aspart 70/30) 100 unit/ml injection vial inject 4 Units under the skin three times a day before meals | Verify | 2 | Novolog (insulin aspart 70/30) 100 unit/ml injection vial inject 4 Units under the skin three times a day before meals | Verify | 0 | |
| Prilosec (omeprazole) 40 mg tablet by mouth daily | Verify | 1 | Prilosec (omeprazole) 40 mg tablet by mouth daily | Verify | 0 | |
| Raltegravir (isentress) 400 mg tablet by mouth two times a day | Verify | 0 | Raltegravir (isentress) 400 mg tablet by mouth two times a day | Verify | 0 | |
| Zofran (ondansetron) 4 mg tablet by mouth three times a day | Verify | 0 | Zofran (ondansetron) 4 mg tablet by mouth three times a day | Verify | 0 | |
| Subtotal, N | 6 | 1 | ||||
| Mean per clinician | 0.35 | 0.06 | P = .056 | |||
| Total | 41 | 12 | ||||
| Mean per clinician | 2.41 | 0.71 | P = .008 | |||
| Reconciliation action | ||||||
| Add to EHR | Add | 14 | 9 | P = .415 | ||
| Discontinue in EHR | D/C | 12 | 2 | P = .013 | ||
| Verify with patient | Verify | 15 | 1 | P = .022 | ||