Table 3 Time to complete medication reconciliation tasks at admission per hospital unit

Overall

21

92.2 (44.3)

46.1

202.5

20

46.2 (21.1)

22.5

94.6

Prior to meeting the patient

19 (90.5)

29 (22.2)

6.9

91.7

20 (100.0)

16.3 (9.3)

7.1

36.8

  Reading medical chart

19 (90.5)

20.8 (18.6)

0.4

75.6

20 (100.0)

13.1 (8.1)

5.6

32.4

  Reviewing lab results

19 (90.5)

7.8 (4.3)

3.4

21.3

20 (100.0)

3.2 (1.6)

1.0

7.0

  Calculations

8 (38.1)

1 (0.6)

0.5

1.8

2 (10.0)

0.2 (0.0)

0.2

0.2

Discussion with patient ^a

21 (100.0)

13.4 (9.1)

0.6

31.0

20 (100.0)

5.2 (4.0)

1.1

15.5

  Introduction

21 (100.0)

4 (3.3)

0.3

11.6

19 (95.0)

1.4 (2.1)

0.1

8.3

  Community drug list

19 (90.5)

3.7 (3.3)

0.1

11.5

19 (95.0)

1.7 (1.8)

0.1

6.4

  Medication knowledge

10 (47.6)

1.9 (1.5)

0.5

5.1

4 (20.0)

0.2 (0.3)

0.1

0.6

  Medication posology

12 (57.1)

1.9 (1.6)

0.3

5.1

9 (45.0)

0.6 (0.4)

0.2

1.5

  Adherence to medication

7 (33.3)

0.8 (0.4)

0.3

1.5

4 (20.0)

0.2 (0.2)

0.0

0.5

  Over-the-counter medication

15 (71.4)

3.5 (2.5)

0.5

7.9

14 (70.0)

0.9 (0.9)

0.1

3.6

  Allergies

14 (66.7)

0.9 (0.7)

0.2

2.9

11 (55.0)

0.2 (0.2)

0.1

0.7

  Pharmacy coordinates

12 (57.1)

0.8 (0.5)

0.2

1.6

17 (85.0)

1.3 (2.7)

0.3

11.7

  Permission to exchange medication information

7 (33.3)

0.7 (0.7)

0.1

1.8

9 (45.0)

0.2 (0.3)

0.0

1.0

External research on medication history ^b

19 (90.5)

13 (11.9)

4.0

47.1

19 (95.0)

6.2 (4.2)

1.0

19.2

  Communication with family caregiver not in hospital

3 (14.3)

9.7 (4.8)

4.2

12.6

2 (10.0)

3.4 (3.4)

1.0

5.8

  Communication with Community Service Centre/nursing home

1 (4.8)

6.4 (.)

6.4

6.4

1 (5.0)

2.1 (.)

2.1

2.1

  Searching for pharmacy coordinates

11 (52.4)

5.1 (7.9)

0.5

28.3

11 (55.0)

3 (2.1)

0.4

5.5

  Communication with the pharmacy

19 (90.5)

8.2 (9.4)

2.5

44.8

18 (90.0)

4.2 (3.4)

0.6

13.0

Reconciliation of medications and documentation

21 (100.0)

40.8 (20.0)

19.0

85.9

20 (100.0)

18.9 (15.0)

2.5

57.1

  Clarifying discrepancies with patient

4 (19.0)

1.7 (1.2)

0.1

3.0

6 (30.0)

3.6 (3.2)

0.6

9.6

  Documenting admission medication list

21 (100.0)

32.3 (17.8)

8.8

64.3

20 (100.0)

15.3 (11.7)

2.3

45.5

  Discussing recommendations with in-hospital prescriber

8 (38.1)

3.1 (2.2)

0.6

7.3

4 (20.0)

2 (1.6)

0.7

4.3

  Documenting recommendations for in-hospital prescriber

11 (52.4)

12.3 (10.3)

0.1

38.6

9 (45.0)

2.2 (1.8)

0.4

5.4

  Other documentation

5 (23.8)

2 (1.0)

1.2

3.7

4 (20.0)

5.1 (5.0)

0.6

11.6