JMIR Publications

ABSTRACT

Background:

Medication discrepancies can lead to adverse drug events and patient harm. Medication reconciliation is a process intended to reduce medication discrepancies. We developed a Secure Messaging for Medication Reconciliation Tool (SMMRT), integrated into a web-based patient portal, to identify and reconcile medication discrepancies during transitions from hospital to home.

Objective:

We aimed to characterize patients’ perceptions of the ease of use and effectiveness of SMMRT.

Methods:

We recruited 20 participants for semi-structured interviews from a sample of patients who had participated in a randomized controlled trial of SMMRT. Interview transcripts were transcribed and then qualitatively analyzed to identify emergent themes.

Results:

Patients who did use SMMRT indicated that it was time saving and liked that they could review it at their own pace and in the comfort of their own home. Patients reported SMMRT was effective at clarifying issues relating to medication directions or dosages and that SMMRT helped remove medications erroneously listed as active in the patient’s electronic health record. Although most patients found SMMRT easy to view at home, many patients struggled to return SMMRT electronically to clinicians due to technology related barriers.

Conclusions:

Patients viewed SMMRT utilization as a positive experience and endorsed future use of the tool. Our findings indicate SMMRT is an effective tool to aid patients with medication reconciliation. Adoption of SMMRT into regular clinical practice could reduce medication discrepancies while increasing accessibility for patients to help manage their medications. Clinical Trial: ClinicalTrials.gov NCT02482025 https://clinicaltrials.gov/ct2/show/NCT02482025?term=NCT02482025&draw=2&rank=1