Clinical Edge

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Medication Reconciliation & ED Visits in Diabetes

Diabetes Care; ePub 2018 Jun 11; Turchin, et al

A higher portion of reconciled outpatient diabetes medications was associated with a lower frequency of emergency department (ED) visits and hospitalizations, a new study found. Researchers studied adults taking at least 1 diabetes medication treated in primary care practices between 2000 and 2014 and assess the relationship between the fraction of outpatient diabetes medications reconciled over a 6-month period and the composite primary outcome of combined frequency of ED visits and hospitalizations over the subsequent 6 months. They found:

  • Among 261,765 reconciliation assessment periods contributed by 31,689 patients, 176,274 (67.3%), 27,775 (10.6%), and 57,716 (22.1%) had all, some, or none of the diabetes medications reconciled, respectively.
  • Patients with all, some, or no diabetes medications reconciled had 0.354, 0.377, and 0.384 primary outcome events per 6 months, respectively.
  • Having some or all vs no diabetes mediations reconciled was associated with a lower risk of the primary outcome.
  • Individual performance feedback to providers was associated with a significant increase in the odds of all diabetes medication being reconciled.


Turchin A, Sosina O, Zhang H, et al. Ambulatory medication reconciliation and frequency of hospitalization and emergency department visits in patients with diabetes. [Published online ahead of print June 11, 2018]. Diabetes Care. doi:10.2337/dc17-1260.