Although most of these changes are intentional, unintended changes occur frequently for a variety of reasons. For example, hospital-based clinicians might not be able to easily access patients' complete pre-admission medication lists, or may be unaware of recent medication changes. As a result, the new medication regimen prescribed at the time of discharge may inadvertently omit needed medications, unnecessarily duplicate existing therapies, or contain incorrect dosages. These discrepancies place patients at risk for adverse drug events ADEswhich have been shown to be one of the most common types of adverse events after hospital discharge.
Reconciliation is a process of identifying the most accurate list of all medications a patient is taking — including name, dosage, frequency, and route — and using this list to provide correct medications for patients anywhere within the health care system.
Experience from hundreds of organizations has shown that poor communication of medical information at transition points is responsible for as many as 50 percent of all medication errors and up to 20 percent of adverse drug events in the hospital.
Each time a patient moves from one setting to another, clinicians should review previous medication orders alongside new orders and plans for care, and reconcile any differences. If this process does not occur in a standardized manner designed to ensure complete reconciliation, medication errors may lead to adverse events and harm.
Background Hospitals have used this tool to identify unreconciled medications by comparing medication orders at the time of admission with the medication history provided by the patient or family, and by comparing discharge medication orders to the medications administered during the hospital stay and the medication history prior to admission.
This review process has helped organizations establish a baseline of errors from unreconciled medications and build a case for the importance of having a reconciliation process in place. Directions To use this tool most effectively, an organization should first identify a multidisciplinary team consisting of, at a minimum, a nurse, a pharmacist, and a physician.
Obtain a set of closed patient records, using a selection process that is as random as possible, and review the patient records for errors due to unreconciled medications.Integrity Pharmacy provides comprehensive Medication Management Services for patients with multiple disease states who are taking multiple medications.
Discharging patients from the hospital is a complex process that is fraught with challenges and involves over 35 million hospital discharges annually in the Uni.
Medication discrepancies occur most often at transitions in care - admission, transfer and discharge. Integrity Pharmacy provides comprehensive Medication Management Services for patients with multiple disease states who are taking multiple medications. All SHPA Standards of Practice are under review by the SHPA Federal Council. The full suite of Standards of Practice are available for members from SHPA until that review is complete. MI Procedure Manual MIPM.
Medication Reconciliation Definition. As defined by the JCAHO, medication reconciliation is "the process of comparing a patient's medication orders to all of the medications that the patient has been taking. This reconciliation is done to avoid medication errors such as omissions, duplications, dosing .
On December 22, , President Ronald Reagan signed the Omnibus Budget Reconciliation Act of (OBRA) also known as the Federal Nursing Home Reform Act.
Download a blank fillable Medication Reconciliation Form in PDF format just by clicking the "DOWNLOAD PDF" button. Open the file in any PDF-viewing software.
MEDICATION RECONCILIATION Dear Orthopaedic Associates Surgery Center Patient: We would like to thank you for choosing Orthopaedic Associates Surgery Center for.