Reflection On Medication Reconciliation

This is an example of how poor collaboration and medication discrepancies can be detrimental to patients.

The pharmacist must offer to discuss the unique drug therapy regimen of each Medicaid recipient when filling prescriptions for them. Each patient must be made an offer to be counseled by the pharmacist. The items to be addressed include, the name of the drug, intended use of expected action, common side effects and their avoidance, techniques for self-monitoring, proper storage, potential drug-drug or drug-food contraindications, refill

Goal three by the National Patient Safety Goal for 2014 is to use medicines safely. Many errors occur regularly with medications which is why communication is so important with the doctors, nurses and patients. One process that Joint Commission requires in accredited HCO’s is medication reconciliation “creating the most accurate list possible off all medications a patient is taking, including drug name, dosage, frequency, and route, and comparing that list against the physician’s admission, transfer, and/or discharge orders with the goal of providing correct medications to the patients at all transition points within the hospital (Finkelman & Kenner, 2012, p. 388)”. Ensuring medication reconciliation to the patient, health providers and any new consults that are

It’s not simply the particular giving of the medications that fare up all the time. It is checking the medical record with the hand written prescriptions, grouping the varied medications and also the instrumentation for giving them, and ensuring all the patients safety measure are covered.

Many medication errors comes from miscommunication between the physicians, pharmacists, and the nurses. As nurses, we should eliminate these barriers of communication and always verify drug information, and also communicate among team members. The most effective way to promote communication among our colleagues at work is to use the “SBAR” method which means situation, background, assessment, and recommendations. I read a journal at American Nurses Association website about a patient who died because of poor communication among team members. A patient died after labetalol, hydrala¬zine, and extended-release nifedipine were crushed and given by NG tube. Crushing extended-release drugs allows the entire dosage to be absorption immediately. As

M e d i c a t i o n R e c o n c i l i a t i o n : A K e y I s s u e i n M e a n i n g f u l U s e

Due to the large number of consumers being prescribed multiple medications, and the complexity of managing those medications, it is of a major safety concern that systems are in place for clinicians to reconcile patients medications to resolve any discrepancies in what the patient is using, or should be using, and newly added ones.

Improve the safety of using medications. The findings were that often medication error were made because medications and other solutions were removed from their original

Medication Reconciliation is defined by the Joint Commission as the process of checking and rechecking a patient’s current medication list to the patient’s orders. Within a MedRec program, three steps must be followed to ensure patients have the correct medications at admission and discharge: Verification, Clarification, and Reconciliation (Greenwald et al., 2010; Ruggiero et al,. 2015). MedRec should not occur once, but multiple times especially when a patient moves from department to department. The more a patient moves, the more liable they are for a medication error due to poor communication. MedRec is done for the simple reason of catching those medication errors and correcting them before they can do any harm (The Joint Commission, 2006). Medication errors effect nearly 1.5 million people who enter the hospital setting in the USA. At least every patient has one medication discrepancy between admission and discharge, which leads to rehospitalizations due to hospital-setting medication errors (Institute of Medicine as cited by Wilson et al,. 2015). With nurses at the forefront of a patient’s medication regime, pressure is put on them to provide the necessary education and safety to prevent medication related rehospitalizations. Included in the causes for medication errors is miscommunication between departments taking care of the same patient (Allison et al., 2015). Many medication errors are preventable by the implementation of electronic orders. The use of electronic

The SCHC addressed meaningful use by recording patient demographics, maintaining an active medication lists and incorporating clinical lab test results into the HER, as apart of their meaningful use objectives. For recording patient demographics, they maintained data for accurate billing and ensured that the practice workflow was adjusted to capture all of the necessary patient data. They addressed active medication lists by following the requirements for e-prescribing. Patients were able to review their active medication list during their visit. Changes to the medication list were reviewed with the nurse and adjusted within the EHR system by the doctor. They communicated information for the care coordination process by making test results efficient and safe to access. Physicians were able to make real time decisions when they receive the test results from LabCorp, Quest, and other health

The technology product will be used as onboarding training for new PAS and as refresher on competencies for experienced PAS. The the content will include lessons on all electronic health record platforms and resources that are used in researching medications and compiling the PTA medication list for use in reconciliation. Team member orientation also involves learning the process of completing the PAS standard work. This work includes monitoring patient lists, interviewing patients or other knowledgeable individuals about the medication taken by the patient, verifying the infomation with the pharmacy, primary physician, insurance company, etc., and updating the patient chart to reflect the information. Time management and documentation are also included.

The PC will randomly select 25 participants, aged 65 years and older, who are patients in a primary care setting, who have at least one chronic disease, are Haitian Creole speaking only, and who take more than five medications daily. Those patients will meet monthly and will bring their pill bottles for medication review. Two Haitian Creole speaking pharmacists will be recruited to participate in the program. They will gain access to the participants' electronic health records (EHR) for the duration of the program. During each visit, the pharmacists will inquire about participants' medication use including over the counter medications, reason for taking the medications, the duration of the treatment, the use of different providers, and participant's

The reconciliation should be used in every transition in care, where the new medication is prescribed and old mediations are rewritten. The accuracy of the list can prevent many drug effects and interactions; therefore it is important to ensure proper documentation and communication at all levels of care. Also, many errors occur when doctors fail to write out necessary orders such as, “resume pre-op medication.” The use of this “resume pre-op medication” has been prohibited by the Joint Commission due to the many complications it can produce including increasing the chances of adverse effects. Furthermore, it has been discovered that most discharged patients have been found to have insufficient knowledge regarding their medications upon returning home (Joint Commission, 2006). Medical reconciliation provides the patient with crucial information regarding the dosage, route, therapeutic effect, and reason for administration.

28 out of 86 cases, administrative mistake were made, 3 cases was due to confusion and the rest of cases were due to decision by the patient. There were 92 medicines involved, 51 were no longer being

Polypharmacy, an amount of medications exceeding the number of medically indicated, continues as a major problem in the medical community. Certain factors like age, race or ethnicity, socioeconomic status, and clinical condition can increase a patient’s risk of having an excessive medication list. The increase in popularity of over-the-counter medications and herbal supplements also adds to the problem. Adding a medication increases the chance of a drug-drug interactions, side effects, or non-adherence to taking medications. All three problems pose significant problems in helping patients make functional goals of treatment and hamper a patient’s quality of life.