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Medication Reconciliation Review
2/28/2003 7:39:07 PM
User Comments on Medication Reconciliation Review
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Total Posts: 1
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Re: Medication Reconciliation Review
3/4/2005 3:36:17 PM
I am looking for examples of how hospitals are measuring their medication reconciliation process at the point of admission to the hospital. Please post any examples that you have or contact me at drichardson@wha.org.
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Elizabeth Burgess
Total Posts: 1
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Re: Medication Reconciliation Review
2/10/2006 10:25:35 AM
I am a student looking for background on why medication reconciliation is an important quality improvement. If anyone has information regarding studies showing reduced error/improved patient outcomes in relation to medication reconciliation, please email me at ecburges@indiana.edu.
Thanks
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Val Weber
Total Posts: 22
Moderator
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Re: Medication Reconciliation Review
2/10/2006 11:37:27 AM
Hi Elizabeth --
Medication reconciliation (to prevent adverse drug events) is one of the key interventions of IHI's 100,000 Lives Campaign.
There is an annotated bibliography available as part of the Campaign materials posted on IHI.org that may be useful to you.
Available at:
http://www.ihi.org/NR/rdonlyres/95F5887A-237E-47E2-B019-81D9161EC634/0/ADEBibliographyFINAL.pdf
The materials also feature a "How-to Guide" that provides background information on why quality improvement in this clinical area is important, and specific recommended changes for improvement.
Available at:
http://www.ihi.org/NR/rdonlyres/47D5AE1C-0B29-4A59-8D58-BABF8F4E829F/0/ADEHowtoGuideFINAL5_25.pdf
Edit by: Val Weber on 2/10/2006 11:40:17 AM
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Janis Cox
Total Posts: 1
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Re: Medication Reconciliation Review
3/9/2006 7:19:06 PM
Does anyone know if nurse midwives can sign the medication reconciliation forms?
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Susan Joyce
Total Posts: 1
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Re: Medication Reconciliation Review
5/15/2006 7:30:25 AM
I am also looking for examples of how hospitals are measuring their medication reconciliation process at the point of admission to the hospital. Did you get much response? Would you forward any examples to Susan at
pharmacy@galway.bonsecours.ie
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Total Posts: 243
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Re: Medication Reconciliation Review
5/15/2006 4:02:26 PM
Responding to both of the prior questions:
1- Can midwives sign medication reconciliation forms? That is up to you and depends on the process you use for reconciliation. There is no requirement to use a form; many places find it helpful but not all. If the form is supposed to serve as an order form, then does the signature activate the orders? If so, does your medical staff allow midwives to write orders?
2- Regarding measurement of med rec on admission, you can use any of the med rec measures we note under the Patient Safety Medication Systems measures or in the 100k Campaign Getting Started Kit for this topic. An easy measure is to sample some admission records and look to see how many meds needed to be addressed (sum of meds being taken before admission plus new ones added in admission orders) and determine what percent were not reconciled.
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Total Posts: 1
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Re: Medication Reconciliation Review
8/21/2006 8:41:26 PM
How does one document that this home medication information may be incomplete or inaccurate?
In other words, is anyone using a "disclaimer"?
As the home medication information is most times dependent upon the patient or responsibile party's oral history and the patient is to receive a copy of their medication reconcilitation record upon discharge.
Thank you.
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Sherri Timms
Total Posts: 1
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Re: Medication Reconciliation Review
11/27/2006 5:28:39 PM
I am also interested if anyone is using a "disclaimer" or how do you define home medication information?
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Robert Joyner
Total Posts: 1
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Re: Medication Reconciliation Review
3/25/2008 10:07:32 AM
I work with ER physicians and am facing this problem as well; any response you get to your question would be greatly appreciated if you were to forward to me.
thanks
bobj
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