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MATCH Medication Reconciliation Toolkit
Use the materials in the toolkit as guidance for developing a medication reconciliation process in your hospital or outpatient practice setting.
Preventing Adverse Drug Events (Medication Reconciliation): Patient and Family Fact Sheet
This resource for patients and families provides an overview of how to prevent adverse drug events by reconciling medications at all transitions in care (at admission, transfer, and discharge).
Testing Changes to Implement Medication Reconciliation: Sample PDSA Cycles
This worksheet provides an example of testing changes to reduce unreconciled medications using multiple Plan-Do-Study-Act (PDSA) testing cycles.
How-to Guide: Prevent Adverse Drug Events (Medication Reconciliation) — Rural Hospitals Supplement
This How-to Guide specifically tailored for rural hospitals describes key evidence-based care components to prevent ADEs by implementing medication reconciliation at all transitions in care.
How-to Guide: Prevent Adverse Drug Events (Medication Reconciliation) — Pediatric Supplement
This How-to Guide specifically tailored for pediatrics describes key evidence-based care components to prevent ADEs by implementing medication reconciliation at all transitions in care.
How-to Guide: Prevent Adverse Drug Events (Medication Reconciliation)
This How-to Guide describes key evidence-based care components to prevent ADEs by implementing medication reconciliation at all transitions in care.
Medication Reconciliation Flowsheet
A flowsheet designed to help nursing personnel determine the appropriate next steps to take when an unreconciled medication is identified during a medication reconciliation review at the time a patient is admitted.
Medication Reconciliation Review: Data Collection Form
A form to be used to collect data during a retrospective review of patient records to identify errors related to reconciled medications.
Medication Reconciliation Tracking Tool
A tool for tracking data during a test of medication reconciliation during admission.
Medication Reconciliation Review
Step-by-step instructions for reviewing closed patient records to identify errors related to unreconciled medications.
Home Medications Order Form
A tool created and used by Fairview Health Services (Minneapolis, Minnesota, USA) to take medication histories and reconcile them with the physician’s orders.
Physician Initial Medication Orders Form
Physician order form to ensure reconciliation of medications at the time initial orders are written.
Medication Reconciliation Form
This medication reconciliation form includes a detailed section to reconcile patient medication upon admission or transfer, as well as patient discharge instructions.
Universal Medication Form
A two-page form that can be used by patients to register information about their medication use, allergies, and immunization record. The form can also help prevent ADEs and improve communication between health care providers, patients, and families.
Home Medication Reconciliation Form
This form was developed to obtain a list of "medications as at home" prior to admission, and it has been used extensively in all outpatient areas and on a medical/surgical unit.
Health and Safety Passport
The passport is a tool to provide patients with a place to list their medications, health history, and other relevant information and can be used as part of an organization's efforts to improve medication reconciliation.
Outpatient-Ambulatory Medication Reconciliation Form
Use this form with patients after an oupatient visit or ambulatory procedure to reconcile medications.
Medication Safety Reconciliation Toolkit
The toolkit provides extensive detail on where and how to reconcile medications at all transition points of care, and provides sample process maps, algorithms, and forms.
Medication List for Patients and Families
To promote patient safety and reduce the growing incidence of medication errors in the office setting, this patient medication list was created for patients and their families to carry with them to medical appointments.
Medication Reconciliation Form for Orthopedic Patients
This medication reconciliation form, created by the medical staff as a collaborative effort, was designed specifically for use with orthopedic patients.
Home Medication Reconciliation Orders Form with Criteria for Pharmacist Consult
This "blended model" medication reconciliation form defines specific criteria for seeking pharmacist involvement in the reconciliation process.