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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.

How medication reconciliation saves lives

Medication reconciliation is defined by IHI’s 100,000 Lives Campaign as “the process of creating the most accurate list possible of all medications a patient is taking — including drug name, dosage, frequency, and route."

Medication Reconciliation at Contra Costa Regional Medical Center

Contra Costa Regional Medical Center reduced the percent of unreconciled medications upon admission by 94 percent on the medicine, surgery, ICU and IMCU units; and reduced the rate of unreconciled medications upon transfer by 66 percent.

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.

Reconcile Medications at All Transition Points

Medication reconciliation is the process of creating the most accurate list possible of all medications a patient is taking including drug name, dosage, frequency, and route, and comparing that list against the admission, transfer, and/or discharge orders, with the goal of preventing unintended chnages or omissions during transition points.

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) — 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.

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.

Measures: Prevent Adverse Drug Events (Medication Reconciliation)

Care teams should measure each of the evidence-based interventions for preventing adverse drug events using medication reconciliation recommended in the How-to Guide: Prevent Adverse Drug Events (Medication Reconciliation).

Annotated Bibliography for Preventing Adverse Drug Events (Medication Reconciliation)

This annotated bibliography presents selected literature for preventing adverse drug events (ADEs) by implementing medication reconciliation.

Metropolitan Hospital Reduces Dispensing Errors in the Pharmacy by 40 Percent

For the cost of a roll of red tape, the pharmacy at Metropolitan Hospital in Grand Rapids, Michigan, created a simple but effective way to improve medication safety,

Contra Costa Regional Medical Center Increases the Percent of Patients with All Medications Reconciled on Admission to 99 Percent

"We are so jazzed about this, it's like someone invented the wheel." Contra Costa Regional Medical Center has new systems for reconciling patients' medications at admission, transfer, and discharge as part of a broader initiative to redesign processes to improve reliability.

University of Massachusetts Memorial Medical Center Has 95 Percent of Patients’ Hospital Medical Records Free of Medication Reconciliation Errors

Medication reconciliation at UMass Memorial Medical Center has changed the fabric of the organization, including processes, roles and responsibilities.

Innovation at Its Best: Medication Reconciliation

The actual process of reconciling a medication list is relatively easy. The hard part is figuring out how to organize and implement the system that will ensure that this reconciliation happens reliably.

Fairview Health Services: Where Medication Reconciliation Improves Safety and Avoids Additional Costs

Medication reconciliation is complex on a system level, particularly as patients move in and out of the hospital.

What Medications Does Your Patient Take? Enhancing Medication Safety in the Outpatient Setting

Mindful of the high number of mishaps that occur during transitions in care, hospitals are implementing medication reconciliation systems that compile, maintain, and confirm accurate information about patients' medications at every transfer point during an inpatient stay. This process, when fully implemented, must also include the outpatient setting.

Medication reconciliation: A practical tool to reduce the risk of medication errors

This article discusses a study to reduce medication errors in patient's discharge orders through a reconciliation process in an adult surgical intensive care unit (ICU).

Reconciling doses

This article presents a case and commentary with the following objectives: list the steps involved in medication reconciliation; describe the role of each of the stakeholders in medication reconciliation; and discuss how medication reconciliation decreases the opportunity for medication errors and harm.

Reconciling medications at admission: Safe practice recommendations and implementation strategies

This article describes a report on a statewide patient safety initiative to reduce medication errors by three Massachusetts medical agencies.

Using medication reconciliation to prevent errors: JCAHO Sentinel Event Alert #35

This alert from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) discusses the benefits of medication reconciliation in reducing medication errors.

Medication reconciliation for reducing drug-discrepancy adverse events

The authors conclude that pharmacist-led medication reconciliation and communication with the physician reduced discrepancy-related adverse drug events (ADEs) in patients returning from the hospital to the nursing home.

Implementation of an electronic system for medication reconciliation

The authors studied the feasibility of implementing an electronic system for targeted pharmacist- and nurse-conducted admission and discharge medication reconciliation and its effects on patient safety, cost, and satisfaction.

Medication reconciliation implementation in an academic center

The authors describe the evolution and implementation of the inpatient medication reconciliation process at Mayo Clinic, composed of 3 integrated hospitals, receiving 60,000 admissions per year to a total of 1,951 beds.

Multidisciplinary approach to inpatient medication reconciliation in an academic setting

The mean number of medication discrepancies occurring during admission and discharge decreased after a multidisciplinary medication reconciliation process was implemented in an inpatient family medicine unit of an academic hospital center.

Improving medication reconciliation in the outpatient setting

This article describes a systematic study into outpatient medication reconciliation to determine if a multifaceted intervention influencing providers and patients reduced discrepancies related to inadequate prescription medication reconciliation in an outpatient setting.