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Medication Reconciliation Description
Keeping an up-to-date medication list for all patients is important to help reduce the amount of medication error during hospital stays. Studies have found that as many as 46% of admissions will have at least one omitted medication from a patient’s regular routing.
Any instance of a patient transition opens up the opportunity for missed or incorrect information. These are just a few examples:
- Admission
- Discharge
- Transfer
- A visit to a different doctor
Recognizing this problem, the Iowa Healthcare Collaborative (IHC) is producing a Medication Reconciliation Toolkit for health care providers in the state. IHC hopes that this resource will offer more information on the issue as well as practical solutions.
Project Team
The project team includes physicians, nurses, representatives from hospital pharmacies, hospital management, and other various health care providers.
Goals
The team noted that many organizations are currently working on internal processes for reconciling medications at the time of admission. The team identified areas of improvement in reconciliation which included time of admission, time of discharge, and community outreach.
Status
The team has gathered information on current admit and discharge processes of hospitals, both in Iowa and nationally. The team has posted protocol examples for health care providers attempting to improve medication reconciliation in their respective facilities. The forms selected contain all of the data elements needed to successfully manage patient’s medications upon admit and after discharge from the hospital.
The team also focused on community outreach. Patients are a vital member of the health care team. As part of this team, they play an important role in their own safety when receiving health care either in a hospital or clinic. IHC, in collaboration with several providers across Iowa, has worked to develop an informational brochure and a personal medication wallet card so patients can easily monitor their medications.
View the IHC toolkits and their contents.
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