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Review

Medication Reconciliation

In: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 38.
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Review

Medication Reconciliation

Jane H. Barnsteiner.
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Excerpt

There is some evidence to demonstrate how a medication reconciliation process is effective at preventing adverse drug events. Few studies have been published demonstrating how to do the process effectively or outlining the costs associated with design and implementation of programs. Nonetheless, an effective medication reconciliation process across care settings—where medications a patient is taking are compared to what is being ordered—is believed to reduce errors. Comparing what is being taken in one setting with what is being prescribed in another will avoid errors of omission, drug-drug interactions, drug-disease interactions, and other discrepancies. Medication reconciliation is a major component of safe patient care in any environment.

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References

    1. Institute of Medicine. Preventing medication errors. Washington, DC: National Academies Press; 2006.
    1. Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. JAMA. 1997;277:307–11. - PubMed
    1. Rozich JD, Howard RJ, Justeson JM, et al. Patient safety standardization as a mechanism to improve safety in health care. Jt Comm J Qual Saf. 2004;30(1):5–14. - PubMed
    1. Gleason KM, Groszek JM, Sullivan C, et al. Reconciliation of discrepancies in medication histories and admission orders of newly hospitalized patients. Am J Health Syst Pharm. 2004;61:1689–95. - PubMed
    1. The Joint Commission. Medication reconciliation. sentinel event alert. 2006. http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_35.htm. - PubMed

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