Medication Safety

Spotlight Case November 2005 Reconciling Doses

Source and Credits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Objectives ,[object Object],[object Object],[object Object],[object Object]

Case: Reconciling Doses ,[object Object]

Case (cont.): Reconciling Doses ,[object Object]

Medication Reconciliation ,[object Object],[object Object],[object Object]

Medication Reconciliation: The Data ,[object Object],[object Object],[object Object],Rozich JD, Resar RK. JCOM. 2001;8(10):27-34. Tam VC, et al. CMAJ 2005;173:510-515. Pronovost P. J Crit Care. 2003;18:201-205.

Medication Reconciliation ,[object Object],[object Object],[object Object],100K Lives Campaign. IHI Web site. National Patient Safety Goals for 2006 and 2005. JCAHO Web site.

Starting a Medication Reconciliation Program ,[object Object],[object Object],[object Object],[object Object]

Recruiting Medication Reconciling Team ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Massachusetts Coalition for the Prevention of Medical Errors.

[object Object],[object Object],[object Object],[object Object],Developing a Medication Reconciliation Program Plsek PE. Pediatrics. 1999;103 (suppl):203-214. Model for Improvement. IHI Web site.

Developing the Reconciliation Process ,[object Object],[object Object],[object Object],[object Object],Michels RD, Meisel SB. Am J Health Syst Pharm. 2003;60:1982-1986. Nester TM, Hale LS. Am J Health Syst Pharm. 2002;59:2221-2225.

Potential Reconciliation Model RN collects medication history Pharmacist verifies information Physicians use the list to aid in decisions about drug therapy and document reasons to discontinue, change, or hold medications

Medication Reconciliation Forms ,[object Object],[object Object],[object Object],[object Object],[object Object]

Example Reconciliation Form http://www.macoalition.org/Initiatives/RecMeds/CooleyDickinsonReconcilForm.doc

Example Form (cont.) http://www.macoalition.org/Initiatives/RecMeds/CooleyDickinsonReconcilForm.doc

Another Reconciliation Form http://www.macoalition.org/Initiatives/RecMeds/CaritasNorwoodReconcilForm.doc

Another Form (cont.) http://www.macoalition.org/Initiatives/RecMeds/CaritasNorwoodReconcilForm.doc

More Example Forms and Tools ,[object Object],[object Object],[object Object],[object Object]

Medication Reconciliation: Technology ,[object Object],[object Object]

Evaluate Reconciliation Success ,[object Object],[object Object],[object Object],[object Object]

Medication Reconciliation: Role of the Patient ,[object Object],[object Object],[object Object],[object Object],Medication Reconciliation can Save Your Life. McLeod Health Web site.

How to Perform Medication Reconciliation ,[object Object],[object Object],[object Object],[object Object]

Take-Home Points ,[object Object],[object Object],[object Object]

Medication Safety

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