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This document outlines the standards and processes for medicine reconciliation in the New Zealand health and disability sector to ensure safe and effective use of medicines.
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How to fill out medicine reconciliation standard

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How to fill out Medicine Reconciliation Standard

01
Gather all current medication lists from the patient, including prescriptions, over-the-counter drugs, and supplements.
02
Verify each medication with the patient to confirm dosage, frequency, and prescribing doctor.
03
Compare the patient's current medication list with their previous lists and any discharge medications to identify discrepancies.
04
Document any changes, including medications that were added, discontinued, or modified.
05
Educate the patient on the importance of medication adherence and provide clear instructions on how to take any new medications.
06
Review the completed Medicine Reconciliation Standard with the healthcare team to ensure safety and accuracy.

Who needs Medicine Reconciliation Standard?

01
Healthcare providers involved in patient care, including doctors, nurses, and pharmacists.
02
Patients transitioning between different care settings, such as hospital to home or different health facilities.
03
Any healthcare organization aiming to reduce medication errors and improve patient safety.
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People Also Ask about

Medicines reconciliation is the process of identifying an accurate list of a patient's current medicines (including over-the-counter and complementary medicines) and carrying out a comparison of these with the current list in use, recognising any discrepancies, and documenting any changes.
This process comprises five steps: (1) develop a list of current medications; (2) develop a list of medications to be prescribed; (3) compare the medications on the two lists; (4) make clinical decisions based on the comparison; and (5) communicate the new list to appropriate caregivers and to the patient.
The Medication Safety Standard aims to ensure that clinicians safely prescribe, dispense and administer appropriate medicines, and monitor medicine use. It also aims to ensure that consumers are informed about medicines, and understand their own medicine needs and risks.
Medication reconciliation: The process of obtaining, verifying and documenting an accurate list of a patient's current medications on admission and comparing this list to the admission, transfer, and/or discharge medication orders to identify and resolve discrepancies.
There are five stages of the medication process: (a) ordering/prescribing, (b) transcribing and verifying, (c) dispensing and delivering, (d) administering, and (e) monitoring and reporting.
The “gold standard medication history” is created by a licensed pharmacist interviewing the patient to identify what medications the patient was taking prior to admission to the hospital. This may be in addition to any pre-admission medication list that was obtained by the care team.
Closed Loop Medication Management System (CLMMS) Delivering the right medication, in the right dose, to the right patient, at the right time – these are the essential 4 “rights” (4Rs) in administering medication.

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The Medicine Reconciliation Standard is a formal process that aims to ensure that patients' medication lists are accurate and complete during transitions of care, such as admissions, transfers, and discharges.
Healthcare providers, including pharmacists, nurses, and physicians, are typically required to file the Medicine Reconciliation Standard as part of their patient care responsibilities.
To fill out the Medicine Reconciliation Standard, healthcare providers should compare the patient's current medication list with the medications prescribed during the transition, documenting any discrepancies and confirming accuracy with the patient.
The purpose of the Medicine Reconciliation Standard is to prevent medication errors, enhance patient safety, and improve the overall effectiveness of treatment by ensuring that the patient's medication information is consistently communicated and maintained.
The information that must be reported includes the patient's current medications, dosages, frequency, routes of administration, any changes made during the transition, and the healthcare provider's verification of the accuracy of this information.
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