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Medication Reconciliation InpatientHomePrevious Page 1 of 8PrintMedication Reconciliation Inpatient Administrative Policies & Procedures Document Number: MHCADMIN021280Revision #: v6Document Owner:
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How to fill out medication reconciliation - inpatient

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How to fill out medication reconciliation - inpatient:

01
Collect all necessary information: Gather the patient's current medication list, including prescription medications, over-the-counter drugs, herbal supplements, and vitamins. Obtain the names, dosages, frequencies, and routes of administration for each medication.
02
Verify the information: Ensure that the medication list is accurate by cross-referencing it with the patient's medical records, prescription labels, and any available electronic medication profiles. Confirm the correct spelling and dosages of the medications.
03
Identify discrepancies: Compare the patient's current medication list with the medications ordered during their hospital stay. Look for any discrepancies such as omissions, duplications, dosage changes, or new medications that have been added.
04
Investigate the discrepancies: Contact the patient's primary care provider, pharmacy, or other healthcare professionals involved in the patient's care to clarify any discrepancies and resolve any medication-related issues. Document the discussions and any changes made to the medication list.
05
Reconcile the medication list: Update the medication list to reflect accurate and complete information. Include the start date, stop date (if applicable), and any changes made to the medications. Ensure that the medication list is easily understandable and accessible to the healthcare team.
06
Communicate the changes: Share the updated medication reconciliation with the patient's healthcare team, including physicians, nurses, pharmacists, and other relevant staff members. Also, communicate any medication changes or adjustments to the patient and their caregiver, ensuring they understand the reasons behind the changes.
07
Follow-up and review: Regularly review and update the medication reconciliation as needed during the patient's hospital stay. Monitor for any adverse drug events, drug interactions, or issues arising from the medication changes. Continually reassess and update the medication list throughout the inpatient period.

Who needs medication reconciliation - inpatient?

Medication reconciliation is crucial for all inpatients, regardless of age or medical conditions. It is especially important for individuals who have complex medication regimens, multiple healthcare providers, or a history of medication errors. Inpatients who are transitioning between different healthcare settings, such as from the emergency department to a hospital unit, also require medication reconciliation to prevent any discrepancies or errors in their medication management. Additionally, patients with chronic conditions, multiple comorbidities, or a high risk of adverse drug events should undergo medication reconciliation to ensure the safe and effective use of medications during their hospital stay.
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Medication reconciliation inpatient is the process of creating the most accurate list possible of all medications a patient is taking.
Healthcare professionals, including physicians, nurses, and pharmacists, are required to file medication reconciliation for inpatients.
To fill out medication reconciliation for inpatients, healthcare professionals need to gather information on all medications the patient is taking, including prescription drugs, over-the-counter medications, and herbal supplements.
The purpose of medication reconciliation in inpatients is to ensure that all healthcare providers have accurate and up-to-date information on the patient's medications to prevent medication errors.
Information reported on medication reconciliation for inpatients includes the name of the medication, dosage, frequency, route of administration, and the reason for taking the medication.
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