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Case Study By Pam Benson, Mph, and Curt Trow bridge, Mph A Multidisciplinary Approach to Medication Reconciliation is a growing concern for many hospitals; not only does The Joint Commission (TJC)
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How to fill out medication reconciliation - pharmacy:

01
Gather all necessary information: Collect the patient's current medication list, including prescription medications, over-the-counter drugs, and any supplements or vitamins they are taking. Also, obtain the patient's medical history, allergies, and any known adverse drug reactions.
02
Verify the accuracy of the medication list: Cross-check the medications with the patient's medical records, previous prescriptions, and other healthcare providers involved in their care. Ensure that the list is complete and up to date.
03
Identify discrepancies or conflicts: Carefully review the medication list for any inconsistencies, duplications, or potential drug interactions. Consult with the patient's healthcare team if there are any unresolved issues or concerns.
04
Resolve discrepancies: Work with the patient or their caregiver to clarify any discrepancies or medication changes. Communicate with the prescribing provider if adjustments need to be made or medications discontinued.
05
Update the medication list: Make necessary modifications to the medication reconciliation document, ensuring accuracy and reflecting the patient's current medication regimen.
06
Communicate and educate: Share the updated medication list with the patient and other healthcare providers involved in the patient's care. Educate the patient about their medications, including proper administration, potential side effects, and any necessary precautions.
07
Follow up: Schedule follow-up appointments or monitor the patient's progress to assess the effectiveness and safety of the medication regimen. Revisit medication reconciliation regularly, especially during care transitions or changes in medication therapy.

Who needs medication reconciliation - pharmacy:

01
Patients undergoing transitions of care: Medication reconciliation is crucial when patients are transitioning between healthcare settings, such as from hospital to home or from one healthcare provider to another. It ensures continuity and safety in medication management.
02
Patients with complex medication regimens: Individuals taking multiple medications, including different healthcare providers and pharmacies, can benefit from medication reconciliation. It helps identify and prevent any potential drug interactions or errors.
03
Patients with chronic conditions: Those with chronic illnesses who require long-term medication therapy may have frequent changes in their medication regimens. Medication reconciliation ensures that the list is accurate and up to date for proper management of their condition.
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Medication reconciliation in pharmacy is the process of obtaining and verifying a complete and accurate list of a patient's current medications, comparing it to previous prescriptions, and addressing any discrepancies.
Pharmacists and pharmacy technicians are required to complete and file medication reconciliation for their patients.
To fill out medication reconciliation, pharmacy staff must collect information on all current medications, document any changes or discrepancies, and communicate with healthcare providers.
The purpose of medication reconciliation in pharmacy is to prevent medication errors, improve patient safety, and ensure continuity of care.
Information such as the names of medications, dosages, frequency of administration, and any relevant instructions must be reported on medication reconciliation.
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