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American Pharmacists Association American Society of Health-System Pharmacists. Improving Transitions of Care Optimizing Medication Reconciliation. J Am Pharm Assoc. 2012 52 e43-e52. J Am Pharm Assoc. 2005 45 566-72. Cooper JB Lilliston M Brooks D et al. Experience with a Pharmacy Technician Medication history Program. Am J Health-Syst Pharm. 201 71 1567-74. Medication Reconciliation Using Pharmacy Technicians to Improve Care Becky Johnson CPhT Megan Ohrlund PharmD Steve Finch RPh Objectives...
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How to fill out medication reconciliation

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How to fill out medication reconciliation

01
Gather all necessary information about the patient's medications, including the names, doses, and frequencies.
02
Review the patient's medical records and previous medication history to ensure accurate reconciliation.
03
Identify any discrepancies or inconsistencies in the medication list and resolve them with the healthcare team.
04
Engage in open communication with the patient to gather information about over-the-counter medications, herbal supplements, or alternative treatments they may be taking.
05
Ensure the accuracy of medication information by cross-checking with the patient's pharmacy or primary care provider.
06
Document all medication changes, additions, or discontinuations clearly and legibly using a standardized format.
07
Educate the patient about their medications, including proper administration, potential side effects, and the importance of adherence.
08
Coordinate with other healthcare providers involved in the patient's care to ensure continuity and avoid duplications or adverse drug interactions.
09
Follow up periodically to reassess the medication list and make necessary adjustments as the patient's condition or treatment plan changes.
10
Provide a copy of the updated medication list to the patient and other healthcare providers involved in their care.

Who needs medication reconciliation?

01
Patients transitioning from one healthcare setting to another, such as from hospital to home care.
02
Elderly patients who often have complex medication regimens and are at higher risk for medication-related issues.
03
Patients with chronic conditions requiring multiple medications and frequent changes in treatment.
04
Individuals with a history of medication non-adherence or medication-related adverse events.
05
Patients undergoing surgical procedures or experiencing significant changes in medical condition.
06
Patients with a high risk of drug interactions, such as those taking multiple medications or suffering from certain diseases.
07
Those receiving care from multiple healthcare providers who need coordination and centralized medication management.
08
Patients with mental health conditions, as they may be prescribed various psychotropic medications that require careful monitoring.
09
Individuals managing polypharmacy, which is the concurrent use of multiple medications.
10
Anyone seeking to optimize medication safety and prevent medication misuse or errors.
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Medication reconciliation is the process of creating the most accurate list of all medications a patient is taking and comparing that list against the physician's orders.
Healthcare providers, hospitals, and other healthcare facilities are required to file medication reconciliation for each patient.
Medication reconciliation is typically filled out by healthcare professionals who review a patient's medical records and current medications.
The purpose of medication reconciliation is to prevent medication errors, improve patient safety, and ensure accurate medication administration.
Information such as the name of the medication, dosage, frequency, route of administration, and any allergies or adverse reactions must be reported on medication reconciliation.
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