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Medication Reconciliation on Admission Draft Measure DocumentationCurrent as of: December 28, 2016Medication Reconciliation on Admission Composite Measurable of Contents Draft Measure Information

How to fill out medication reconciliation on admission

How to fill out medication reconciliation on admission

1. Gather all relevant medication information including prescription medications, over-the-counter drugs, vitamins, and herbal supplements.
2. Ensure accurate patient identification by confirming the patient's name, date of birth, and medical record number.
3. Obtain a thorough medical history, including any known allergies or adverse drug reactions.
4. Document the patient's current medication regimen, including dose, frequency, route of administration, and duration of use.
5. Review and compare the patient's current medication regimen with the medications prescribed during the hospital admission.
6. Identify any discrepancies or gaps in medication history and resolve them through communication with the patient, family members, or outpatient healthcare providers.
7. Ensure proper documentation of any changes made to the medication regimen during the reconciliation process.
8. Educate the patient and their caregivers about the importance of medication reconciliation and the need to provide accurate medication information.
9. Collaborate with the healthcare team to ensure smooth transitions of care and effective medication management throughout the hospital stay.

Who needs medication reconciliation on admission?

1. Patients who are admitted to the hospital from other healthcare settings such as nursing homes, rehabilitation centers, or outpatient clinics.
2. Patients who have significant changes in their medical condition or treatment plan.
3. Patients who are taking multiple medications or have a complex medication regimen.
4. Patients who have a history of medication errors, drug-related adverse events, or non-adherence to prescribed medications.
5. Patients who have a history of allergies or known drug interactions.
6. Patients who are at high risk for medication-related problems, including older adults, pediatric patients, and individuals with cognitive impairments.

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What is medication reconciliation on admission?

Medication reconciliation on admission is the process of creating the most accurate list possible of all medications a patient is taking upon entering a healthcare facility.

Who is required to file medication reconciliation on admission?

Healthcare providers, physicians, and nurses are required to file medication reconciliation on admission.

How to fill out medication reconciliation on admission?

To fill out medication reconciliation on admission, healthcare providers should compare the patient's current medication list with any new prescriptions or changes made during the admission process.

What is the purpose of medication reconciliation on admission?

The purpose of medication reconciliation on admission is to prevent medication errors, improve patient safety, and ensure continuity of care.

What information must be reported on medication reconciliation on admission?

Information that must be reported on medication reconciliation on admission includes the name of the medication, dosage, frequency, route of administration, and any recent changes.