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Whose Job Is It, Really?

A Multidisciplinary Approach to Completing Inpatient Medication Reconciliation



Co Authors:

Pragathi Balakrishna
Internal Medicine
Orange Park Medical Center
Pragathi.Balakrishna2@hcahealthcare.com

Sary O. Beidas
Internal Medicine
Orange Park Medical Center
Sary.Beidas@hcahealthcare.com

Sriharsha C. Athota
Internal Medicine
Orange Park Medical Center
Sriharsha.Athota2@hcahealthcare.com

Seung G. Yoon
Internal Medicine
Orange Park Medical Center
Seung.Geun@hcahealthcare.com

Abstract:

Medication reconciliation (MR) is the process of identifying the most accurate list of all medications a patient is taking, including the name, dosage, frequency, and route of each medication, and using this list to provide correct medications for the patient anywhere within the health care system. Evidence indicates that medication discrepancies can affect patient outcomes, and MR is intended to identify and resolve these discrepancies. Adverse drug events (ADE) associated with medication discrepancies can prolong hospital stays and, in the post-discharge period, may lead to emergency room visits, hospital readmissions, and utilization of other healthcare resources. This case study is designed primarily to enhance understanding of fundamental concepts, principles, and facts of MR in a hospital setting. It is run as directed case and can be completed in 45 minutes. The case was designed for interns in an internal medicine program, but is also transferable to third and fourth year medical students as well as pharmacy, nursing, NP and PA students.

Objectives:
  • Understand the processes that are incorporated in medication reconciliation (MR) in a hospital setting.
  • Describe roles of multidisciplinary participants in MR process.
  • Describe how to develop a systematic way to resolve barriers in MR.
  • Discuss the effects of MR on clinical outcome measures such as morbidity, mortality and hospital readmissions.
Keywords: medication reconciliation; MR, adverse drug reaction; ADR; adverse drug event; ADE; discharge plan; hospital discharge; medication history; history taking; prescription error;
Topical Area: N/A
Educational Level: Professional (degree program), Clinical education
Formats: PDF
Type/Method: Directed, Discussion, Mini-Case
Language: English
Subject Headings: Medicine (General)   Pharmacy / Pharmacology  
Date Posted: 3/28/2018
Date Modified:
Copyright: Copyright held by the National Center for Case Study Teaching in Science, University at Buffalo, State University of New York. Please see our usage guidelines, which outline our policy concerning permissible reproduction of this work.

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