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www.cpsi.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - A complete and accurate medication list is the foundation for addressing medication reconciliation and … medication management issues. … Getting Started With Medication Management
Medication Management Implementation Quick Start Guide: … role in the medication management process. … medication list with a patient or family member.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
July 01, 2022 - should be considered as you design the medication reconciliation process:
Develop a single medication … medication orders and a patient's prescription/home medication list all in one location. … A medication profile could be pulled into forms or presented when patients' current medication lists … The goal for discharge medication reconciliation includes:
Comparing the patient's pre-admission medication … Updating the patient's pre-admission medication list to reflect the patient's medication regimen upon
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - Admission
Medication History :
Who obtains a medication history? … What is captured during a medication history interview?
When is a medication history obtained? … Comparison (Reconciliation) :
Who compares (reconciles) medication orders to medication histories? … Resolution :
Who follows up on unintended medication discrepancies? … Where is the intent/plan for each medication documented in relation to the medication orders in preparation
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-txt.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … orders on admission prior to redesign of a sound medication reconciliation process. … No standardized, consistent process for medication reconciliation. … Nurse reviews medication orders prior to administration. … Pharmacist reviews medication orders prior to verification and dispensing.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-4txt.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … orders and pre-admission medication list. … Physician updates prescription/home medications to reflect new discharge medication list. … home medication list in preparation for discharge.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … for medication reconciliation are essential. … Medication Reconciliation Upon Admission: High-Level Process Map AFTER Redesign
Medication Reconciliation … &mbsp
Medication List the names of any medications you are taking. … Route How are you taking this medication? (by mouth, injection, patch, etc.)
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/chapter-7.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … adhering to a medication regimen and may be unable to provide an accurate medication history. … reconciliation when obtaining medication histories from patients upon admission or providing medication … during patient interviews to obtain medication histories upon admission and at discharge for medication … High-Risk Situations for Medication Reconciliation. Content last reviewed July 2022.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - Reconciliation
Appendix, Medication Reconciliation
Previous Page Next Page
Table of … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … This comparison (reconciliation) and assessment helps form the patient's discharge medication list. … The patient's discharge medication list should also be communicated to the next provider of service (
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-2txt.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … orders during discharge prior to redesign of a sound medication reconciliation process. … Physician prepares discharge instructions referencing initial medication history within admission note … Changes to initial medication history documented to progress notes/addendum may not be captured when
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-3txt.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Directly below this, in the center of the chart is:
Med Profile ("One Source of Truth")
Medication … First, physician obtains and documents medication history in Med Profile. … Nursing (pharmacy) medication reconciliation form completed
Additional information:
Med Profile:
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-9.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Plan
Tips for Conducting a Patient Medication Interview a
I. … Full dosing information should be captured, if possible, for each medication. … This includes:
Name of the medication.
Strength. … and closed-ended questions (e.g, "Do you take medication for your high cholesterol?")
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-8.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Plan
Medication Reconciliation Process Physician Focus Group—Interview Questions … In your own words, please describe what the medication reconciliation process means. … How did you learn about your role in the medication reconciliation process?
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/index.html
April 01, 2023 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Plan
Medication reconciliation is a complex process that impacts all patients as they … Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … Unfortunately, many of these medication errors are associated with direct harm to patients. … [Insert organization] is committed to improving medication management, and a critical step is medication
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www.cpsi.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - safety, potential solutions to medication discrepancies, and liability for medication discrepancies. … in medication management. … An inaccurate medication history often initiates a trail of medication discrepancies that sets up an … erroneous medication reconciliation process, culminating in an inaccurate discharge medication list. … Institute for Safe Medication Practices.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-2.html
July 01, 2022 - Reconciliation
Appendix, Assembling a Medication Reconciliation Team
Previous Page Next … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … Medication Reconciliation Leadership Team
Executive Sponsor(s):
Project Sponsor(s):
Improvement
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-1.html
July 01, 2022 - Reconciliation
Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … Plan
Multiple, independent medication histories obtained from patient and documented
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-9.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … To help educate [insert discipline] on [insert new process] developed for medication reconciliation … In addition, medication reconciliation coaches will be available for one-on-one training and assistance
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6b.html
July 01, 2022 - Reconciliation
Appendix, Example of Metrics on Admission: Illinois Hospital Association Medication … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … Below is an example implementation timeline for a hospital-wide roll out of a medication reconciliation
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-3.html
July 01, 2022 - Resources
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … Reconciliation
Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work