Medicines reconciliation

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Medicines Reconciliation

Medicines reconciliation (pronunciation: med-uh-sins rek-uh n-sil-ee-ey-shuhn) is a process where healthcare professionals work to ensure accurate and complete transfer of medication information at interfaces of care.

Etymology

The term "Medicines reconciliation" is derived from the Latin word "medicina", meaning "medicine", and the English word "reconciliation", which means the restoration of friendly relations.

Definition

Medicines reconciliation is a formal process of obtaining and verifying a complete and accurate list of each patient's current home medications — including name, dosage, frequency, and route — and comparing the physician’s admission, transfer, and/or discharge orders to that list. Discrepancies are brought to the attention of the prescriber and changes are made as appropriate.

Process

The process of medicines reconciliation involves several steps:

  1. Collection of the patient's medication history, with a focus on the medication name, dose, frequency, and route.
  2. Verification of the medication information collected, by comparing it with another reliable source of information.
  3. Clarification of any discrepancies or ambiguities identified during the verification step.
  4. Reconciliation of the medication information, by comparing it with the medication orders or lists in the healthcare setting.
  5. Documentation of the reconciled medication list in the patient's medical record.

Related Terms

  • Medication Therapy Management (MTM): A service provided by pharmacists that aims to optimize drug therapy and improve therapeutic outcomes for patients.
  • Pharmaceutical Care: A patient-centered, outcomes oriented pharmacy practice that requires the pharmacist to work in concert with the patient and the patient's other healthcare providers.
  • Clinical Pharmacy: The branch of pharmacy where pharmacists provide patient care that optimizes the use of medication and promotes health, wellness, and disease prevention.

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