Medication reconciliation

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Robert G. Badgett, M.D.[2]

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List of terms related to Medication reconciliation

Overview

Medication reconciliation is "the formal process of obtaining a complete and accurate list of each patient's current home medications including name, dosage, frequency, and route of administration, and comparing admission, transfer, and/or discharge medication orders to that list. The reconciliation is done to avoid medication errors."

Methods

Criteria for determining a medication problem

One proposed criteria is the "number of unintentional medication discrepancies per patient."

Role of regional health information exchanges

Use of data provided by a regional health information exchange has been advocated. However, the clinical benefit of using a health information exchange is not established. A randomized controlled trial found no reduction in adverse drug reactions.

Quality measures

Medication reconciliation is a quality measure for Centers for Medicare & Medicaid Services (CMS), it is also a quality measure for National Committee for Quality Assurance (NCQA).

Public reporting

Medication reconciliation is part of the Centers for Medicare & Medicaid Services's (CMS) EHR Incentive Programs for the Measingful Use Stage 1 and the 2017 Modified Stage 2 Meaningful Use Program Requirements.

External links

• AHRQ: Medication Reconciliation
• HealthIT.gov: Medication Reconciliation
• HIMSS: HIMSS Electronic Medication Reconciliation (Med Rec) Resource Center
• IHI: Medication Reconciliation to Prevent Adverse Drug Events
• Joint Commission Resources and the American Society of Health-System Pharmacists; 2006. ISBN: 0866889566 (First edition) Google Books, AHRQ
• Leapfrog Group: Medication Reconciliation
• WHO:Action on Patient Safety - High 5s