Medication Reconciliation. JCAHO Patient safety Goal #8. Mandate. To improve patient safety and provide consistent care, a medication reconciliation process incorporating a patient’s “home medications” must be implemented and in place January 2006 This is a Regulatory Requirement
JCAHO Patient safety Goal #8
To improve patient safety and provide consistent care, a medication reconciliation process incorporating a patient’s “home medications” must be implemented and in place January 2006
This is a Regulatory Requirement
Based on recorded sentinel events
Requires comparing the patient’s list of current medications (home meds) against the physician’s admission, transfer, and discharge ordersDefinition
One of the six proven interventions to save lives:
Prevent Adverse Drug Events (ADEs)…
by implementing medication reconciliation
“Attending” physician must be responsible for medication reconciliation at time of admission, transfer and discharge One - “Captain of the Ship”*
Eliminate all physician order such as:
*Surgeon will review post op and intensivist may review on transfer to ICU
A mandatory field must be completed.
When the “attending” physician logs onto the chart, an alert will be triggered interrupting the order session if a reconciliation communication has not been placed in the chart
This is the alert to direct the “attending” to use the “View Actions”
The “attending” should click on “keep this order” (indicating the Chem 7 in the example).
The Medication Reconciliation Communication Order field will be visible and mandatory.
Once the attestation is complete, the “attending” physician should click OK
The order entry window will appear and orders can be submitted as usual.
This form is printed on discharge. From the orders tab in SCM, click on the printer icon and choose Medication Reconciliation Report
“Attending” will indicate which medications are to be continued or discontinued by checking in the appropriate column
Nursing will use this list to complete the patient discharge Instruction form completing the reconciliation process