Week 7 Flashcards
Define Medication Reconciliation
Process of identifying the most accurate list of all medications that the patient is taking
Define Medication discrepancy
Unexplained differences in documented medication regimens across different sites of care
Define Medication-Related Problem
An even or circumstance involving drug treatment that actually/potentially interferes with the patient experiencing an optimum outcome of medical care
Define Transition of Care
Movement of a patient from one setting of care to another
Define Joint Commission
An independent, nonprofit organization that accredits and certifies health care organizations
Crucial Components
Pt info
Allergies
Sources
Person collecting
Pharmacy and provider names and phone numbers
Meds
Past
Immunizaations
Meds to be continued, held or discontinued
Documentation of discrepancies and resolution
5 steps
Develop a list of current medication Compare the med info Resolve discrepancies Provie reconciled med list Explain importance on managing med info
Intervention required
Use clinical judgement
Address with appropriate urgency
Document outcome
No Intervention required
New med started with new diagnosis
Med held for situation
Dose, route or frequency changed
Formulary substiution
General Barriers
Multiple providers/pharmacy Samples Embarrassment Lack of understanding Self-management Compliance Poor dissemination Errors Lack of systematic approach
Inpatient Barriers
Responsiveness of pt
Urgency
Frequent health status/med/room change
Outpatient Barriers
Limited access to labs
Limited or no follow up
Unknown compliance
Improvement strategies
Standardization Implementation of tech Expertise of a pharmacist Multidisciplinary approach Use multiple sources
Focus on four main transitions point
Admission
Relocation
Discharge
Community to ambulatory clinics
