Medication reconciliation: Difference between revisions
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The clinical benefit of using a health information exchange is not established<ref name="NCTNCT01239121">{{cite web |url=https://clinicaltrials.gov/ct2/show/results/NCT01239121 |title=Regional Data Exchange to Improve Medication Safety - Study Results |author=Boockvar K |authorlink= |coauthors= |date= |format= |work= |publisher=ClinicalTrials.gov |pages= |language= |archiveurl= |archivedate= |quote= |accessdate=2017-06-05}}</ref | The clinical benefit of using a health information exchange is not established<ref name="pmid28505367">{{cite journal| author=Boockvar KS, Ho W, Pruskowski J, DiPalo KE, Wong JJ, Patel J et al.| title=Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial. | journal=J Am Med Inform Assoc | year= 2017 | volume= | issue= | pages= | pmid=28505367 | doi=10.1093/jamia/ocx044 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28505367 }} </ref>. A [[randomized controlled trial]] found no reduction in [[adverse drug reaction]]s.<ref name="pmid28505367"/><ref name="NCTNCT01239121">{{cite web |url=https://clinicaltrials.gov/ct2/show/results/NCT01239121 |title=Regional Data Exchange to Improve Medication Safety - Study Results |author=Boockvar K |authorlink= |coauthors= |date= |format= |work= |publisher=ClinicalTrials.gov |pages= |language= |archiveurl= |archivedate= |quote= |accessdate=2017-06-05}}</ref> | ||
==Quality measures== | ==Quality measures== | ||
Revision as of 13:51, 7 June 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Robert G. Badgett, M.D.[2]
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."[1]
Methods
Criteria for determining a medication problem
Role of patient engagement and understanding
Role of regional health information exchanges
Use of data provided by a regional health information exchange has been advocated.[2][3]
The clinical benefit of using a health information exchange is not established[4]. A randomized controlled trial found no reduction in adverse drug reactions.[4][5]
Quality measures
Medication reconciliation is a quality measure for Centers for Medicare & Medicaid Services (CMS)[6][7], it is also a quality measure for National Committee for Quality Assurance (NCQA).[8]
Public reporting
Medication reconciliation is part of the Centers for Medicare & Medicaid Services's (CMS) EHR Incentive Programs for the Measingful Use Stage 1[6] and the 2017 Modified Stage 2 Meaningful Use Program Requirements[7].
Interventions to promote the frequency of medication reconciliation
References
- ↑ "Medication Reconciliation- MeSH - NCBI". Retrieved 2017-06-05.
- ↑ Askin E, Margolius D (2016). "A call for a statewide medication reconciliation program". Am J Manag Care. 22 (10): e336–e337. PMID 28557524.
- ↑ Dhavle AA, Joseph S, Yang Y, DiBlasi C, Whittemore K (2017). "A better way: leveraging a proven and utilized system for improving current medication reconciliation processes". Am J Manag Care. 23 (3): e98–e99. PMID 28385027.
- ↑ 4.0 4.1 Boockvar KS, Ho W, Pruskowski J, DiPalo KE, Wong JJ, Patel J; et al. (2017). "Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial". J Am Med Inform Assoc. doi:10.1093/jamia/ocx044. PMID 28505367.
- ↑ Boockvar K. "Regional Data Exchange to Improve Medication Safety - Study Results". ClinicalTrials.gov. Retrieved 2017-06-05.
- ↑ 6.0 6.1 "Step 5: Achieve Meaningful Use Stage 1: When should I perform medication reconciliation?". HealthIT.gov. Retrieved June 5, 2017.
- ↑ 7.0 7.1 "Step 5: Achieve Meaningful Use Stage 2: Medication Reconciliation". HealthIT.gov. Retrieved June 5, 2017.
- ↑ "Medication reconciliation post-discharge: percentage of discharges from January 1 to December 1 of the measurement year for members 18 years of age and older for whom medications were reconciled the date of discharge through 30 days after discharge (31 total days)". National Quality Measures Clearinghouse. Retrieved 2017-06-05.
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