Chapter 1: The Need for Medication Reconciliation
Before you begin, please view the "Medication Reconciliation/Patient Safety Goals" video:
Patient care in the 21st century takes place in a variety of settings. This, fact in and of itself, does not necessarily serve as a barrier to safe medication practices or contribute to medication related errors. When the collaborative care team is aware of each patient’s medication plan of care, an ongoing line of communication is maintained regarding changes to that plan and the best practices can easily be maintained. However, this process is jeopardized by transition of patients through the healthcare system. Although barriers to safe medication practices can occur with any transition in care setting, multiple, temporary transitions, which occur often, pose a significant barrier to medication safety. This is often a situation during which the medication plan of care and medication regimen can undergo multiple revisions. What this means is that the original medication regimen which existed prior to admission may be radically different from the one on discharge. In many instances care providers, other than the patient’s primary care provider (PCP), such as hospitalists, are managing care with only a small base of knowledge about a particular patient.