Ambulatory Medication Reconciliation
Determine when medication reconciliation applies. If medications are added,
discontinued, or doses changed, medication reconciliation applies. When in doubt, use
good clinical reasoning: what is important to provide good patient care.
Collecting a medication list before a procedure is always good practice (whether or not
you’re implementing medication reconciliation).
If there are changes in medications or doses, determine who, in addition to the patient,
needs to know that information.
If a clinician is not familiar with specific medications, develop a process whereby
appropriate consultation is available.
Review the JCAHO minimal medication use (JCAHO.org) to assist in developing your
Review the Conditions of Coverage regarding Medical injuries and medical errors
identification (V634). Also, the quality improvement program must focus on indicators
related to improved health outcomes and the prevention and reduction of medical errors
(V626). Thirdly, the comprehensive patient assessment must include a medication