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Ambulatory Medication Reconciliation

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					    Ambulatory Medication Reconciliation

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   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
    process.
   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
    history(V506).

				
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posted:11/12/2011
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