Medication History_Confirmation and Reconciliation Process Flow Chart by hcj

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									Medication History, Confirmation and Reconciliation Process Flow Chart
Patient presents to Emergency Department or admitted to ward Conduct Medication History Documented in: MRF – by ED Medical Officer MRF – by Ward Pharmacists Key:
MRF = Medication Reconciliation Form

Medication History

Medication History Confirmation

Confirm Medication History with a second source

Are there discrepancies between the two sources? (Pharmacist to complete)

No

Yes Obtain clarification from a third source

Medication Reconciliation

Check Medication Chart against MRF (Pharmacist)

Are there discrepancies?

Yes Can the discrepancies be medically reconciled? (e.g. No warfarin charted, but patient is bleeding.) No Place discrepancy sticker in the patient notes and contact Medical Officer/Medical Team

No

Yes

IIMS report

Sign and place MRF next to the Medication Chart
D O Mahony SSSL Project officer HKH 27/01/2010


								
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