While pharmacist-led medication counseling and interviews have been widely recommended by pharmacy organizations in recent years, another potential solution to lax reconciliation procedures is involving pharmacists themselves-not just pharmacy technicians and nurses-in a computer-assisted medication verification process. Louis hospital had encountered the problem of patients not remembering their medication histories-in response, the facility implemented an automated system that, with patient consent, collects medication histories from retail pharmacy databases to provide an accurate picture of all medications that patient has ever purchased using insurance. Some possible actions that the C-suite can take include common-sense solutions such as collecting accurate medication histories upon admission. Louis, MO, there are several steps that administration can take to ensure that their operations don’t just meet the National Patient Safety Goal for medication reconciliation, but exceeds it. McNew, PharmD, of the Clinical Workflow Improvement Department at the BJC Learning Institute in St. To truly move the pharmacy practice forward and make medication errors and ADEs things of the past, hospital leaders must enhance the medication verification process. But, although 2014 is the tenth year that medication reconciliation has been part of the Joint Commission’s National Patient Safety Goal, there is still much work to be done. According to the Institute of Healthcare Improvement (IHI), up to 50 percent of all medication errors and up to 20 percent of adverse drug events (ADEs) in the hospital occur as a result of “inconsistent knowledge and record keeping about medications.” In response, the IHI has defined a three-step medical reconciliation process of verification, clarification, and reconciliation, and this is typically the standard of care in all hospitals.
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