MEDICATION RECONCILIATION IN

HOME HEALTH CARE

1
Candace Graham BSN, RN
Ferris State University
Did you know?

Older adults are prone to

adverse events

31% o !" visits have at least

one potential adverse event

Standardi#in$ the revie% o

medications can prevent
adverse events
&
WHY IS THIS
IMPORTANT TO HOME
HEALTH CARE?
3
What is Mediation
Reoni!iation?
'
It is a "o#$a! %#oess o" o&tainin' a o$%!ete
and au#ate !ist o" eah %atient(s u##ent
ho$e $ediations and #e)iewin' that !ist as
we!! as the u##ent hos%ita! $ediation histo#y
to $ake in"o#$ed deisions a&out $ediation
o#de#s at ad$ission* han'e in !e)e! o" a#e*
%ost+%#oedu#e* and at disha#'e,
- Ste%s o" Mediation
Reoni!iation
(
)eriy
O*tain a complete
and accurate list o
the patient+s current
medications
includin$ name,
dose, re,uency, and
route-
)alidat
e
Revie% the current
medications and
indicate %hich are
to *e continued,
doses altered,
temporily held or
discontinued
Clariy

Compare the
medication list
%ith medication
orders at
admission and
each transition
in care-
Cu##ent Mediation
Reoni!iation P#oess
.
Mediation Reoni!iation Re+
)ised
/
TA.E IT ONE STEP /0RTHER
0
The 1 $ediations $ost assoiated with
hos%ita! ad$issions in o!de# adu!ts
1
2 %ararin
2 insulin
2 antiplatelet dru$s3includin$ aspirin4
2 oral hypo$lycemic a$ents
Cu##ent Pathway "o# Mediation
Re'i$en
15
Week One /ous

6 First %ee7 medication mana$ement ocus 8F9RS: ;!!< !"UC=:9ON

FOCUS> ?edication ?ana$ement@
11
NEW2 S%ei"ied /i#st Week
/ous

6 First %ee7 medication mana$ement ocus 8!"UC=:9ON FOCUS>

%ararinACoumadin, insulin, antiplatelet dru$s, and oral hypo$lycemic
a$ents@
1&
Su$$a#y
13
Re"e#enes

Barnsteiner,B-C- Chapter 30- ?edication Reconciliation- =$ency or Cealthcare Research and Duality- 3&5504- Patient Safety and Quality: An evidenced based
handbook for nurses. =CRD Eu*lication No- 50655'3- Roc7ville, ?"- Retrieved rom> http>AA%%%-ahr,-$oveA,ualAnurseshd*7A

Budnit#, "- S-, Fove$rove, ?- C-, Sheha*, G N-, Richards, C- F- 3&5114- !mer$ency hospitali#ations or adverse dru$ events in older =mericans- The New England ournal
of !edicine" 3.(3&14- Retrieved rom> http>AA%%%-neHm-or$AdoiAullA15-15(.AN!B?sa11535(3

Bronson ?ethodist Cospital- 3&51'4- ?edication reconciliation policy G procedure 3Nursin$ :6(54-

9mprovin$ ?ana$ement o Oral ?edication Best Eractice 9ntervention Eac7a$e 3BE9E4- 3=pril &5154- &5156&511 Come Cealth Duality 9mprovement 3CCD94 Campai$n-
Retrieved rom> %%%-homehealth,uality-or$

9nstitute or Cealthcare 9mprovement- 155< lives campai$n- Retrieved rom http>AA%%%-ihi-or$A9C9AEro$ramsACampai$nA-

?are7, <-"- G =ntle, F- Chapter 10- ?edication ?ana$ement o the Community6"%ellin$ Older =dult- =$ency or Cealthcare Research and Duality- 3&5504- Patient
Safety and Quality: An Evidenced#$ased %andbook for Nurses. =CRD Eu*lication No-50655'3- Roc7ville, ?"- Retrieved rom > http>AA%%%-ahr,-$oveA,ual-nurseshd*7A
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Thank You3
*ronsonhealth-com
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