Major The BPMH is used to generate admission medication orders OR the BPMH is compared with current medication orders and any medication discrepancies are identified, resolved, and documented. Major A current medication list is retained in the client record. Major The prescriber uses the BPMH and the current medication orders to generate transfer or discharge medication orders. Major The client, community-based health care provider, and community pharmacy (as appropriate) are provided with a complete list of medications the client should be taking following discharge.REFERENCE MATERIAL American Medical Association. (2007). The physician’s role in medication reconciliation. American Medical Association . AEerican ociety oa Hospital harEacists .AH 1 Coincil on harEacy racticee .20131e A H stateEent on the pharEacist’s rolein medication reconciliation. Am.J.Health.Syst.Pharmeo 1: 453-6. Canadian Patient Safety Institute and Institute for Safe Medication Practices Canada (2011). Medication Reconciliation in Acute Care: Getting Started Kit.Safer Healthcare Now! -started-kit.aspx. Institute for Healthcare Improvement. (2012). How-to Guide: Prevent Adverse Drug Events (Medication Reconciliation).Institute for Healthcare Improvement. Institute for Safe Medication Practices - Canada and Safer Healthcare Now! (2012). Medication Reconciliation (MedRec).Institute for Safe Medication Practices – Canada. Institute for Safe Medication Practices – Canada. (2012). Cross Country Med Rec Check-Up. Institute for Safe Medication Practices – Canada. MARQUIS Investigators. (2011). MARQUIS Implementation Manual: A guide for medication reconciliation quality improvement.Philadelphia, PA: Society of Hospital Medicine. (registration required) Mueller, S.K., Sponsler, K.C., Kripalani, S., Schnipper, J.L. (2012). Hospital-based medication reconciliation practices: a systematic review. Arch.Intern.Med.,172(14): 1057-69.
REQUIRED ORGANIZATIONAL PRACTICES 2017accreditation.ca | 26 COMMUNICATION New For on-site surveys starting January 2016MEDICATION RECONCILIATION AT CARE TRANSITIONS Acute Care Services (outpatient) For the Perioperative Services and Invasive Procedures Standards. In partnership with clients, families, or caregivers, medication reconciliation is initiated for a target group of outpatients who may be at risk for potential adverse drug events (organizational policy specifies when medication reconciliation is initiated for outpatients).