Contacts Clinical Contact Rosa M. Johnson, ARNP, MN, CPHQ Director, Medicare Operations, Washington Qualis Health 206-364-9700, ext. 2142 rosaj@qualishealth.org The Six Changes Rapid Response Teams Prevent Adverse Drug Events Reliable, Evidence-Based Care for Acute Myocardial Infarction Prevent Central Line Infections Prevent Surgical Site Infections Prevent Ventilator-Associated Pneumonia Download Helper Adobe Acrobat PDF files Webex presentations Audio files

Prevent Adverse Drug Events (ADEs)
…by implementing medication reconciliation.

Medication reconciliation means creating a formal process for obtaining a complete and accurate list of each patient’s current home medications and comparing the physician’s admission, transfer, and/or discharge orders to that list.

This basic comparison process provides prescribers with an opportunity to catch discrepencies make changes when necessary, and document those changes for future reference.

The process itself will be unique to each hospital, but we can help you with tools and methods that make it easier to discover the process that works best for you.

Resources to get you started

• One-page summary
• How-to Guide
• Presentation with Facilitator Notes
• Annotated Bibliography
• Recording of the March 1 Adverse Drug Events, Medication Reconciliation Informational Call

More resources we have collected
The Washington Network is dedicated to assisting hospitals in implementing the 100K Lives Campaign as efficiently as possible. To this end, we continually scour the globe for superior existing tools, policies, and guidelines that may be easily adapted for use by our Washington hospitals. If you have found additional resources you would like to share, please send them to Sharon Eloranta, MD.

Tools from the Massachusetts Coalition for the Prevention of Medical Errors (www.macoalition.org)

• Designing a Form to Use for Reconciling Medications
• Flow Charts: Admission Medication Reconciliation Process for Elective Orthopedic and Emergent Medical through ED and Reconciling Medications at Admission
• Preadmission Medication List Verification and Order Form (MedicationReconciliation Form)

Get more at www.ihi.org

• Tools and Resources
  • A database of tools submitted, used and rated by healthcare providers.
  • White papers and training in Improvement Models.
• Register for www.ihi.org
  Join discussion groups to share with and learn from healthcare professionals around the world dedicated to improving healthcare quality.

References
¹Whittington J, Cohen H. OSF Healthcare’s journey in patient safety. Quality Management in Health Care. 2004;13(1):53-59.

²Michels RD, Meisel S. Program using pharmacy technicians to obtain medication histories. Am J Health-Sys Pharm. October 1, 2003;60:1982-1986.

³Berwick, Donald, Presentation to the Association of Health Care Journalists, AHCJ Sixth National Conference: A Discussion with Donald Berwick, 4/2/05. Transcript provided by kaisernetwork.org, a free service of the Kaiser Family Foundation.