Physician Resources

Medication reconcilliation objectives

1. Recognize that the medication reconciliation process is:
   • a component of medication management
   • applicable to and necessary in all settings of care
   • complex and requires systems support
   • the most patient-centric component of medication management; the patient is central to the process and is the one constant in the continuum of care
   • a communication process, ie, a means to communicate medication management across care settings
2. Recognize that medication reconciliation will not be successful without:
   • physician participation
   • well-organized team support
   • patient (and family or caregiver) engagement
   • patient (and family or caregiver) understanding
   • properly delegated responsibilities
   • time to do the work
3. Recognize that the medication list is a means to enhance communication across the continuum of care. The list is:
   • a trigger tool to encourage peer to peer and patient-physician communication
   • a source of information to assist patients self-manage their medication regimen

Communicate knowledge

1. Information: Describe the medication reconciliation principles and process of work
2. Comprehension: Discuss the role of the patient, physician, team, microsystem, and system in the medication reconciliation process
3. Synthesis: Integrate the medication reconciliation principles into your current medication management process
4. Application: Apply the medication reconciliation principles to your work in all settings of care
5. Analysis: Analyze the need for or, if it presently exists, the effectiveness of the medication reconciliation process in their settings of care
6. Evaluation: Recommend processes and systems improvement (especially those that improve communication) to enhance and support the medication reconciliation process

Impart skills

1. Describe role in the medication reconciliation process
2. Identify the best medication reconciliation team in your settings of care
3. Demonstrate proper delegation of clinical and non-clinical medication reconciliation responsibilities
4. Identify strengths and weaknesses in the system that enhance or impair the medication reconciliation process
5. Identify resources (eg, human, technology, and other systems resources) needed to complete a successful medication reconciliation

Attitude: advance patient safety

1. Realize that the complexity of medication reconciliation and need for systems support require strong physician leadership and participation to achieve desired outcomes
2. Consider the role of the patient in safe medication management
   1. Reflect on health literacy
   2. Reflect on language barriers
   3. Reflect on patient resources and patient human factors: can the patient do what I am asking him/her to do?
3. Consider techniques and methods to improve communication across settings of care
4. Consider techniques and methods to improve patient communication

Questions

1. The core work of medication reconciliation is:

Answer choices:

1. a, c, and e
2. All of the above

2. What is a "medication reconciliation failure"?

Answer choices:

1. The same as any other type of medication error or adverse drug event
2. A medication error or adverse event resulting from incomplete or inaccurate medication information

3. Reconciliation failures occur in all settings of care, but occur most often at points of transition in the patient’s care.

Answer choices:

1. True
2. False

4. The patient is the one constant in the continuum of care.

Answer choices:

1. True
2. False

5. Patient engagement is a critical component of medication management and medication reconciliation.

Answer choices:

1. True
2. False

6. Patient medication self-management is complicated by the patient's:

Answer choices:

1. b, d, and e
2. All of the above

7. A list or medication card of the patient’s medication regimen is:

Answer choices:

1. An accurate and dependable source of information
2. A "trigger tool", ie, a starting point for generating a process for discovering medication problems (potential or current) and determining whether there is a need to reconcile the patient’s medications

8. The content of the medication list should be specific to the patient's needs and adapted to the patient’s level of literacy, numeracy, and understanding.

Answer choices:

1. True
2. False

9. Interruptions in the continuity of care, information gaps in the patient’s health care records, and unavailable patient medication regimen information are significant patient safety concerns.

Answer choices:

1. True
2. False

10. Effective medication reconciliation includes the following activities:

Answer choices:

1. a, c, and d
2. All of the above

11. The process of medication reconciliation is interdisciplinary and interdependent–and reliant on a team approach.

Answer choices:

1. True
2. False

12. Reliable results from the medication reconciliation process are only possible if:

Answer choices:

1. a
2. b
3. a and b

View correct answers

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