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Medicines reconciliation: a case study
Published in Paul Bowie, Carl de Wet, Aneez Esmail, Philip Cachia, Safety and Improvement in Primary Care: The Essential Guide, 2020
Medicines reconciliation is an issue at all interfaces of care but it is particularly important when patients are admitted and discharged from hospital. A schematic detailing the key transitions of care where medicines reconciliation should be done is shown in Figure 28.1. There is evidence that this process does not happen reliably,6.7 with local audits conducted in a single health authority reporting just over half of patients admitted to one of its hospitals had one or more of their usual medicines unintentionally omitted from their prescription chart.8 In total, 60% of patients had medication discrepancies on discharge specifically, relating to medicines that had been started and/or stopped during the admission.9,10
Medicines management and the mental health nurse
Published in Chambers Mary, Psychiatric and mental health nursing, 2017
Rebecca M. Burgess-Dawson, Steve Hemingway
Engaging with the service user and making sure that medicines management activities are only one part of an overall package of care (as described in chapter 37, on the Care Programme Approach) can mean that the taking of medicine is a part of everyday life. Unwanted effects not immediately linked by the individual to their medicine regime can be quickly identified and managed more effectively if a holistic discussion about overall quality of life is initiated. Medicines reconciliation is also an important activity whenever an individual moves between teams or services, as this is a time of risk when information can be missed or misreported.42
‘Illuminating determinants of implementation of non-dispensing pharmacist services in home care: a qualitative interview study’
Published in Scandinavian Journal of Primary Health Care, 2023
Karl-Erik Bø, Kjell H. Halvorsen, Torsten Risør, Elin C. Lehnbom
The participants in our study articulated both specific knowledge of how the innovative services could facilitate medication work, and an appreciation of access to in-situ pharmaceutical knowledge. They portrayed the pharmacist as a versatile resource and unanimously pointed to optimizing the patients’ medication lists as an important component of the pharmacist intervention. Moreover, the benefits of pharmacist services were reported to be observable through social support, increased medication-related knowledge among health personnel, and improved benchmarking on quality indicators. Some accounts in our data compared aspects of medication work before and after the introduction of the innovation with specific examples of how several medication-related processes had improved. Medicines reconciliation was one such process.