The Essentials of Medication Reconciliation in Long-Term Care

Nearly half of all medication errors in long-term care (LTC) facilities stem from human inaccuracies. 

Without proper medication practices patient safety is jeopardized, potentially leading to severe health consequences, and increased costs.

Importance of Medication Reconciliation for Patient Safety

Medication reconciliation involves comparing the medications a patient currently takes with the medications he or she has been prescribed.

It’s not just about obtaining a complete medication history though. It’s also about verification, clarification, and reconciliation of the information.

In LTC settings, where patients often have complex medication regimens and may transition between different care settings, this step in the process plays a pivotal role in medication safety.

How to Perform Medication Reconciliation

Often referred to as a “med rec,” a medication reconciliation healthcare professionals can identify discrepancies in a patient’s medication list to help prevent errors such as duplicate therapy, incorrect dosages, or harmful drug interactions. 

Resolving these discrepancies minimizes the risk of adverse drug events and enhances patient safety. 

Following best practices can enhance patient safety, reduce medication errors, and optimize the quality of care provided to residents.

1. Obtain Current Medication Information

Start by obtaining a comprehensive list of all medications the patient is currently taking. including prescription drugs, over-the-counter medications, supplements, and vitamins. 

This step is imperative as it sets the stage for comparing all other medications to this list.

This information can be gathered from the patient, their caregivers, medication bottles, insurance claims, or community pharmacies.

2. Verify and Review Medications

Ensure the accuracy of the information gathered by verifying it with multiple sources to prevent the oversight of potential drug interactions or the omission of essential medications from the patient's regimen.

Reviewing the list with the patient or caregiver ensures that all medications are accounted for and prescribed correctly.

3. Identify Discrepancies and Clarify Information 

Identify any discrepancies, such as missing medications, incorrect dosages, or potential drug interactions to mitigate risks.

By meticulously reassessing the information gathered, staff can prevent adverse drug events, optimize treatment outcomes, and ensure residents receive the appropriate medications in the correct doses.

4. Communicate Changes

Clearly and regularly communicate any changes or updates to the medication list to patients, healthcare staff, and caregivers. 

This enables staff to stay up to date on the resident's medication needs, treatment plan adjustments, and potential interactions, maintaining continuity of care.

‍Prime Care Pharmacy provides ongoing training and support specific to the needs of LTC facilities. Prime Care’s collaborative partnerships with industry leaders means your facility gains access to innovative solutions and expert insight.