Medication Review and Medication Reconciliation
Medication review and medication reconciliation are systematic processes with the aim of increasing patient safety as well as effectiveness and efficiency on different levels. Whereas medication reconciliation is defined as the formal process of obtaining a complete and accurate list of each patient’s current medications with the main aim of detecting and solving discrepancies, medication review is a structured evaluation of a patient’s medications with the aim of detecting and solving drug-related problems (DRPs). The available information determines which DRPs can be detected. If a medication list/plan has to be critically appraised, then the list should first be complete and correct. This makes reconciliation automatically a prerequisite for a medication review.
KeywordsPharmaceutical Care Medication review Medication reconsiliation Drug-related problems Classification
- 5.Beers MH. Explicit criteria for determining inappropriate medication use in nursing home residents. Arch Intern Med. 1991;151:1825. https://doi.org/10.1001/archinte.1991.00400090107019.CrossRefPubMedGoogle Scholar
- 11.Geurts, Marlies M E, Talsma J, Brouwers, Jacobus R B J, de Gier, Johan J. Medication review and reconciliation with cooperation between pharmacist and general practitioner and the benefit for the patient: a systematic review. Br J Clin Pharmacol. 2012;74:16–33. https://doi.org/10.1111/j.1365-2125.2012.04178.x.CrossRefGoogle Scholar
- 12.NCBI. Medical Subheadings: Medication Reconciliation (2011). https://www.ncbi.nlm.nih.gov/mesh/?term=medication+reconciliation. Accessed 04 Dec 2017.
- 13.NICE. Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes (2015). https://www.nice.org.uk/guidance/NG5/chapter/1-Recommendations#medicines-reconciliation. Accessed 04 Dec 2017.
- 14.ISMP Canada. Medication Reconciliation in acute care—getting started kit: safer healthcare now! https://www.ismp-canada.org/download/MedRec/Medrec_AC_English_GSK_V3.pdf. Accessed 04 Dec 2017.
- 16.Tam VC, Knowles SR, Cornish PL, Fine N, Marchesano R, Etchells EE. Frequency, type and clinical importance of medication history errors at admission to hospital. A systematic review. CMAJ: Can Med Association J = journal de l’Association medicale canadienne. 2005;173:510–15. https://doi.org/10.1503/cmaj.045311.CrossRefGoogle Scholar
- 17.Wong JD, Bajcar JM, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies.Google Scholar