New manual helps hospitals improve medication reconciliation
Unintentional medication discrepancies during transitions in care are prevalent and pose a major threat to patient safety. Up to 67 percent of inpatients have at least one unexplained discrepancy in their prescription medication history at the time of admission. One solution to this problem is medication reconciliation, a key priority for National Quality Strategy improvement efforts.
The Society of Hospital Medicine (SHM) has developed a manual through an AHRQ grant to help hospitals improve medication reconciliation practices. These improvements can lead to reductions in negative outcomes such as inpatient adverse drug events and readmission rates which have significant patient safety and financial implications for hospitals. Based on the experiences of five hospitals participating in a three-year project, the Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) identifies best practices for medication reconciliation processes throughout hospital admission, transfer and discharge. It also outlines a framework for assembling a team and developing an implementation strategy that is adaptable to any hospital system.
The MARQUIS Implementation manual explains how hospitals can implement a bundle of interventions to improve medication reconciliation using a quality improvement process. The manual includes a site assessment to help implementers understand where to start with the process. Site leaders or pharmacists can use this assessment to help gauge the patient-centeredness of the institution’s medication reconciliation process and to begin customization and implementation of the various bundle components. The manual also features accompanying online resources such as a return on investment calculator to help hospitals make the business case for medication reconciliation.
The “MARQUIS Implementation Manual,” [http://www.hospitalmedicine.
org/MARQUIS] is available for free on the SHM website.