Medication reconciliation in the emergency department

Communicating about the management of medications as patients move across transition points of care: an observation and interview study

“…In addition, medication orders moving from the EDs to medical wards were often incomplete, inaccurate or left behind in the EDs. Past research has also demonstrated deficiencies in medication changes in verbal or written communication as patients move between environments [20–23]. In the current study, health professionals dealt with deficits by referring retrospectively to previous admissions, rather than trying to ensure information was correct as patients moved forward.…”

Accuracy and safety of tablet subdivision

“…Tabletki o mniejszych rozmiarach w większości odznaczają się większym zróżnico waniem masy po podziale w porównaniu do tabletek o więk szych rozmiarach. Różnice te często znacząco przekraczają przyjęte wartości dozwolone [17]. Podzielone tabletki powin ny cechować się jednolitością masy, co oznacza, że więcej niż jedna część nie może przekraczać wartości 85-115% średniej masy dla danej części oraz żadna nie może przekraczać za kresu 75-125% średniej masy danej części.…”

Emergency Medicine Pharmacy Practice

“…Although pharmacists are capable of obtaining high-quality medication histories, this single function should not eclipse or preclude other ED pharmacist activities related to patient care. 28 Some institutions have opted to use pharmacy technicians as a mechanism to obtain high-quality medication histories, 29,30 while other institutions have opted to have ED clinicians focus on particularly high-risk patients or patients that are being admitted to services that do not have dedicated clinical pharmacy services. 31 The focus on medication reconciliation also depends on when / where / who writes the admission orders.…”