medication reconciliation
Systematic process of verifying patient medications at care transitions to prevent errors and ensure therapeutic continuity.
Full Definition
A patient safety process that involves creating an accurate list of all medications a patient is taking and comparing this list with physician orders at each transition of care. In behavioral health settings, medication reconciliation is particularly critical due to potential interactions between psychiatric medications and other drugs, compliance issues, and the complexity of psychopharmacological regimens. The process includes verification of medication names, dosages, frequencies, and routes of administration, with documentation of any discrepancies and their resolution. This practice is required by accreditation standards and is a key patient safety initiative.
Usage
Usage note: Avoid abbreviating as 'med rec' in formal documentation; emphasize process rather than single event.
In Context
- "Medication reconciliation revealed three undisclosed over-the-counter supplements." — Admission assessment
- "The Joint Commission requires medication reconciliation at all care transitions." — Policy development meeting