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Medicine Reconciliation

Medicine reconciliation is an evidence-based process, which has been demonstrated to significantly reduce medication errors that occur at transition points of care (admission, transfer and discharge). The SMM implementation process follows the Plan – Do – Study – Act (PDSA) cycle for continuous quality improvement (CQI). This enables pilots to:

  • Identify areas where improvement could be achieved
  • Demonstrate that improvement is being achieved
  • Demonstrate that improvement is being sustained

Goal

To complete the medicine reconciliation process for all patients at each transition point (within 24 hours of admission and transfer and at discharge) within and from secondary care.

Impact

To demonstrate a sustained reduction in discrepancies that have the potential to become medication errors or result in medication related harm to the patient.

There are guidance tools and training materials available from SMM (sample below):

Medicine Reconciliation Standards Version 2 Feb 2011 (PDF 213KB)

Measuring and Reporting framework Issue 3 Feb 2011 (PDF 176 KB)

MR Standards Module 1 (PDF 929 KB)

MR Process Module 2 (PDF 1.22 MB)

Accurate Medicines List Module 3 (PDF 1.07 MB)

Medicine Reconciliation Posters (PDF 13,175 KB)

If you are interested in obtaining extra education and training, please contact  Nirasha Parsotam, Medication Safety Specialist /Clinical Advisor at nirasha.parsotam@hqsc.govt.nz

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