"Patients routinely under-report, or even over-report, their outpatient and inpatient medications, and
should be included in hospital medication management to improve safety, according to a study published online Dec. 10 in the Journal of Hospital Medicine."
I've been very frustrated with how we educate patients and document what medicine they were taking prior to admission to the hospital and what medications they should be taking on hospital discharge. To do this, many hospitals use a "Medicine Reconciliation Form." I have yet to see this "tool" implemented well at any hospital. One problem is, as mentioned above, patients often so not know what medicines they are taking. Another problem is that many different individuals can fill out this form, on admission or discharge. I can't begin to tell you how often I see a patient 1-2 weeks after discharge and they have NO idea what Rx they are taking (let alone why!).
All patients on my Post-PCI service have their "Med Rec Form" meticulously filled out by my physician extenders. I also have all my patients care around a "Medication Card" in their wallet or purse. On this card, we list all the patients Rx including name of drug, dose of pill, how many pills taken at one time, how many times a day the pill is taken. Unfortunately, as a "consultant", I have no control over medications prescribed by the patient's other MD's.
Until the medical profesion finds a way to solve this problem, there will still be thousands of patients injured every year from improper medication use.
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