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Medication Reconciliation
Process to ensure accurate medication lists for patients.
Adverse Drug Events (ADEs)
Negative effects from medication discrepancies.
Best Possible Medication History (BPMH)
Comprehensive medication history from various sources.
Medication Discrepancy
Difference between prescribed and actual medications.
Intentional Discrepancy
Physician-initiated changes to a patient's medication.
Unintentional Discrepancy
Accidental changes made to a patient's medication.
Referral Assessment Tool
Tool to determine need for pharmacist referral.
High Risk Codes
Codes for patients on specific high-risk medications.
Medication Omission
Failure to include a medication on the list.
Dosage Change
Alteration in the amount of medication prescribed.
Route Change
Change in the method of medication administration.
Frequency Change
Alteration in how often medication is taken.
Drug Comparison
Analyzing prescribed medications against BPMH.
Patient Education
Informing patients about their medication regimen.
Communication at Transfer Points
Sharing medication information during patient transitions.
Documentation of Discrepancies
Recording differences found during medication reconciliation.
Clinical Decisions
Choices made based on medication list comparisons.
Medication Administration Record (MAR)
Record of medications administered to a patient.
Community Pharmacy List
List of medications obtained from local pharmacies.
Patient Recall
Information provided by patients about their medications.
Medication Vials Review
Examining containers for medication details.
Open-Ended Questions
Questions that encourage detailed patient responses.
Allergies and Intolerances
Reactions to medications that need documentation.
Consultation with Physician
Discussion with doctor regarding medication changes.
Continuity of Care
Ensuring consistent patient care across health settings.
Medication Reconciliation Timeline
Must be completed within 24 hours of admission.
F5 Recall Key
Function key to access allergy information in Meditech.
Resolved Field
Indicates if a discrepancy has been addressed.