Get Medication Reconciliation Audit Tool

The Medication Reconciliation Audit Tool is essential for evaluating medication reconciliation processes at healthcare facilities. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete the Medication Reconciliation Audit Tool online.

1. Press the ‘Get Form’ button to access the Medication Reconciliation Audit Tool and open it in your form editor.
2. Fill in the facility name and date at the top of the form. Ensure the information is accurate to reflect the auditing facility and the current date.
3. Enter the data collector’s name and contact information, including email and phone number. This information is crucial for follow-up and inquiries.
4. Begin auditing by reviewing patient medical records. Aim to evaluate 5 to 10 records of patients who have been discharged after receiving anticoagulants or hypoglycemic drugs. Use the provided criteria to answer each question with 'Y' for yes or 'N' for no.
5. For each patient record, assess whether an original home medication list was collected upon admission. Document this under the criteria for Pt. 1.
6. Check if the home medication list included all necessary details: medication name, dose, route, and frequency. All elements must be present for a 'yes' answer under Pt. 2.
7. Confirm that the reconciled medication list aligns with admission orders within 24 hours. Document your findings under Pt. 3.
8. Ensure that the reconciled medication list is stored in a designated location within the medical record under Pt. 4.
9. Verify if there is a 1:1 correspondence between the original home medication list and the admitting orders. Record your conclusion under Pt. 5.
10. If there are discrepancies, check the rationale for each difference. If none is documented, complete the Medication Discrepancy Tool for each relevant patient record.
11. Once all patient records are audited, review your entries for clarity and accuracy. Save your changes, and choose to download, print, or share the completed form as required.

Complete your Medication Reconciliation Audit Tool online to ensure effective medication management.