Introduction: This medication reconciliation clinical case demonstration is used as a classroom instructional tool to assist students in developing a methodology for critically analyzing medications when conducting medication reconciliation, particularly those conducted when patients transition across care settings. Methods: A number of medication errors have intentionally been built into the case. In the classroom, students are asked to identify the medication-related problems. After working independently, we discuss their responses as a group. Following the classroom session, students reconcile medications with individuals on their patient panel. At the conclusion of the course, students independently complete a patient case, similar to one that is presented in class, to assess their competency in identifying and resolving medication-related problems. Results: Students were asked to rate their opinion of this session as being “helpful and educational.” Using a 5-point Likert scale where 1 = strongly disagree and 5 = strongly agree, the mean rating given by students that responded (n = 11) was 4.18. Discussion: Through use of this case as an instructional method, along with the accompanying medication framework and tools provided to the students, student competency at identifying medication-related problems increased substantially in a way that was directly relevant to patient care.
- Identify and correct drug-related adverse events in patient care.
- Evaluate the appropriateness of medications for individual patients with consideration given to transcription errors, renal/hepatic function, cost, allergies, comorbidities, treatment guidelines, and drug interactions.
- Identify and correct therapeutic duplication or omission.
- Develop plans for appropriate medication monitoring.
- Counsel patients on appropriate medication utilization with consideration given to patient education and empowerment such that patients understand treatment goals, are able to adhere to their medications, and have awareness of common or serious side effects (and strategies to manage if they should occur).
- Document medication changes that occur during care transitions for patients.
- Develop a personal medication record for patients following a transition in care.
This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike license.