Original Publication
Open Access

Medication Reconciliation Clinical Case - Demonstration

Published: November 13, 2012 | 10.15766/mep_2374-8265.9265

Included in this publication:

  • DEMO case with answers.docx
  • Medication Framework.pptx
  • Medication RESOLUTION Tool BLANK.docx
  • Medication RESOLUTION Tool Demo Case.docx
  • Medication Reconciliation Demonstration Assessment Instructors Guide.docx
  • Reasons for Medical Errors TOC.pptx
  • Tool for Patient's List of drugs BLANK.docx
  • Tool for Patient's List of drugs DEMO Case.docx
  • Tool patients see CHANGES in meds- BLANK.docx
  • Tool patients see CHANGES in meds- DEMO Case.docx
  • Tracking Tool BLANK.docx
  • Tracking Tool DEMO.docx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

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.


Educational Objectives

By the end of this case, students should be able to:

  1. Identify and correct drug-related adverse events in patient care.
  2. 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.
  3. Identify and correct therapeutic duplication or omission.
  4. Develop plans for appropriate medication monitoring.
  5. 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).
  6. Document medication changes that occur during care transitions for patients.
  7. Develop a personal medication record for patients following a transition in care.

Author Information

  • Kelly Karpa, PhD: Pennsylvania State University College of Medicine
  • Paul Haidet, MD, MPH: Pennsylvania State University College of Medicine

Disclosures
None to report.

Funding/Support
None to report.



Citation

Karpa K, Haidet P. Medication reconciliation clinical case - demonstration. MedEdPORTAL. 2012;8:9265. https://doi.org/10.15766/mep_2374-8265.9265