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Medication reconciliation is a formal process in which healthcare providers work together with patients, families and care providers to ensure accurate and comprehensive medication information is communicated consistently across transitions of care.
Medication reconciliation requires a systematic and comprehensive review of all the medications a patient is taking to ensure that medications being added, changed or discontinued are carefully evaluated. It is a component of medication management and will inform and enable prescribers to make the most appropriate prescribing decisions for the patient.
"[Medication Reconciliation] is definitely the right thing to do. We have certainly caught errors that could have caused harm to patients, which helps staff and physicians better understand the importance of MedRec."
Winnipeg Regional Health Authority, MB
ISMP Canada supports Medication Reconciliation provincially, nationally and internationally ISMP Canada created Getting Started Kits for Medication Reconciliation in Acute Care, Long Term Care, Home Care for the Canadian Safer Healthcare Now! campaign and for the World Health Organization High 5's initiative and provides ongoing support to teams around the world. Best Possible Medication History (BPMH) training is available. Read More … Experienced a MedRec failure? Report the medication incident to ISMP Canada. |
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Ontario
Find out more … |
ISMP Canada is co-leading, with CPSI, the National Medication Reconciliation Strategy and is pleased to support the Canada Health Infoway ImagineNation Outcomes Challenge. National Summit: Optimizing Medication Safety at Care Transitions (English) (Français)
Find out more … |
ISMP Canada is the Protocol Lead for the World Health Organization (WHO) High 5s Medication Reconciliation Program: 'Assuring Medication Accuracy at Transitions in Care'. High 5s Project Overview Fact Sheet (English) (Français) Standardized Operating Protocols (SOPs) Find out more … |
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Provincial
Linking MedsCheck to MedRec - June 2009 With the support of the Ontario Ministry of Health and Long-Term Care (MOHLTC) and the Ontario Pharmacy Council, the Institute for Safe Medication Practices Canada (ISMP Canada) developed and delivered a pilot program to link the community-based MedsCheck program with medication reconciliation programs in hospitals. The goal of this collaborative initiative between hospitals and community pharmacists was to obtain the Best Possible Medication History (BPMH) for patients preparing to be admitted to hospital for surgery. Linking MedsCheck to MedRec Report (PDF) Optimizing Communication about Medications at Transitions of Care in Ontario - September, 2010 In the spring of 2010, ISMP Canada, in collaboration with the Canadian Society of Hospital Pharmacists Ontario Branch, hosted two invitational roundtable sessions. The overall goal of the sessions was to discuss opportunities and create recommendations to fully understand and utilize the drivers and resources that exist in Ontario to facilitate communication of medication information at transitions of care. Optimizing Communication about Medications at Transitions of Care in Ontario Report (PDF) Medication reconciliation at all interfaces of care - Pilot Project 2011/2012 Will provide a model for other institutions to adapt.
Medication Reconciliation at discharge - Pilot Project 2011/2012 Will provide a model for other institutions to adapt.
Draft Tools for Discharge Medication Reconciliation:
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National
ISMP Canada is co-leading, with CPSI, the National Medication Reconciliation Strategy and is pleased to support the Canada Health Infoway ImagineNation Outcomes Challenge Canada Health Infoway seeks to accelerate the use and spread of innovative solutions in healthcare information and communication technologies. They have selected four key areas with the potential to improve health care quality and the patient experience in Canada. 1. e-Scheduling 2. Patient access to health information 3. Medication reconciliation 4. Clinical synoptic reporting Up to $1 million in awards are being offered through this team-based Challenge to demonstrate the use and growth of e-solutions. ISMP Canada is a supporting organization for the ImagineNation Outcomes Challenge, providing expertise related to medication reconciliation. More information is available from: www.imaginenationchallenge.ca National Summit: Optimizing Medication Safety at Care Transitions - February 10, 2011 On February 10, 2011 healthcare leaders from across the country gathered in Toronto to carve out strategies and identify solutions/ best practices for improving communication to reduce preventable medication errors during transitions of care, one of the country's biggest patient safety issues. ISMP Canada and CPSI will together create a national steering committee to ensure the recommendations identified at the summit are implemented. National Summit Report (PDF) (English) (Français)
ISMP Canada Safety Bulletins:
Safer Healthcare Now! ISMP Canada is the Intervention Lead for medication reconciliation in the successful Safer Healthcare Now! network. ISMP Canada supports Canadian teams in acute care, long term care, and home care implement medication reconciliation and optimize communication about medications across transitions of care. Getting Started Kits for Medication Reconciliation have been created for Acute Care, Long Term Care and Home Care. These kits provide guidance to implement medication reconciliation. The Community of Practice for Medication Reconciliation facilitates sharing and learning among practitioners across Canada. Activities include posting the latest articles, website links and tools contributed by individuals and teams participating in SHN. If you wish to sign up for SHN or participate in the Community of Practice for Medication Reconciliation, please go to the Safer Healthcare Now! website at www.saferhealthcarenow.ca.
Safer Healthcare Now! Progress Reports:
Medication Reconciliation in Acute Care Hundreds of Canadian teams are implementing medication reconciliation in acute care. Although this began as a response to Accreditation Canada Required Organizational Practices (ROP's) teams that are successful would never return to previous practices.
Success Stories:
Medication Reconciliation in Long-Term Care ISMP Canada identifies the proactive medication reconciliation model as being the most desirable in Long-term Care.
Success Stories: Medication Reconciliation in Home Care The Home Care Getting Started Kit is the result of a partnership between VON Canada, CPSI and ISMP Canada. A pilot project including 20 teams from across Canada identified that more than 40% of clients had one or more discrepancies among various sources of information.
Videos: Success Stories: Additional Posters and Guides:
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International - WHO High 5s Medication Reconciliation Program: Assuring Medication Accuracy at Transitions in Care
ISMP Canada is honoured to be the Protocol Lead for the World Health Organization (WHO) High 5s Medication Reconciliation Program: 'Assuring Medication Accuracy at Transitions in Care'. What is the High 5s Project? The High 5s Project was launched by the World Health Organization (WHO) in 2006 to address continuing major concerns about patient safety around the world. The High 5s name derives from the Project's original intent to significantly reduce the frequency of 5 challenging patient safety problems in 5 countries over 5 years. The Mission of the High 5s Project is to facilitate implementation and evaluation of standardized patient safety solutions within a global learning community to achieve measurable, significant and sustainable reductions in challenging patient safety problems. The High 5s Project is a patient safety collaboration among a group of countries and the WHO Collaborating Centre for Patient Safety in support of the WHO Patient Safety Programme. High 5s Project Overview Fact Sheet (English) (Français) Scope of the High 5s The major components of the High 5s Project include the development and implementation of problem-specific Standardized Operating Protocols (SOPs); creation of a comprehensive Impact Evaluation Strategy; collection of data, reporting and analysis; and the establishment of an electronic collaborative learning community. The Medication Reconciliation Protocol was developed by the Institute for Safe Medication Practices in Canada (ISMP Canada) and the Canadian Patient Safety Institute (CPSI). The High 5s Project is designed to generate learning that will permit the continuous refinement and improvement of the SOPs, as well as assessment of the feasibility and success of implementing standardized approaches to specific patient safety problems across multiple countries and cultures. Achievement of the Project goals is expected to provide valuable lessons and new knowledge to support the advancement of patient safety around the world. |
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Learning Objectives: The Best Possible Medication History (BPMH) is the cornerstone of medication reconciliation. At the end of the session, participants will have:
The content of the workshop is tailored to meet the needs of the participants and their respective healthcare sectors. Who should attend? Physicians, Pharmacists, Pharmacy Technicians, Registered Nurses, and Registered Practical Nurses Length: 3 hours Cost: $65/person; (Ontario $35/person with support from MOHLTC). This program has been approved by the Ontario College of Pharmacists and awarded 3 CEUs Further Information: If you would like to arrange a BPMH Training session in your organization, please email education@ismp-canada.org |
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Contact Us
Provincial Kimindra Tiwana - KTiwana@ismp-canada.org National
Marg Colquhoun - mcolquhoun@ismp-canada.org International
Marg Colquhoun - mcolquhoun@ismp-canada.org |
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Upcoming Events
National MedRec Webinars January 10, 2012 - A Tale of Two Facilities - MedRec in the Long Term Care Setting at 12 PM EST Learn about success on the MedRec journey from the City of Toronto Long Term Care Homes and Services and Castleview Wychwood Towers a Long Term Care facility. Join the Call MedRec Virtual Series and Collaboratives
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