Getting Started Kit
Updated How-to Guide with instructions for implementing the change in your organization, including changes and measures.
How-to Guide Pediatric Supplement with recommendations for implementing the change in a pediatric setting.
PowerPoint presentation with Facilitator Notes to introduce and explain the intervention in your organization.
Updated Annotated Bibliography
Download a one page summary
Rural Supplement to How-to Guide
Mentor Hospitals
The organizations on the Mentor Hospital Registry have volunteered to provide support, advice, clinical expertise, and tips to hospitals seeking help with their implementation efforts.
Prevent Adverse Drug Events Mentor Hospitals
Tools
Tools for hospitals working to prevent adverse drug events.
Medication Reconciliation Tool Kit
PDSA cycle examples for Medication Reconciliation
Frequently Asked Questions about Medication Reconciliation
Adverse Drug Events Medication Reconciliation Checklist/Schedule
Medication Reconciliation Form for Orthopedic Patients
Medication Reconciliation Review
Medication Reconciliation Review: Data Collection Form
Improvement Tracker: Errors from Unreconciled Medications per 100 Admissions
Improvement Tracker: Percent of Unreconciled Medications
Universal Medication Form
The Med Form
Patient Safety Consumer Guide
Your Role in Safe Medication Use: A Guide for Patients and Families
Prevent Adverse Drug Events, Medication Reconciliation: A Fact Sheet for Patients and Families
Prevent Adverse Drug Events, Medication Reconciliation: A Fact Sheet for Patients and Families - Spanish Translation
Medication Reconciliation Order Form UMass Memorial Medical Center
Medication Reconciliation Form - Baptist Memorial Hospital, Memphis
Outpatient/Ambulatory Medication Reconciliation Form
Medication List Order Sheet
Medication Policy
Sample Medication Card
Measurement Information Forms
Detailed information on the process and outcome measures outlined in the How-to Guide.
Percent of Unreconciled Medications
Unreconciled Medications Per 100 Admissions
Improvement Stories
Read improvement stories and learn how others have succeeded in preventing adverse drug events.
Learn from the winners of IHI's Medication Reconciliation Innovation Challenge by reading an Improvement Report.
Find out how McLeod Regional Medical Center made hospital-wide improvements to reduce ADEs
View a PowerPoint presentation on the lessons learned from a Massachusetts Coalition for the Prevention of Medical Errors and Massachusetts Hospital Association collaborative
Luther Midelfort, Mayo Health System, Eau Claire, WI, eliminated virtually all ADEs in the Telemetry/Intermediate Care Unit by implementing a medication reconciliation system.
- Rozich JD, Howard RJ, Justeson JM, Macken PD, Lindsay ME, Resar RK. Standardization as a mechanism to improve safety in healthcare. Jt Comm J Qual Saf. 2004;30:5-14
OSF Healthcare System, Peoria, IL, reduced its rate of ADEs per 1,000 units of medication administered from 3.84 to 1.39 by implementing medication reconciliation and other measures to improve patient safety.
- Whittington J, Cohen H. OSF Healthcare’s journey in patient safety. Qual Manag Health Care. 2004;13:53-59.
Abstract: Rogers G, Alper E, Brunelle D, Federico F, et al. Reconciling Medications at Admission: Safe Practice Recommendations and Implementation Strategies. Joint Commission Journal. January 2006;32:37-50.
Resources
Other resources available to help your quality improvement efforts.
Join an Adverse Drug Events (Medication Reconciliation) Web Discussion
Download an article titled Reconciling Doses by IHI faculty Frank Federico.
IHI Breakthrough Series Guide
- Leape LL, Kabcenell A, Berwick DM, Roessner J. Reducing Adverse Drug Events. Boston: Institute for Healthcare Improvement, 1998.
IHI/Premier Trigger Tool for Measuring ADEs
- Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual Saf Health Care. 2003;12:194-200.
Reconciling medications: recommended practices, 2002.
- Massachusetts Coalition for the Prevention of Medical Errors
Pathways for Medication Safety – a coordinated and comprehensive set of tools designed to reduce medication errors, developed by the American Hospital Association, the Health Research and Educational Trust, and the Institute for Safe Medication Practices with support from The Commonwealth Fund.
Contra Costa Medication Reconciliation Tips
Improvement Methods
Web-based Training: The Model for Improvement (there is a fee associated with this training)
Medication Reconciliation Innovation Challenge
See overviews of the winning Innovation Challenge for medication reconciliation entries here, and updated detailed information (including links to sample forms) here.
An additional entry from Providence Alaska Medical Center
Medication Reconciliation at Providence Alaska Medical Center
PAMC Discharge Prescription Report
PAMC Home Medication Reference List
PAMC Patient Discharge Medication Record
PAMC Transfer Medication Order Report
Call Recordings
Recordings of Campaign calls on preventing adverse drug events.
March 1, 2005 - Informational Call
July 13, 2005 - Follow-up call
April 21, 2006 - Office Hours
July 20, 2006 - Office Hours
September 25, 2006 - Office Hours
May 15, 2007 - Office Hours
October 9, 2007 - Office Hours
January 7, 2008 - Campaign LIVE!
Winning ideas for Medication Reconcilliation
February 12, 2008 - Office Hours
May 27, 2008 - Office Hours
National Action Day Materials
On June 20, 2007, over 35,000 participants focused their attention on getting results faster and more reliably. Materials used during the prevent adverse drug events session are available for download.
Prevent Adverse Drug Events (Medication Reconciliation) Session Recording
PPT Slides, Slides as Handouts, Blank Planning Worksheet, Medication List Order Sheet, Medication Policy, Sample Medication Card
Contact
For more information contact:
Frank Federico, RPh
Email: ffederico@ihi.org
Phone: (617) 301-4950
