i have seen so many errors with the med reconciliation process. It drives me crazy that managers focus so much on patient satisfaction to increase Hcaps scores. But a patient can go days without receiving their home meds because either the med rec wasn't done or dr. questioned if they reviewed it. Had a patient that had went days without receiving their medications for seizures and other meds. This is not the first time I've had patients not get meds they should have. Hospitals can be dangerous in this regard.
Sounds like you need to champion an initiative at your hospital to get better compliance with the completing the med reconciliation.
What can you do to change it?
Do you not perform q8hr chart checks at your facility? When we do our chart checks, we try to handle these types of problems. We look over the home meds and take care of getting them ordered, check the last time they pooped, compare daily weights, etc. Nothing goes longer than one shift without being resolved.
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