providers know that medication reconciliation upon admission is challenging. It
requires investigation, communication, and accuracy. The Centers for Disease
Control and Prevention (CDC) conducted a study which found that four types of
high risk medications account for two-thirds of emergent hospital admissions:
warfarin, insulin, oral antiplatelets, and oral hypoglycemics.
used to prevent blood clots; insulin and oral hypoglycemic are used to control
blood sugar in diabetics; and antiplatelets, including aspirin, are used to
prevent platelets from clumping together and forming a blood clot. Often, these
medications involve follow-up lab work and frequent dosage adjustments.
Homecare agencies should ensure that their medication reconciliation process
addresses these and other high risk medications to include the monitoring of
patients on these medications closely and implementation of thorough patient
medications require review and reconciliation at admission and throughout the
care delivery process, high risk medications should throw up a red flag.
Helpful tips include implementing patient education sheets that address high
risk medications and other common medications to make the education process
easier on homecare clinicians. In patients emergency plans, include high risk
medications and complications to be alert for. Upon admission, educate on high
risk medications first. They should be made a priority in the process.
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