Medication errors are common and potentially serious. Estimates of Adverse Drug Events (ADE) where patients are harmed by medications range from 1 in 50 hospitalised patients right up to 1 in 10. The risk of an error leading to an ADE is particularly high when the patient ‘crosses the chasm’ between primary care and secondary care. Medication reconciliation has been the response to this risk. This is a standardised approach to ‘reconcile’ the medications that the patient was taking in the community, with those that appear on the hospital chart. There are several models for medication reconciliation practice and this presentation will outline these models and also present some of the work that is going on in New Zealand.
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