Medication Reconciliation: Reducing Risk for Medication Misadventure During Transition from Hospital to Assisted Living

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head id="Head1"><script type="text/javascript" src="/_static/js/bundle-playback.js?v=HxkREWBo" charset="utf-8"></script> <script type="text/javascript" src="/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("http://www.healio.com:80/nursing/journals/jgn/%7B458992b0-13f8-45a0-bf66-f8e05bb326c4%7D/medication-reconciliation-reducing-risk-for-medication-misadventure-during-transition-from-hospital-to-assisted-living","20131023190413","https://web.archive.org/","web","/_static/", "1382555053"); </script> <link rel="stylesheet" type="text/css" href="/_static/css/banner-styles.css?v=S1zqJCYt" /> <link rel="stylesheet" type="text/css" href="/_static/css/iconochive.css?v=3PDvdIFv" />  <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/><title> Medication Reconciliation: Reducing Risk for Medication Misadventure During Transition from Hospital to Assisted Living | Journal of Gerontological Nursing </title>  <meta name="google-site-verification" content="TCYGZWR7Qscjc3GO_imiutAfXMSCFLpchm8rXzIk-5M"/><meta name="msvalidate.01" content="AB0F11E889D663098DB556BB5ACBB719"/><meta id="metaDescription" name="description" content="Journal of Gerontological Nursing | The discharge of older adults from hospital to home has been associated with poor outcomes. It is well documented that performing medication reconciliation at every transition point is critical to ensuring patient safety, preventing unnecessary rehospitalizations, and reducing the risk for medication misadventures. However, the medication reconciliation process is not well executed in numerous "/><meta id="metaKeywords" name="keywords" content="Journal of Gerontological Nursing,Nursing,Geriatric Medicine,Geriatric Nursing,Feature Article"/><meta id="Meta1" name="scID"/><meta id="scID" name="scID"/><meta name="pubabbv" content="JGN"/><meta name="authors" content="Marie Fitzgibbon DNP RN CRNP, Rebecca Lorenz PhD RN, Helen Lach PhD RN GCNS-BC"/><meta name="articleid" content="{458992B0-13F8-45A0-BF66-F8E05BB326C4}"/><meta name="legacyarticleid" content=""/><meta name="article-title" content="Medication Reconciliation: Reducing Risk for Medication Misadventure During Transition from Hospital to Assisted Living"/><meta name="article-link" content="/nursing/journals/jgn/{458992b0-13f8-45a0-bf66-f8e05bb326c4}/medication-reconciliation-reducing-risk-for-medication-misadventure-during-transition-from-hospital-to-assisted-living"/><meta name="doi" content="10.3928/00989134-20130930-02"/><meta name="pubname" content="Journal of Gerontological Nursing"/><meta name="pubtype" content="oar"/><meta name="author" content="Marie Fitzgibbon, DNP, RN, CRNP"/><meta name="author" content=" Rebecca Lorenz, PhD, RN"/><meta name="author" content=" Helen Lach, PhD, RN, GCNS-BC"/><meta name="ModifiedDate" content="2013-10-08"/> <meta name="specialties" content="Nursing,Geriatric Medicine"/> <meta name="specialty" content="Nursing"/> <meta name="specialty" content="Geriatric Medicine"/> <meta name="primary_specialty" content="Nursing"/> <meta name="subspecialties" content="Geriatric Nursing"/> <meta name="subspecialty" content="Geriatric Nursing"/> <meta name="departments" content="Feature Article"/> <meta name="department" content="Feature Article"/> <meta name="content_type" content="Journal Article"/> <meta name="PostedDate" content="2013-10-08"/> <meta name="pageid" content="{458992B0-13F8-45A0-BF66-F8E05BB326C4}"/> <meta property="og:image" content="https://web.archive.org/web/20131023190413im_/http://213a1ca8842e5e699a80-05ce35571e92a3f7383a191aa5840bba.r66.cf1.rackcdn.com/healio_safe_image.png"/>  <link href="https://web.archive.org/web/20131023190413cs_/http://c341130.r30.cf1.rackcdn.com/styles.css" rel="stylesheet" type="text/css"/>  <link href="https://web.archive.org/web/20131023190413cs_/http://c341130.r30.cf1.rackcdn.com/styles2.css" rel="stylesheet" type="text/css"/><link href="https://web.archive.org/web/20131023190413cs_/http://c341130.r30.cf1.rackcdn.com/tb-ec-lb-min.css" rel="stylesheet" type="text/css" media="screen"/><link href="https://web.archive.org/web/20131023190413cs_/http://0043b493b06d545127da-d7c71b4c9ba1dd44e0cf6fa474e637d7.r99.cf1.rackcdn.com/healiojobs.css" rel="stylesheet" type="text/css"/><link href="https://web.archive.org/web/20131023190413cs_/http://6af4390358a281e0b439-028b17272c3ee5c2953a93a8c54187e2.r22.cf1.rackcdn.com/MediaKits.css" rel="stylesheet" type="text/css"/>  <link rel="shortcut icon" type="image/x-icon" href="https://web.archive.org/web/20131023190413im_/http://213a1ca8842e5e699a80-05ce35571e92a3f7383a191aa5840bba.r66.cf1.rackcdn.com/favicon.ico"/> <style type="text/css"> #wrap:before, #wrap:after { content: " "; display: table; } #wrap:after { clear: both; } </style> <script type="text/javascript" language="javascript" src="https://web.archive.org/web/20131023190413js_/http://ajax.googleapis.com/ajax/libs/jquery/1.8.2/jquery.min.js"></script> <script type="text/javascript" language="javascript" src="https://web.archive.org/web/20131023190413js_/http://cdn.jquerytools.org/1.2.7/full/jquery.tools.min.js"></script> <script type="text/javascript" language="javascript">$j = $.noConflict();</script> <script type="text/javascript" language="javascript" src="https://web.archive.org/web/20131023190413js_/http://c341136.r36.cf1.rackcdn.com/thickbox-compressed.js"></script> <script type="text/javascript">var globalUserID = 0;</script>  <script type="text/javascript" charset="utf-8"> var pd_tags = new Array; if (globalUserID !== undefined || globalUserID !== null) { pd_tags['customer_ID'] = globalUserID; } </script> <script type="text/javascript" charset="utf-8" src="https://web.archive.org/web/20131023190413js_/http://static.polldaddy.com/p/3191508.js"></script> <script type="text/javascript"> var googletag = googletag || {}; googletag.cmd = googletag.cmd || []; (function() { var gads = document.createElement('script'); gads.async = true; gads.type = 'text/javascript'; var useSSL = 'https:' == document.location.protocol; gads.src = (useSSL ? 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"/> 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href="/web/20131023190413/http://www.healio.com/nursing/journals"> Journals</a> <span>›</span> <a href="/web/20131023190413/http://www.healio.com/nursing/journals/jgn"> Journal of Gerontological Nursing</a> </p>   <div class="journals-content"><div class="journal-tab-group"><ul class="journal-tabs"><li><a href="/web/20131023190413/http://www.healio.com/journals/jgn">Current Issue</a></li><li><a href="/web/20131023190413/http://www.healio.com/journals/jgn/m/oar">Online Advanced Release</a></li><li><a href="/web/20131023190413/http://www.healio.com/journals/jgn/m/past-issues">Past Issues</a></li></ul><div class="journal-panes"><div class="abstract-content"><p class="kicker-top">Feature Article </p><h2><a href="#">Medication Reconciliation: Reducing Risk for Medication Misadventure During Transition from Hospital to Assisted Living</a></h2><p class="authors">Marie Fitzgibbon, DNP, RN, CRNP; Rebecca Lorenz, PhD, RN; Helen Lach, PhD, RN, GCNS-BC</p><div class="journal-info"><ul class="full-text"><li class="header">Read Full Text Article</li><li class="html"><a class="active" title="View Html Version" alt="View Html Version" rel="nofollow" href="/web/20131023190413/http://www.healio.com/buy-journal-or-article?returnUrl=%2fnursing%2fjournals%2fjgn%2f%7b458992b0-13f8-45a0-bf66-f8e05bb326c4%7d%2fmedication-reconciliation-reducing-risk-for-medication-misadventure-during-transition-from-hospital-to-assisted-living&a={458992B0-13F8-45A0-BF66-F8E05BB326C4}&jrnl=J0028">Html Icon</a></li><li class="pdf"><a id="pdf" href="/web/20131023190413/http://www.healio.com/buy-journal-or-article?returnUrl=%2fnursing%2fjournals%2fjgn%2f%7b458992b0-13f8-45a0-bf66-f8e05bb326c4%7d%2fmedication-reconciliation-reducing-risk-for-medication-misadventure-during-transition-from-hospital-to-assisted-living&a={458992B0-13F8-45A0-BF66-F8E05BB326C4}&pdf=1&jrnl=J0028" class="active" title="View Pdf Version" alt="View Pdf Version" rel="nofollow">Pdf Icon</a></li></ul><ul class="article-citation"><li>Journal of Gerontological Nursing</li>Posted October 8, 2013<li class="doi">DOI: 10.3928/00989134-20130930-02</li></ul></div><div class="copyrights" style="float:right;"><a onclick="RightsLinkPopUpV2();" href="#"><img alt="Rights and Permissions" title="Rights and Permissions" border="0" src="https://web.archive.org/web/20131023190413im_/http://213a1ca8842e5e699a80-05ce35571e92a3f7383a191aa5840bba.r66.cf1.rackcdn.com/request-permissions.gif"></img></a><script type="text/javascript" language="javascript">function RightsLinkPopUpV2() { var location="https://web.archive.org/web/20131023190413/https://s100.copyright.com/AppDispatchServlet?publisherName=slack&publication=0098-9134&contentID=10.3928/00989134-20130930-02&publicationDate=-2147483648&copyright=Copyright%20%26copy%3B%202013%2C%20Slack%20Inc.&title=Medication%20Reconciliation%3A%20Reducing%20Risk%20for%20Medication%20Misadventure%20During%20Transition%20from%20Hospital%20to%20Assisted%20Living&volumeNum=&issueNum=&author=Marie%20Fitzgibbon%2C%20DNP%2C%20RN%2C%20CRNP%3B%20Rebecca%20Lorenz%2C%20PhD%2C%20RN%3B%20Helen%20Lach%2C%20PhD%2C%20RN%2C%20GCNS-BC&orderBeanReset=TRUE"; window.open(location,'RightsLink','location=no,toolbar=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=yes,width=650,height=550'); } </script></div><div class="article-tab-group"><ul class="article-tabs"><li><a id="anchor-tab-abstract" href="#">Abstract</a></li><li><a id="anchor-tab-article" href="/web/20131023190413/http://www.healio.com/buy-journal-or-article?returnUrl=%2fnursing%2fjournals%2fjgn%2f%7b458992b0-13f8-45a0-bf66-f8e05bb326c4%7d%2fmedication-reconciliation-reducing-risk-for-medication-misadventure-during-transition-from-hospital-to-assisted-living&fulltext=1&a={458992B0-13F8-45A0-BF66-F8E05BB326C4}&jrnl=J0028">Article</a></li><li><a id="anchor-tab-figures" href="/web/20131023190413/http://www.healio.com/buy-journal-or-article?returnUrl=%2fnursing%2fjournals%2fjgn%2f%7b458992b0-13f8-45a0-bf66-f8e05bb326c4%7d%2fmedication-reconciliation-reducing-risk-for-medication-misadventure-during-transition-from-hospital-to-assisted-living&fulltext=1&a={458992B0-13F8-45A0-BF66-F8E05BB326C4}&jrnl=J0028">Figures/Tables</a></li><li class="last"><a id="anchor-tab-refs" href="/web/20131023190413/http://www.healio.com/buy-journal-or-article?returnUrl=%2fnursing%2fjournals%2fjgn%2f%7b458992b0-13f8-45a0-bf66-f8e05bb326c4%7d%2fmedication-reconciliation-reducing-risk-for-medication-misadventure-during-transition-from-hospital-to-assisted-living&fulltext=1&a={458992B0-13F8-45A0-BF66-F8E05BB326C4}&jrnl=J0028">References</a></li><li class="cite-link"><a href="#" onclick="showCitation();">Get Citation</a><script type="text/javascript">function showCitation() {var w = window.open('', '', 'width=400,height=400,resizeable,scrollbars');w.document.write('Fitzgibbon M., Lorenz R., Lach H.(2013). Medication Reconciliation: Reducing Risk for Medication Misadventure During Transition from Hospital to Assisted Living. <i>J Gerontol Nurs.</i> doi: 10.3928/00989134-20130930-02 <a href="https://web.archive.org/web/20131023190413/http://www.healio.com/nursing/journals/jgn/{458992b0-13f8-45a0-bf66-f8e05bb326c4}/medication-reconciliation-reducing-risk-for-medication-misadventure-during-transition-from-hospital-to-assisted-living">[online advanced release]</a>');w.document.close(); }</script></li></ul></div><div id="abstractPortion"><h4>Abstract</h4><p>The discharge of older adults from hospital to home has been associated with poor outcomes. It is well documented that performing medication reconciliation at every transition point is critical to ensuring patient safety, preventing unnecessary rehospitalizations, and reducing the risk for medication misadventures. However, the medication reconciliation process is not well executed in numerous institutions and possibly not at all in many assisted living facilities (ALFs). Thus, the purpose of this study was to examine medication discrepancies that occur as a result of transitioning from hospitals to ALFs and to explore the role of nurses regarding medication reconciliation in ALFs. A comparison of medication records for 80 residents ages 65 and older revealed that 86.2% of resident records had at least one medication discrepancy. These results represent an opportunity for nurses to be involved with post-acute care communication and medication reconciliation to improve safe transitions for residents in ALFs. [<i>Journal of Gerontological Nursing, x</i>(x), xx鈥搙x.]</p><div class="ftAuthorNotes"><p>Dr. Fitzgibbon is Nursing Instructor, St. Luke鈥檚 University Hospital, Bethlehem, Pennsylvania, and Contributing Faculty, Walden University, Minneapolis, Minnesota; Dr. Lorenz is Assistant Professor, and Dr. Lach is Associate Professor, Saint Louis University School of Nursing, St. Louis, Missouri.</p><p>The authors have disclosed no potential conflicts of interest, financial or otherwise.</p><p>Address correspondence to Marie Fitzgibbon, DNP, RN, CRNP; e-mail: fitzgibbonmariec@hotmail.com.</p></div><div class="ftHistory-received"> Received: August 31, 2012</div><div class="ftHistory-accepted"> Accepted: April 23, 2013</div><div class="ftPubDate"> Posted Online: October 08, 2013</div></div><p>10.3928/00989134-20130930-02</p></div></div></div></div> <script type="text/javascript" language="javascript"> var $artContent = $('.ftArticle').html(); </script> <div class="social-links"> <div class="fb-like" data-send="false" data-width="300" data-show-faces="true" data-action="recommend"></div> <ul class="share"> <li><a href="javascript:void(0)" id="twitter" class="twitter-link" target="_new">Tweet</a></li> <li><a href="javascript:void(0)" id="facebook" class="facebook-link" target="_new">Share</a></li> <li class="linkedin"><a href="javascript:void(0)" id="linkedin" class="linkedin-link">Link</a></li> <li><span class="db-wrapper"><span class="g-plusone" data-size="tall" data-annotation="none"></span></span></li> <li><a href="javascript:void(0)" id="email">Email</a></li> <li class="last"><a href="javascript:void(0)" id="print">Print</a></li> </ul> <input name="layout_0$maincontent_2$articleItemForTweet" type="hidden" id="layout_0_maincontent_2_articleItemForTweet" value="{6DB4D761-50D9-4952-A203-D17D07721FD6}"/> <input name="layout_0$maincontent_2$tweettext" type="hidden" id="layout_0_maincontent_2_tweettext" class="tweettext" value="A Palliative Care Educational Intervention for Frontline Nursing Home Staff: The IMPRESS Project "/> <input name="layout_0$maincontent_2$tweeturl" type="hidden" id="layout_0_maincontent_2_tweeturl" class="tweeturl"/> </div> <div id="respond"> <h4> Comments</h4> <script language="javascript" type="text/javascript"> var idcomments_acct = 'aa6ff53f9870e40f92f83e1b5df3cddf'; var idcomments_post_id = '458992b0-13f8-45a0-bf66-f8e05bb326c4'; var idcomments_post_url; </script> <span id="IDCommentsPostTitle" style="display: none"></span> <script type="text/javascript" src="https://web.archive.org/web/20131023190413js_/http://www.intensedebate.com/js/genericCommentWrapperV2.js"></script> <p class="comment-notes"> Healio is intended for health care provider use and all comments will be posted at the discretion of the editors. 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Medication Reconciliation: Reducing Risk for Medication Misadventure During Transition from Hospital to Assisted Living | Journal of Gerontological Nursing