During transfer from the emergency department to the ward, a patient’s current medicines are not communicated. Which intervention most directly reduces this risk?
Correct answer: A. Use a structured medication reconciliation process at transfer
- A. Use a structured medication reconciliation process at transfer
- B. Ask the family to remember and list every medicine later
- C. Keep the patient fasting until the ward round is completed
- D. Record only medicines administered during the current shift
Explanation
Medication reconciliation compares the patient’s usual medicines with new orders during transitions of care. It reduces omissions and duplications more reliably than relying on memory or recording only recent doses.
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About Quality and Patient Safety
Quality and patient safety include standards of care, quality assurance, continuous quality improvement, audits, indicators and patient feedback. The subject also covers medication errors, falls, infections, communication failures, incident reporting, root cause analysis and preventive actions, distinguishing system improvement from assigning blame to an individual.
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