Medicines Reconciliation Care Bundle

Did You Know?

  • 38% of readmissions in one study (of 108 cases) were considered to be medicines-related.
  • 61% were identified as preventable (Witherington et al 2008).
  • Among older patients (65+ years) 14% are discharged with medication discrepancies and have a higher risk of being readmitted to hospital within 30 days (Coleman et al 2005).
  • 72% of adverse events after discharge are due to medications (Forster et al 2004 p345).

Patients frequently move across different parts of the health service.  It’s vital that an accurate record of what medication a patient is taking is maintained and communicated appropriately.  But medication reconciliation is not easy to do when the service can be fragmented and there is no single patient record.

Large scale implementation of a medicines reconciliation care bundle in NHS GGC GP practices - an example of quality improvement in GP practices.

If both primary and secondary care undertake the set of interventions listed within this care bundle, systems and processes for medicines reconciliation will be improved and you will see increased reliability which will ensure safer care for patients.