This WebM&M highlights two cases where home diabetes medications were not reviewed during medication reconciliation and the preventable harm that could have occurred. The commentary discusses the importance of medication reconciliation, how to compile the ‘best possible medication history’, and how pharmacy staff roles and responsibilities can reduce medication errors.
Clark C. MedPage Today. June 2, 2022
Armstrong Institute for Patient Safety and Quality. September 22-23, 2022.
Rockville, MD: Agency for Healthcare Research and Quality; April 2022.
Rockville, MD: Agency for Healthcare Research and Quality. April 2022 – October 2023
Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324.
A 14-year-old girl with type 1 diabetes (T1D) was admitted to the hospital after two weeks of heavy menstrual bleeding as well as blurred vision, headache and left arm numbness. MRI revealed an acute right middle cerebral artery (MCA) infarct.
Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020.