I know medication reconciliation is an issue that all hospitals are constantly trying to improve upon. I wanted to ask about processes in different hospitals:
1. Do RNs, pharmacists and technicians all have the ability to remove medication off the home medication list and is that part of the standard workflow?
2. For EPIC users, how do you deal with PTA med lists for transfers? Is the PTA list what the patient took at the first hospital? How do you address risk of errors upon discharge with discrepancies from what the patient has at home?
3. For those that have outpatient pharmacies, does removing the medication from the PTA list (because patient stopped taking it) cause the discontinuation of the medication from the outpatient pharmacy? For example, if the nurse removes lantus because the patient stopped it a few weeks ago, then it will discontinue all the future refills within our outpatient pharmacy integrated into EPIC.