​​Hi all.

We have identified the need to improve our medication reconciliation processes throughout our facility and are looking for some sort of collaborative to guide us on this journey. Although I am confident that our pharmacists could create our own home-grown med rec improvement project, I am not one to reinvent wheels. We had the privilege of participating in AHRQ's Antibiotic Stewardship Medication Safety project a couple years ago which was a very good program for us- something like that would be excellent for this initiative. I am looking for something that provides education for those taking medication histories, helps us to standardize our process for obtaining and inputting medication histories into our EHR, and provides some sort of safety metric that we can follow to show that patient safety is improving as a result of our efforts. I have only been able to find 2 programs/initiatives to help with this: SHM MARQUIS Collaborative and an AHRQ Med Rec toolbox. The MARQUIS Collaborative looks the most promising but would like some feedback from anyone who has participated in their program before.

I feel like it may help to add that we are a stand-alone critical access hospital in Northwest Ohio that has a busy oncology and surgery department. We use Meditech as our EHR and are converting to Meditech Expanse in June 2021. Our nurses obtain and input medication histories as our pharmacy operates 7a-6p on weekdays and 7:30a-4p on weekends. We operate with a minimum of 3 pharmacists per weekday and 1 pharmacist per day on weekends.

Thanks in advance for your commentary and guidance!

Rachel Durham PharmD RPh