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From Hospital to Home Healthcare: The Need for Medication Reconciliation


Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional: February 2011 - Volume 29 - Issue 2 - p 81–90
doi: 10.1097/NHH.0b013e3182079893
safety in practice

Medication reconciliation is a process of comparing medications being used by a client to a current list of prescribed medications to verify its accuracy, and is a best-practice strategy to reduce medication errors. In home healthcare, medication reconciliation includes comparing medications specified in hospital discharge instructions, those taken before the hospitalization, and those now taken by the client, and documenting action taken to resolve discrepancies noted. This exploratory study was designed to describe the adequacy of medication reconciliation in a Midwestern home healthcare agency.

Kathryn Bruning, MS, RN, is a Clinical Nurse Specialist with a background in hospice/bereavement care and home healthcare nursing. She currently provides elder care for a family member and is President, Waukesha District Nurses' Association, part of Wisconsin Nurses' Association.

Florence Selder, PhD, RN, FAAN, is a Professor Emerita, University of Wisconsin-Milwaukee College of Nursing, Milwaukee, WI.

Address for correspondence: Kathryn Bruning, 411 Debbie Drive, Waukesha, WI 53189 (

There is no financial or other support to disclose.

© 2011 Lippincott Williams & Wilkins, Inc.