Medication reconciliation (MedRec) is a formal process in which health care providers work together with patients, families, and care providers to ensure accurate and comprehensive medication information is communicated consistently across transitions of care.
MedRec is recognized by the WHO, Institute for Safe Medication Practices, and Safer Healthcare Now! as an essential process for ensuring safe, accurate prescribing in any setting.
The goal of MedRec is to prevent unintended changes to medications and improve communication regarding medications at transitions of care. Over half of medication errors occur at the interfaces of care. Research has shown that approximately 50% of patients had at least one unintentional discrepancy on admission; 6% of unintentional discrepancies will cause harm.
Vancouver Acute and Community services are currently implementing MedRec processes. As part of this process you may receive a copy of the MedRec record for informational purposes only.
Project Manager, Vancouver Acute & Community, VCH Vancouver MedRec Project
1. Safer Healthcare Now! Getting Started Kit. Version 3. Accessed 30 October 2012. www.saferhealthcarenow.ca/EN/Interventions/medrec/Documents/Acute%20Care...(Acute%20Care)%20Getting%20Started%20Kit.pdf.
2. Rozich JD, Reser RK. Medication safety: One organization’s approach to the challenge. J Clin Outcomes Manage 2001;8:27-34.
3. Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med 2005;165:424-429.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org