Medication Reconciliation Risk Stratification Tool of Chu et al: Score 1

Description

Chu et al used Medication Reconciliation Risk Stratification Tools to identify a patient who requires more completed medication reconciliation to avoid medication errors. Two scores were used at different academic medical centers. The authors are from multiple academic institutions in the United States.

Patient selection: patient being admitted to the hospital

Parameter:

(1) age in years

(2) number of drugs on outpatient medication list

(3) usual residence (where admitted from)

(4) number of ED visits in the past 180 days, up to 4

(5) number of readmissions in the past 180 days, up to 4

(6) creatinine clearance in mL/min

(7) outpatient order for IV medication

(8) CHF

(9) COPD

(10) AIDS

(11) acute myocardial infarction (AMI)

(12) intermittent hemodialysis or end-stage renal disease

Parameter	Finding	Points
age in years	< 65 years	0
	>= 65 years	1
number of drugs	< 8	0
	>= 8	1
usual residence	home	0
	other (nursing home, etc)	1
ED visits		MIN(4,)
readmissions		MIN(4,)
creatinine clearance	>= 30 mL/min	0
	< 30 mL/min	1
outpatient IV medication	no	0
	yes	1
CHF	no	0
	yes	1
COPD	no	0
	yes	1
AIDS	no	0
	yes	1
AMI	no	0
	yes	1
hemodialysis/ESRD	no	0
	yes	1

total score =

= SUM(points for all of the parameters)

Inerpretation:

• minimum score: 0

• maximum score: 18

Total Score	Risk Group
< 4	low risk
4 to 7	moderate risk
> 7	high risk

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Medication Reconciliation Risk Stratification Tool of Chu et al: Score 1

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