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With a personal medication record (PMR) a patient
is able to keep track of all prescription medications
(regardless of the prescriber) and other over-the-counter
products (non-prescription drugs, herbals, vitamins). While
there are various initiatives ongoing, standards and uniformity
are needed to ensure that PMRs are consumer-friendly, useful and
easily incorporated into the health care experience. After
reviewing some current PMR initiatives, an expert panel
developed inclusion criteria for all PMRs. Based on this list
of criteria, two PMR templates were developed and reviewed by
coalition partners. The coalition plans for both templates to
be subject to formal consumer testing and evaluation. These
templates have been circulated to a number of different
organizations that are currently using or considering using the
PMR with their constituencies.
The Coalition will now work
on increasing dissemination of the personal medication record (PMR)
data elements developed by SOS Rx, and further examine the
medication reconciliation process. We hope to explore how use
of a PMR or other tools (such as a personal health record) can
help patients avoid medication errors. We intend to focus
dissemination of the PMR to high-risk populations – such as
those who manage multiple medications, multiple chronic
conditions, and low health literacy. With the assistance of
Coalition partners, we hope to disseminate the PMR through less
conventional settings such as churches and barber shops, as well
as standard settings such as pharmacies and medical offices.
This enhanced PMR will include key questions to ask your health
care provider, as well as information on medication therapy
management.
In addition to
dissemination, we plan to examine ways in which the PMR or other
tools can be utilized in the broader medication reconciliation
process. By integrating use of a medication management tool
into likely scenarios in which medication errors may occur, we
hope to promote consumer action to avoid errors. As the central
figure in the care process, we expect to emphasize the
consumer’s role and accountability. As a starting point, we
plan to conduct focus groups with patient and caregivers to
determine how they currently manage various medication
reconciliation scenarios, such as change in care setting or
physician.
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