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The Medication Discrepancy Tool ©
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The Medication Discrepancy Tool (MDT ©) is a new tool for identifying and characterizing
medication discrepancies that arise when patients are making the transition between sites of care.
Discrepancies can be identified at either the patient level or the practitioner/health system level.
Specific MDT © items are designed to be actionable and ideally to recognize problems before patients
experience harm. It was found that clinicians using the MDT © were able to capture a wide range of
transition-related medication problems.
The MDT © was developed to fill the gap in the identification and categorization of transition-related
medication problems, to facilitate resolution of these problems by describing appropriate action
steps at either the patient or system level, and to lead to a single reconciled list of medications,
irrespective of the number of prescribers involved. It is expected to fill an important gap in
national efforts to promote patient safety.
Information on Development of the MDT ©
- Smith JD, Coleman EA, Min SJ. A new tool for identifying discrepancies in postacute
medications for community-dwelling older adults. Am J Geriatr Pharmacother. 2004;2(2):141-8.
- Abstract of above article.
New Research in Archives of Internal Medicine – Posthospital Medical Discrepancies
- Coleman EA, Smith JD, Raha D, Min SJ. Posthospital Medication Discrepancies: Prevalence and
contributing factors. Arch Intern Med 2005;165
- Press Release on above MDT ©
article
- Abstract of
above article
The MDT © Instrument
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