Sample 1 · Key Ideas and Details
Patients often have medicines added or changed when they are admitted to a hospital, moved from one unit to another, or sent home. Most of these changes are made on purpose, but unintended changes happen often. Hospital clinicians may not have easy access to the full list of medicines a patient took before admission, or may not know about a recent change. The regimen prescribed at discharge can then leave out a needed medicine, duplicate a therapy the patient already takes, or contain a wrong dose. Medication reconciliation is the process meant to avoid these mismatches: the patient's complete list of medicines is reviewed at admission, transfer, and discharge and compared with what is planned for the next setting of care.
Which statement best captures the main point of the excerpt?
- A. The regimen prescribed at discharge can duplicate a therapy the patient already takes
- B. Medication changes at admission, transfer, and discharge can introduce unintended changes, and medication reconciliation is the review meant to avoid them
- C. Most medication changes made during a hospital stay are mistakes
- D. Medication reconciliation has been shown to reduce hospital readmissions
Answer: B. The excerpt first explains how unintended medication changes arise when a patient is admitted, transferred, or discharged, then defines medication reconciliation as the review meant to avoid them. Only this option covers both ideas.
- A (Incorrect): This is one supporting detail from the fourth sentence. It leaves out how the unintended changes arise and the reconciliation process, so it is not the main point.
- B (Correct): The first four sentences explain how unintended changes happen when a patient moves between settings of care, and the last sentence presents reconciliation as the process meant to avoid them. This statement covers both parts.
- C (Incorrect): The excerpt says the opposite: most changes are made on purpose, and the unintended ones are the problem.
- D (Incorrect): The excerpt describes what reconciliation is and why it is done. It makes no claim about readmissions or any other measured result.
Sources: AHRQ Patient Safety Network (PSNet), Medication Reconciliation primer