Date of Award

Spring 2022

Document Type


Degree Name

Master of Science in Nursing (MSN)

Committee Chair

Candice Rome


This project was designed to address the issue of medication errors that occur during the transition from an acute care setting to an assisted living setting. Geriatric adults are often supported by a complement of medical specialists and subspecialists. As a result, reconciling medications following a hospital discharge can be challenging. To further complicate the problem, oftentimes, the primary care provider is not highly engaged with the specialists and subspecialists. The World Health Organization (WHO) has prioritized this issue through the introduction of the Medication Without Harm initiative. This initiative is focused on reducing adverse drug reactions (ADRs) and adverse drug events (ADEs) resulting from improper reconciliation during transitions of care. In an effort to reduce the risk of medication-related harm to the geriatric population residing in an assisted living environment, this project presents a standard operating procedure (SOP) with supporting documents and tools designed to identify medication discrepancies resulting from transitions in care. This is supplemented with a specific communication tool for primary care providers to assist in the clarification and reconciliation of transitional medication orders.

Creative Commons License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

Included in

Nursing Commons