Background Although the benefits of improved transitions of care regarding medications are widely known, implementation is variable among inpatient settings and populations and requires an interprofessional effort. This article reviews the body of published research on challenges with medication history taking and reconciliation for inpatients requiring treatment of traumatic injuries or surgical intervention. Review of Evidence A comprehensive search of PubMed and MEDLINE databases from inception to February 2021, the reference lists of qualifying articles, and PubMed’s “similar article” suggestions were used to identify publications based on the following key terms: patient transfer, transitional care, medication reconciliation, general surgery, and surgical procedures. Publications relevant to trauma and surgical patient populations were selected. Only 11 articles met the full criteria. Implementation The general challenges of accurate medication reconciliation at admission are also often barriers in the trauma and general surgery population. Discerning trends in the literature and evidence-based practice may be helpful. Evaluation The publications revealed many barriers to medication reconciliation at admission, in the intensive care unit, and at intensive care unit and hospital discharge. Sustainability Practices that can overcome these challenges include persistence in obtaining accurate information, paying close attention to changes in dosage or dosage forms and resumption of home medications at intensive care unit discharge, and having a follow-up plan for prescribing and deprescribing at hospital discharge. Conclusion Clear guidelines are needed for performing medication assessments at the bedside, including the role of each health care professional who conducts them and how the process is coordinated.

Bethany R. Shoulders

Kelly L. Maguigan

Dironada K. Strange

Stephen J. Lemon

Critical Care Nurse

重症监护护士 (CCN) 是美国重症监护护士协会 (AACN) 的官方出版物。邀请作者提交手稿以供考虑和同行评审。临床主题必须符合 CCN 的使命，并解决急危重症患者的护理实践。

Critical Care Nurse is the official publication of the American Association of Critical-Care Nurses (AACN). We invite authors to submit manuscripts for consideration and peer review. Clinical topics must align with the mission of Critical Care Nurse and address the nursing practice for critically ill patients.

《Critical Care Nurse》是美国重症监护护士协会（AACN）的官方出版物。我们欢迎作者提交手稿以供考虑和同行评审。临床主题必须符合《Critical Care Nurse》的使命，并关注急危重症患者的护理实践。

Category	Quartile
医学	4
医学, 危重病医学	4
医学, 护理	4

Medication Transitions of Care in Trauma and Acute Care Surgery Patients

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