Create allergy and medication reconciliation tables
AI generates professional tables documenting allergies with reactions and complete medication reconciliation lists.
Create allergy and medication reconciliation tables
River's Allergy and Medication Reconciliation Table Generator creates organized tables for documenting patient allergies and performing medication reconciliation. You provide allergy information (allergen and reaction) and medication lists (home medications and current hospital medications), and the AI generates clean tables ready for medical records. The allergy table includes allergen, reaction type, and severity. The medication reconciliation table compares home medications to hospital medications, identifying additions, deletions, and modifications. Perfect for nurses performing admission assessments, pharmacists doing medication reconciliation, or any clinician documenting allergies and medications systematically.
Unlike scattered or incomplete allergy and medication documentation, these tables organize critical safety information clearly. Proper allergy documentation prevents dangerous drug exposures. Complete medication reconciliation at care transitions prevents medication errors that cause adverse events. The AI structures information in easy-to-read table format that improves communication between providers and supports patient safety. When allergies and medications are documented completely and accurately, they prevent harm and improve care quality.
This tool is perfect for nurses performing admission assessments and medication reconciliation, pharmacists verifying medication lists, physicians documenting allergies, or any clinician needing organized allergy and medication tables. If your allergy and medication documentation is inconsistent or incomplete, this creates professional tables instantly. Use it for admission documentation, care transitions, medication reconciliation processes, or updating patient records.
Allergy and Medication Documentation
Proper allergy documentation includes three elements: allergen (what substance), reaction (what happened), and severity/type (how serious, what kind of reaction). Don't just list 'penicillin' as allergy; document 'penicillin: anaphylaxis' or 'penicillin: rash.' This helps providers assess whether exposure should be absolutely avoided or might be tolerated if needed. True allergies (IgE-mediated, anaphylaxis, serious reactions) differ from intolerances (GI upset, dizziness). Document both but distinguish them. Include medication allergies, food allergies, latex allergy, contrast dye reactions, and environmental allergies relevant to hospital care. Update allergy list whenever new allergies discovered or old ones disproven.
Medication reconciliation is systematic process of comparing complete list of medications patient is taking with medications ordered during care transition. This happens at admission, transfer, and discharge. Identify discrepancies between patient's home medication list and current orders. Some discrepancies are intentional (discontinuing medications, changing doses based on clinical situation). Others are unintentional errors that could harm patient (forgetting to restart home medications, duplicating therapies). Reconciliation prevents these errors. Document patient's complete home medication list, current hospital medications, and any changes made with rationale.
Create clear medication reconciliation tables comparing home to hospital medications. Include medication name, dose, route, frequency, and action taken (continued, discontinued, held, dose changed, new medication started). This documentation ensures receiving providers know what changed and why. At discharge, provide patient with updated medication list showing what to continue, what to stop, and what changed. Medication errors at transitions of care cause significant patient harm. Systematic medication reconciliation is proven intervention that prevents these errors and improves patient safety.
What You Get
Organized allergy table with allergen, reaction, severity
Medication reconciliation table comparing home to hospital meds
Actions documented (continue, discontinue, hold, change)
Professional formatting ready for medical record
Clear communication tool for care transitions
Supports patient safety and error prevention
How It Works
- 1Provide informationShare patient allergies and medication lists (home and hospital)
- 2AI creates tablesGenerates organized allergy and medication reconciliation tables in 2-3 minutes
- 3Review and verifyCheck accuracy, add any missing information
- 4Paste into documentationCopy tables into admission note or medication reconciliation form
Frequently Asked Questions
How do I distinguish true allergies from intolerances?
True allergies involve immune system response and include symptoms like rash, hives, swelling, wheezing, anaphylaxis. Intolerances or side effects don't involve immune system: nausea, dizziness, headache. Document both, but note the difference. 'Morphine: nausea' (intolerance) is different from 'morphine: hives, tongue swelling' (true allergy). For serious allergies, alternative drug classes needed. For intolerances, medication might still be used if benefits outweigh side effects. Documentation helps future providers make informed decisions.
What if patient doesn't know their medication names?
Ask patient to bring in pill bottles or written medication list. Ask pharmacy to print medication list. Check with patient's primary care doctor or previous hospital records. Ask about what conditions they take medications for ('blood pressure pills,' 'diabetes medicine') and work backwards. Review medication administration records from nursing home or home health if applicable. Use all available sources to create most complete list possible. Document source of information and any limitations.
How do I document intentional changes vs errors in medication reconciliation?
For intentional changes, document rationale: 'Home lisinopril 20mg daily HELD due to acute kidney injury, will reassess' or 'Home metformin 1000mg BID DISCONTINUED due to AKI, started on insulin sliding scale instead.' For unintentional discrepancies you catch, document: 'Home atorvastatin 40mg daily was not initially ordered on admission, ADDED per med rec.' Clear documentation shows you identified and resolved discrepancy. This protects patient and demonstrates proper medication reconciliation.
Should I include over-the-counter medications and supplements?
Yes. Include OTC medications, vitamins, supplements, herbal products patients take regularly. Many interact with prescription medications or affect medical conditions. Aspirin, NSAIDs, calcium, vitamin D, fish oil, herbals all matter. Ask specifically about these as patients often don't mention them unless asked. Document complete list of everything patient actually takes. This prevents interactions and duplicate therapies and gives complete picture of patient's medication regimen.
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