Patient Demographics: Provides an accurate description of patient demographics (age, medical diagnosis, significant social history) without revealing protected health information (PHI) .

Listing of Medications Accurately and in detail, lists all medications (including prescription,
over-the-counter, herbal) and known allergies (medication and food) Adequately analyzes the identified l
ethical issue that can arise in various clinical situations; provides example of ethical issue; discusses any
standards of care relevant to the topic as well as method(s) to avoid the identified issue.

Comprehensive Medication Review Provides a comprehensive review of the reason for the use of the medication(s)
including:
? Diagnosis for which the medication is prescribed
? Side effects being experienced by patient
? Drug-drug and drug-food interactions experienced by patient
? Implications based on the Beers Criteria.
Follow-Up Recommendations & Patient Teaching Provides detailed recommendations and patient teaching,
including:
? Recommendations for the patient based on the comprehensive review and relevant diagnosis.
? Description of patient teaching actually provided to patient.
Brown Bag Medication Review Paper Grading Rubric

Learner: _____________________________________

Criteria 4 3 2 1 Weight
Patient Demographics Provides an accurate description of patient demographics (age, medical diagnosis,
significant social history) without revealing protected health information (PHI) Adequately describes
patient demographics (age, medical diagnosis, significant social history) without revealing protected health
information (PHI) Patient demographics may be disorganized and/or lack sufficient detail Fails to
provide an accurate description of patient demographics (age, medical diagnosis, significant social history)
and/or reveals protected health information (PHI) 10%
Listing of Medications Accurately and in detail, lists all medications (including prescription,
over-the-counter, herbal) and known allergies (medication and food) Adequately analyzes the identified l
ethical issue that can arise in various clinical situations; provides example of ethical issue; discusses any
standards of care relevant to the topic as well as method(s) to avoid the identified issue Inadequately
analyzes the identified ethical issue that can arise in various clinical situations; provides example of
ethical issue; discusses any standards of care relevant to the topic as well as method(s) to avoid the
identified issue Fails to adequately list all medications (including prescription, over-the-counter,
herbal) and/or known allergies (medication and food) 10%
Comprehensive Medication Review Provides a comprehensive review of the reason for the use of the medication(s)
including:
• Diagnosis for which the medication is prescribed
• Side effects being experienced by patient
• Drug-drug and drug-food interactions experienced by patient
• Implications based on the Beers Criteria Adequate review of the reason for the use of the
medication(s) including:
• Diagnosis for which the medication is prescribed
• Side effects being experienced by patient
• Drug-drug and drug-food interactions experienced by patient
• Implications based on the Beers Criteria Inadequate review of the reason for the use of the
medication(s) or fails to include one of the following:
• Diagnosis for which the medication is prescribed
• Side effects being experienced by patient
• Drug-drug and drug-food interactions experienced by patient
• Implications based on the Beers Criteria Inadequate review of the reason for the use of the
medication(s) or fail to include two or more of the following:
• Diagnosis for which the medication is prescribed
• Side effects being experienced by patient
• Drug-drug and drug-food interactions experienced by patient
• Implications based on the Beers Criteria 35%

Follow-Up Recommendations & Patient Teaching Provides detailed recommendations and patient teaching,
including:
• Recommendations for the patient based on the comprehensive review and relevant diagnosis.
• Description of patient teaching actually provided to patient.
Provides adequate recommendations and patient teaching, including:
• Recommendations for the patient based on the comprehensive review and relevant diagnosis.
• Description of patient teaching actually provided to patient.
Provides inadequate recommendations and patient teaching, including:
• Recommendations for the patient based on the comprehensive review and relevant diagnosis.
• Description of patient teaching actually provided to patient. Provides inadequate recommendations
and patient teaching, including:
• Recommendations for the patient based on the comprehensive review and relevant diagnosis.
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