scholarly journals Bridging the Gap for Patient Safety: Medication Reconciliation

2004 ◽  
Vol 39 (8) ◽  
pp. 724-724 ◽  
Author(s):  
Joyce A. Generali
Keyword(s):  
Patient Safety ◽  
Medication Reconciliation

scholarly journals Medication Reconciliation And Inpatient Fall: Identifying Ways To Improve Patient Safety

2016 ◽  
Vol 19 (3) ◽  
pp. A289
Author(s):  
W. Agbor Bawa ◽  
N. Rianon ◽  
B. Melton ◽  
J. Chen ◽  
R. Rasu
Keyword(s):  
Patient Safety ◽  
Medication Reconciliation ◽  
Improve Patient Safety ◽  
Improve Patient

scholarly journals A Lean Approach to Evaluating Prescribing Errors in Medication Reconciliation

2021 ◽  
Author(s):  
Yudha Putra ◽  
Maryati Mohd. Yusof
Keyword(s):  
Patient Safety ◽  
Medication Reconciliation ◽  
Qualitative Case Study ◽  
System Function ◽  
Prescribing Errors ◽  
Rigid System ◽  
Staff Shortage ◽  
Continuous Evaluation ◽  
High Workload

We evaluated medication reconciliation processes of a qualitative case study at a 1000-bed public hospital. Lean tools were applied to identify factors contributing to prescribing errors and propose process improvement. Errors were attributed to the prescriber’s skills, high workload, staff shortage, poor user attitude and rigid system function. Continuous evaluation of medication reconciliation efficiency is imperative to identify and mitigate errors and increase patient safety.

scholarly journals CLINICAL PHARMACIST-LED PROGRAM ON MEDICATION RECONCILIATION AND PATIENT COUNSELING IN THE DEPARTMENT OF GASTROENTEROLOGY

2019 ◽  
pp. 6-10
Author(s):  
U. KRUTHIKA ◽  
M. SUDHASREE ◽  
J. MOUNIKA ◽  
N. TANDAVA KRISHNA ◽  
M. DIVYA ◽  
...  
Keyword(s):  
Patient Safety ◽  
Sample Size ◽  
Clinical Pharmacist ◽  
Medication Reconciliation ◽  
Patient Counseling ◽  
Interventional Study ◽  
Total Prevalence ◽  
Study Population ◽  
Male Patients

Objective: To study the effects of medication reconciliation and patient counseling on the overall health benefits of the patients in the department of gastroenterology. Methods: This study is a prospective interventional study, was conducted in a 500 bedded MNR Hospital. The sample size taken was 150 patients and the study population comprised of patients aged 18-80 y, admitted in the hospital during the study period of six months. Results: Out of 150 patients, there were 98 (65.33%) male patients and 52 (34.67%) female patients. Patients between 18 and 30 y of age were 29(19.33%), between the age of 30 and 50 y were 71 (47.33%) and above 50 were 50(33.33%). Pancreatitis was most prevalent with 21% of total prevalence, followed by CLD and cholelithiasis with 17%, then IBD 16%, PUD and Gastritis 5%, GERD 4% and other diseases 15%. Conclusion: The basic role of the pharmacist, is to help in minimizing the errors and to perform medication reconciliation. In patient counseling, pharmacists provide information about the disease, and the medications to increase patient safety and the changes in the behavior for the better outcome.

scholarly journals Best Paper Selection

2019 ◽  
Vol 28 (01) ◽  
pp. 081-082
Keyword(s):  
Patient Safety ◽  
Decision Support ◽  
Medication Reconciliation ◽  
Hospital Setting ◽  
Clinical Decision ◽  
Population Based ◽  
Design Methods ◽  
User Centered Design ◽  
Contextual Design ◽  
Care Partners

Couture B, Lilley E, Chang F, DeBord Smith A, Cleveland J, Ergai A, Katsulis Z, Benneyan J, Gershanik E, Bates DW, Collins SA. Applying user-centered design methods to the development of an mHealth application for use in the hospital setting by patients and care partners. Appl Clin Inform 2018 Apr;9(2):302-12 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943079/ Miller A, Koola JD, Matheny ME, Ducom JH, Slagle JM, Groessl EJ, Minter FF, Garvin JH, Weinger MB, Ho SB. Application of contextual design methods to inform targeted clinical decision support interventions in sub-specialty care environments. Int J Med Inform 2018 Sep;117:55-65 https://www.sciencedirect.com/science/article/pii/S138650561830580X?via%3Dihub Tamblyn R, Winslade N, Lee TC, Motulsky A, Meguerditchian A, Bustillo M, Elsayed S, Buckeridge DL, Couture I, Qian CJ, Moraga T, Huang A. Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computerassisted tool with automated electronic integration of population-based community drug data: the RightRx project. J Am Med Inform Assoc 2018 May 1;25(5):482-95 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018649/ Tscholl DW, Handschin L, Neubauer P, Weiss M, Seifert B, Spahn DR, Noethiger CB. Using an animated patient avatar to improve perception of vital sign information by anaesthesia professionals. Br J Anaesth 2018 Sep;121(3):662-71 https://bjanaesthesia.org/article/S0007-0912(18)30332-5/fulltext

Medication Reconciliation and Patient Safety in Trauma: Applicability of Existing Strategies

2020 ◽  
Vol 246 ◽  
pp. 482-489 ◽  
Author(s):  
Jonathan H. DeAntonio ◽  
Stefan W. Leichtle ◽  
Sarah Hobgood ◽  
Laura Boomer ◽  
Michel Aboutanos ◽  
...  
Keyword(s):  
Patient Safety ◽  
Medication Reconciliation

Medication Reconciliation – Theorie und Praxis

2014 ◽  
Vol 71 (6) ◽  
pp. 335-342
Author(s):  
Katharina Franzen ◽  
Rebekka Lenssen ◽  
Ulrich Jaehde ◽  
Albrecht Eisert
Keyword(s):  
Patient Safety ◽  
Medication Reconciliation ◽  
Wird Eine ◽  
Theorie Und Praxis ◽  
Praktische Umsetzung

Im Rahmen des WHO Projektes „High5s Action on Patient Safety“ wird „Medication Reconciliation“ an derzeit elf deutschen Kliniken implementiert. Ziel des High5s-Projektes ist es, innerhalb von fünf Jahren in fünf Ländern, fünf schwerwiegende Patientensicherheitsprobleme messbar, signifikant und anhaltend zu senken. Hierzu zählt unter anderem die Sicherstellung der richtigen Medikation bei Übergängen im Behandlungsprozess (Medication Reconciliation). Medication Reconciliation ist der systematische Abgleich der bestehenden Medikation eines Patienten mit der stationären Verordnung. Durch die nationale Koordinierungsstelle wurde hierfür eine standardisierte Handlungsempfehlung übersetzt und adaptiert. Hier wird sowohl die Implementierung als auch das Vorgehen im Medication Reconciliation Prozess strukturiert dargestellt. Der Medication Reconciliation Prozess gliedert sich in drei Teile. Zunächst wird eine bestmögliche Arzneimittelanamnese erfasst, anschließend erstellt der Arzt anhand dieser seine Aufnahmeverordnung und es erfolgt im letzten Schritt ein Abgleich der bestmöglichen Arzneimittelanamnese mit der Aufnahmeverordnung. Hierbei aufgetretene Diskrepanzen werden mit dem behandelten Arzt besprochen und geklärt. Der Erfassung der bestmöglichen Arzneimittelanamnese kommt hierbei eine besondere Rolle zu, da diese den Patienten während des gesamten Krankenhausaufenthaltes begleitet und an jeder Schnittstelle erneut zu Rate gezogen wird. Die praktische Umsetzung von Medication Reconciliation bedarf meist einer umfangreichen Umstellung der aktuellen Verordnungsbögen bzw. Verordnungssoftware und stellt somit für viele Kliniken eine große Herausforderung dar. Dennoch war es in den Niederlanden möglich, die Zahl an unbeabsichtigten Diskrepanzen um bis zu 90 % zu senken. Auch eine deutsche Klinik erzielt mit einer Reduktion der Diskrepanzen um ca. 77 % erste positive Ergebnisse. Des Weiteren wird der Nutzen von Medication Reconciliation für die Sicherheit des Patienten derzeit anhand klinisch-relevanter Endpunkte in einer weiteren Studie evaluiert.

Medication Reconciliation During Transitions of Care as a Patient Safety Strategy

2013 ◽  
Vol 158 (5_Part_2) ◽  
pp. 397 ◽  
Author(s):  
Janice L. Kwan* ◽  
Lisha Lo* ◽  
Margaret Sampson ◽  
Kaveh G. Shojania
Keyword(s):  
Patient Safety ◽  
Medication Reconciliation ◽  
Transitions Of Care ◽  
Safety Strategy

scholarly journals Code Status Reconciliation to Improve Identification and Documentation of Code Status in Electronic Health Records

2017 ◽  
Vol 26 (01) ◽  
pp. 226-234
Author(s):  
Viral G Jain ◽  
Peter J Greco ◽  
David C Kaelber
Keyword(s):  
Patient Safety ◽  
End Of Life ◽  
Medication Reconciliation ◽  
Healthcare Delivery ◽  
Clinical Decision ◽  
Care Quality ◽  
Transitions Of Care ◽  
Do Not Resuscitate ◽  
Code Status ◽  
Electronic Health

Summary Background: Code status (CS) of a patient (part of their end-of-life wishes) can be critical information in healthcare delivery, which can change over time, especially at transitions of care. Although electronic health record (EHR) tools exist for medication reconciliation across transitions of care, much less attention is given to CS, and standard EHR tools have not been implemented for CS reconciliation (CSR). Lack of CSR creates significant potential patient safety and quality of life issues. Objective: To study the tools, workflow, and impact of clinical decision support (CDS) for CSR. Methods: We established rules for CS implementation in our EHR. At admission, a CS is required as part of a patient’s admission order set. Using standard CDS tools in our EHR, we built an interruptive alert for CSR at discharge if a patient did not have the same inpatient (current) CS at discharge as that prior to admission CS. Results: Of 80,587 admissions over a four year period (2 years prior to and post CSR implementation), CS discordance was seen in 3.5% of encounters which had full code status prior to admission, but Do Not Resuscitate (DNR) CS at discharge. In addition, 1.4% of the encounters had a different variant of the DNR CS at discharge when compared with CS prior to admission. On pre-post CSR implementation analysis, DNR CS per 1000 admissions per month increased significantly among patients discharged and in patients being admitted (mean ± SD: 85.36 ± 13.69 to 399.85 ± 182.86, p<0.001; and 1.99 ± 1.37 vs 16.70 ± 4.51, p<0.001, respectively). Conclusion: EHR enabled CSR is effective and represents a significant informatics opportunity to help honor patients’ end-of-life wishes. CSR represents one example of non-medication reconciliation at transitions of care that should be considered in all EHRs to improve care quality and patient safety.

Medication Reconciliation in Transition Of Care: Broken Telephone or Patient Safety Goal?

2012 ◽  
Vol 13 (3) ◽  
pp. B15
Author(s):  
Liron Danay Sinvani ◽  
Liron Danay Sinvani ◽  
Judith Beizer ◽  
Gisele Wolf-Klein ◽  
Meredith Ackerman ◽  
...  
Keyword(s):  
Patient Safety ◽  
Medication Reconciliation ◽  
Transition Of Care
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