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Tuesday, November 3, 2009: 10:15 AM
Learning Objective 1: identify the impact of medication reconciliation on patient safety and steps to implement a comprehensive medication reconciliation program.
Learning Objective 2: list strategies to promote the use and compliance with medication reconciliation by the healthcare team.
Background: Medication errors are one of the leading causes of harm to hospitalized patients and the majority takes place at the interfaces of care (admission, transfer, and discharge). The Joint Commission of Accreditation of Healthcare Organizations (JCAHO) recognized this fact and included medication reconciliation as one of its 2005 National Patient Safety Goals. Medication reconciliation is the process of obtaining a list of a patient's current home drugs and then comparing that list against the physician's admission, transfer and dismissal orders.
Purpose: To effect behavioral changes of care providers in medication reconciliation. Secondly, to implement an online system-wide medication reconciliation process that conforms to JCAHO standards.
Plan: A task force was formed, marketing analysis conducted and budgeting set. Failure Modes and Effects Analysis (FMEA) was selected as a proactive method of process evaluation. Priorities of the process were identified. Medication reconciliation at discharge was determined to have the highest risk priority and became the first area of the new medication reconciliation process to be addressed. All areas of the medication reconciliation processes were addressed beyond this initial phase. Medication reconciliation software was integrated within the process.
Results: A 98.4% medication reconciliation rate at discharge was achieved at 12 months. A culture of safety to effect behavioral change and communication strategies necessary to sustain the process were identified and put into place. Since the inception of this project, numerous lessons learned and celebrated successes have been gained toward the reduction of medication discrepancies impacting the patient.
Purpose: To effect behavioral changes of care providers in medication reconciliation. Secondly, to implement an online system-wide medication reconciliation process that conforms to JCAHO standards.
Plan: A task force was formed, marketing analysis conducted and budgeting set. Failure Modes and Effects Analysis (FMEA) was selected as a proactive method of process evaluation. Priorities of the process were identified. Medication reconciliation at discharge was determined to have the highest risk priority and became the first area of the new medication reconciliation process to be addressed. All areas of the medication reconciliation processes were addressed beyond this initial phase. Medication reconciliation software was integrated within the process.
Results: A 98.4% medication reconciliation rate at discharge was achieved at 12 months. A culture of safety to effect behavioral change and communication strategies necessary to sustain the process were identified and put into place. Since the inception of this project, numerous lessons learned and celebrated successes have been gained toward the reduction of medication discrepancies impacting the patient.
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