PROMOTING FAMILY INVOLVEMENT TO IMPROVE SAFETY: A PRESCRIPTION AND OVER THE COUNTER MEDICATION SAFETY INITIATIVE IN AN INTENSIVE AMBULATORY SETTING.

2.50
Hdl Handle:
http://hdl.handle.net/10755/164907
Category:
Abstract
Type:
Presentation
Title:
PROMOTING FAMILY INVOLVEMENT TO IMPROVE SAFETY: A PRESCRIPTION AND OVER THE COUNTER MEDICATION SAFETY INITIATIVE IN AN INTENSIVE AMBULATORY SETTING.
Author(s):
Warrell, Wendy; Szymanski, Gina; Abiodun, Oluwatoyin
Author Details:
Wendy Warrell, BSN RN, Assistant Nurse Manager, Johns Hopkins Hospital, Baltimore, Maryland, USA, email: wwarrell@earthlink.net; Gina Szymanski, MS, RN; Oluwatoyin Abiodun, AS
Abstract:
Medication reconciliation is a top priority for the Joint Commission on Accreditation of Healthcare Organizations and in our institution. Medication discrepancies between what is prescribed and what patientÆs take are reported to be as high as 76%. Blood and marrow transplant (BMT) and Leukemia outpatient medication regimes are complex and often require numerous modifications leading to a higher risk for medication discrepancies and errors. Over the counter (OTC) medications are often overlooked by providers but can have a significant impact on patient outcomes in the setting of poly-pharmacy and in the aging cancer patient. Oncology nurses in our NCI designated comprehensive cancer center's intensive ambulatory clinic for leukemia and BMT patients identified correct self-administration of prescription and OTC medication management as a safety issue. We analyzed our patient medication self-administration practices and implemented a simple intervention that resulted in an increase in the collaboration and dialogue between the patient, caregivers and the nurse, and ultimately increased medication safety in the clinic. Using a convenience sample, we gathered data from patients and their caregivers, regarding their knowledge and adherence to their prescription and OTC medication regimes. We examined the accuracy of our outpatient medication list and quantified how often the clinic nurse completed medication reconciliation with the patient/ caregiver. After the initial data collection, patients received a medication bag to facilitate transport of medications to each clinic visit and act as a visual prompt to initiate accurate medication reconciliation and begin a dialogue with the patient/caregiver to improve any medication knowledge deficits. A month after the intervention was instituted a second identical data collection was done to examine patient/caregiver knowledge and compliance with their medication regime. The nurse and patient/caregiver team are in a unique collaborative relationship in the outpatient setting and play a key role in medication reconciliation. The patient and caregiver make significant contributions to the patient's current history of medication administration practices, medication side effects and response to treatment. Formalized medication reconciliation protocols that include discussions with patient and caregiver improve the systems and self-management of medications, achieving improved safety outcomes for the patient.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePROMOTING FAMILY INVOLVEMENT TO IMPROVE SAFETY: A PRESCRIPTION AND OVER THE COUNTER MEDICATION SAFETY INITIATIVE IN AN INTENSIVE AMBULATORY SETTING.en_GB
dc.contributor.authorWarrell, Wendyen_US
dc.contributor.authorSzymanski, Ginaen_US
dc.contributor.authorAbiodun, Oluwatoyinen_US
dc.author.detailsWendy Warrell, BSN RN, Assistant Nurse Manager, Johns Hopkins Hospital, Baltimore, Maryland, USA, email: wwarrell@earthlink.net; Gina Szymanski, MS, RN; Oluwatoyin Abiodun, ASen_US
dc.identifier.urihttp://hdl.handle.net/10755/164907-
dc.description.abstractMedication reconciliation is a top priority for the Joint Commission on Accreditation of Healthcare Organizations and in our institution. Medication discrepancies between what is prescribed and what patientÆs take are reported to be as high as 76%. Blood and marrow transplant (BMT) and Leukemia outpatient medication regimes are complex and often require numerous modifications leading to a higher risk for medication discrepancies and errors. Over the counter (OTC) medications are often overlooked by providers but can have a significant impact on patient outcomes in the setting of poly-pharmacy and in the aging cancer patient. Oncology nurses in our NCI designated comprehensive cancer center's intensive ambulatory clinic for leukemia and BMT patients identified correct self-administration of prescription and OTC medication management as a safety issue. We analyzed our patient medication self-administration practices and implemented a simple intervention that resulted in an increase in the collaboration and dialogue between the patient, caregivers and the nurse, and ultimately increased medication safety in the clinic. Using a convenience sample, we gathered data from patients and their caregivers, regarding their knowledge and adherence to their prescription and OTC medication regimes. We examined the accuracy of our outpatient medication list and quantified how often the clinic nurse completed medication reconciliation with the patient/ caregiver. After the initial data collection, patients received a medication bag to facilitate transport of medications to each clinic visit and act as a visual prompt to initiate accurate medication reconciliation and begin a dialogue with the patient/caregiver to improve any medication knowledge deficits. A month after the intervention was instituted a second identical data collection was done to examine patient/caregiver knowledge and compliance with their medication regime. The nurse and patient/caregiver team are in a unique collaborative relationship in the outpatient setting and play a key role in medication reconciliation. The patient and caregiver make significant contributions to the patient's current history of medication administration practices, medication side effects and response to treatment. Formalized medication reconciliation protocols that include discussions with patient and caregiver improve the systems and self-management of medications, achieving improved safety outcomes for the patient.en_GB
dc.date.available2011-10-27T12:09:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:09:06Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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