Nursing-Pharmacy Collaboration on Medication Reconciliation: A Novel Approach to Information Management

2.50
Hdl Handle:
http://hdl.handle.net/10755/182348
Category:
Abstract
Type:
Presentation
Title:
Nursing-Pharmacy Collaboration on Medication Reconciliation: A Novel Approach to Information Management
Author(s):
Vista, Melissa
Author Details:
Melissa Vista, RN, BSN, ONC, The Johns Hopkins Hospital, Baltimore, Maryland, USA, email: mvista1@jhmi.edu
Abstract:
The bedside care team is frequently overwhelmed with a multitude of tasks that fail to allow adequate time for the correct determination of a patients current medication history. This in turn has lead to failure of a patients care plan due to medication discrepancies. In an effort to provide an innovative solution to a commonly identified problem, nursing has joined with pharmacy and the physician staff to develop a modern approach to medication reconciliation. This innovative care coordination team is lead by clinical nurses and clinical pharmacists who are allocated time to interact with patients to determine their current level of medication compliance and usage. After interviewing patients, the nurse consults with the primary nursing team, case manager, physician, and pharmacist to develop a care plan to address medication issues experienced by the patient. A protocol was developed to determine and correct unintentional discrepancies upon admission and discharge as well as provide a comprehensive home medication list for the patient. Preliminary analysis shows that the interviews are conducted on average of 11.2 minutes while the average total time for the protocol with the exclusion of the initial interview estimated 29.3 minutes. Preliminary data has shown that nearly half of the patients had at least one medication discrepancy. More than half of these discrepancies indicated potentially moderate to serious harm if left undiscovered. Initial data indicates that this innovative medication reconciliation service plays an essential role in the continuity of care of a patient as they transition from hospital to home.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleNursing-Pharmacy Collaboration on Medication Reconciliation: A Novel Approach to Information Managementen_GB
dc.contributor.authorVista, Melissaen_US
dc.author.detailsMelissa Vista, RN, BSN, ONC, The Johns Hopkins Hospital, Baltimore, Maryland, USA, email: mvista1@jhmi.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/182348-
dc.description.abstractThe bedside care team is frequently overwhelmed with a multitude of tasks that fail to allow adequate time for the correct determination of a patients current medication history. This in turn has lead to failure of a patients care plan due to medication discrepancies. In an effort to provide an innovative solution to a commonly identified problem, nursing has joined with pharmacy and the physician staff to develop a modern approach to medication reconciliation. This innovative care coordination team is lead by clinical nurses and clinical pharmacists who are allocated time to interact with patients to determine their current level of medication compliance and usage. After interviewing patients, the nurse consults with the primary nursing team, case manager, physician, and pharmacist to develop a care plan to address medication issues experienced by the patient. A protocol was developed to determine and correct unintentional discrepancies upon admission and discharge as well as provide a comprehensive home medication list for the patient. Preliminary analysis shows that the interviews are conducted on average of 11.2 minutes while the average total time for the protocol with the exclusion of the initial interview estimated 29.3 minutes. Preliminary data has shown that nearly half of the patients had at least one medication discrepancy. More than half of these discrepancies indicated potentially moderate to serious harm if left undiscovered. Initial data indicates that this innovative medication reconciliation service plays an essential role in the continuity of care of a patient as they transition from hospital to home.en_GB
dc.date.available2011-10-28T15:20:17Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:20:17Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_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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