2.50
Hdl Handle:
http://hdl.handle.net/10755/182734
Category:
Abstract
Type:
Presentation
Title:
Nursing Accountability and Collaboration in Medication Reconciliation
Author(s):
Ehmann, Jeanne; Chandler, Cheryl
Author Details:
Jenne Ehmann, Jeanne, RN MS CPHQ, Newport Hospital, Newport, Rhode Island, USA, email: Jehmann@lifespan.org; Cheryl Chandler, RN, BSN
Abstract:
Podium Presentation: BRIEF DESCRIPTION: Nursing collaboration is key to utilization of electronic medical record documentation tools. Reliable processes that resulted in a 50 percent reduction in the un-reconciled medications per 100 discharged patients will be discussed. ABSTRACT: As a result of the Joint Commission announcement of the 2006 National Patient Safety Goals, the Institute for Healthcare Improvement 100,000 lives campaign and our interest in providing safe patient care, our hospital set out to examine the present medication reconciliation process and ultimately develop an accurate reliable process. Our goal was to prevent adverse drug events, improve communication between the hospital provider, the receiving provider and the patient regarding medications. In addition, our aim was to mobilize and engage the patient health care team to effectively communicate and be accountable for patient safety ensuring this process was completed reliably. Impact on the organization is significant in that it encouraged collaboration and communication between units using the "Situation Background Assessment Recommendation (SBAR)" format. It improved our compliance with core measures that include aspects of medication reconciliation such as surgical care improvement beta blocker measures and discontinuance of antibiotic prophylaxis. Nurses provided patient education in maintaining an accurate list of medications; and most notably worked in improving the electronic medical record forms that aid practitioners in enterprise hospitals that include an electronic home med list, physician order management and the electronic continuity of care form including the patient discharge instructions and complete medication list. We now provide the patient an optimal safe discharge. As our staff reliably adheres to the process elements and that we can do this electronically is the largest accomplishment. Reducing the # of unreconciled medications at discharge per 100 patient discharges (IHI definition) by 50% from 485 unreconciled medications per 100 pt discharges to 85 in 2006 and further to 20 unreconciled medications per 100 pt discharges by December 2007 is largely the result of our nurses' active collaboration, diligence and ability to adapt to change. Maintaining reliability is our present goal and challenge. REFERENCES: IHI "How to guide" MA Coalition for the Prevention of Medical Errors Reconciling Medications Collaborative and related resources will list. [Please contact primary investigator for list of additional resources used.]
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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 Accountability and Collaboration in Medication Reconciliationen_GB
dc.contributor.authorEhmann, Jeanneen_US
dc.contributor.authorChandler, Cherylen_US
dc.author.detailsJenne Ehmann, Jeanne, RN MS CPHQ, Newport Hospital, Newport, Rhode Island, USA, email: Jehmann@lifespan.org; Cheryl Chandler, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/182734-
dc.description.abstractPodium Presentation: BRIEF DESCRIPTION: Nursing collaboration is key to utilization of electronic medical record documentation tools. Reliable processes that resulted in a 50 percent reduction in the un-reconciled medications per 100 discharged patients will be discussed. ABSTRACT: As a result of the Joint Commission announcement of the 2006 National Patient Safety Goals, the Institute for Healthcare Improvement 100,000 lives campaign and our interest in providing safe patient care, our hospital set out to examine the present medication reconciliation process and ultimately develop an accurate reliable process. Our goal was to prevent adverse drug events, improve communication between the hospital provider, the receiving provider and the patient regarding medications. In addition, our aim was to mobilize and engage the patient health care team to effectively communicate and be accountable for patient safety ensuring this process was completed reliably. Impact on the organization is significant in that it encouraged collaboration and communication between units using the "Situation Background Assessment Recommendation (SBAR)" format. It improved our compliance with core measures that include aspects of medication reconciliation such as surgical care improvement beta blocker measures and discontinuance of antibiotic prophylaxis. Nurses provided patient education in maintaining an accurate list of medications; and most notably worked in improving the electronic medical record forms that aid practitioners in enterprise hospitals that include an electronic home med list, physician order management and the electronic continuity of care form including the patient discharge instructions and complete medication list. We now provide the patient an optimal safe discharge. As our staff reliably adheres to the process elements and that we can do this electronically is the largest accomplishment. Reducing the # of unreconciled medications at discharge per 100 patient discharges (IHI definition) by 50% from 485 unreconciled medications per 100 pt discharges to 85 in 2006 and further to 20 unreconciled medications per 100 pt discharges by December 2007 is largely the result of our nurses' active collaboration, diligence and ability to adapt to change. Maintaining reliability is our present goal and challenge. REFERENCES: IHI "How to guide" MA Coalition for the Prevention of Medical Errors Reconciling Medications Collaborative and related resources will list. [Please contact primary investigator for list of additional resources used.]en_GB
dc.date.available2011-10-28T15:37:45Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:37:45Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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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