An Interdisciplinary Approach of Designing and Implementing a PDSA (Plan-Do-Study-Act) Cycle Project to Reduce Polypharmacy in a Frail Elderly Population

2.50
Hdl Handle:
http://hdl.handle.net/10755/308396
Category:
Abstract
Type:
Presentation
Title:
An Interdisciplinary Approach of Designing and Implementing a PDSA (Plan-Do-Study-Act) Cycle Project to Reduce Polypharmacy in a Frail Elderly Population
Author(s):
Torres, Nicole Marie; Yi, Thomas
Lead Author STTI Affiliation:
Beta Gamma
Author Details:
Nicole Marie Torres, RN, BSN, strawbreezie@gmail.com; Thomas Yi, PharmD, BCPS
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

Problem:

Polypharmacy is common among the elderly and few interdisciplinary approaches exist with a primary goal of optimizing the elder’s medication regimen.

Approach:

A core team was established to explore medication management processes that currently existed in order to reduce polypharmacy at On Lok Lifeways, the pioneering Program of All-Inclusive Care for the Elderly serving frail elderly in the San Francisco Bay Area.  This interdisciplinary team was compromised of physicians, pharmacists, nurses, and quality assurance (QA).  After evaluation from each member’s perspective, areas in need of process improvement were identified.  A review of established methods to implement and measure change was conducted and rapid-cycle testing using a PDSA (Plan, Do, Study, Act) cycle was chosen.  PDSA cycles allowed our project to be tested in a small population and resulted in measurable outcomes in a short timeframe.  Results from small cycles could be evaluated and then implemented on a larger scale.

The core team’s evaluation revealed that interdisciplinary patient care teams were lacking a formalized and collaborative review of medications.  It was hypothesized that input from disciplines, such as dietary and physical therapy, could provide additional perspectives on medication use.  One team out of ten was identified to participate.  The core team designed a process in which each discipline would review an elder’s medication list using guides tailored to their area of expertise.  All disciplines were challenged to reflect on how their specific assessments and care plans would aid in reducing polypharmacy in collaboration with other team members.  A survey establishing baseline opinions of team members in the area of medication management will be conducted before and after the project.  Furthermore, elders evaluated during the project will be assessed for changes in medication count and factors that may contribute to polypharmacy.

Keywords:
Medications; Interdisciplinary; Process Improvement
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleAn Interdisciplinary Approach of Designing and Implementing a PDSA (Plan-Do-Study-Act) Cycle Project to Reduce Polypharmacy in a Frail Elderly Populationen_GB
dc.contributor.authorTorres, Nicole Marieen_GB
dc.contributor.authorYi, Thomasen_GB
dc.contributor.departmentBeta Gammaen_GB
dc.author.detailsNicole Marie Torres, RN, BSN, strawbreezie@gmail.com; Thomas Yi, PharmD, BCPSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308396-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p><b>Problem:</b><p>Polypharmacy is common among the elderly and few interdisciplinary approaches exist with a primary goal of optimizing the elder’s medication regimen. <p><b>Approach:</b><p>A core team was established to explore medication management processes that currently existed in order to reduce polypharmacy at On Lok Lifeways, the pioneering Program of All-Inclusive Care for the Elderly serving frail elderly in the San Francisco Bay Area.  This interdisciplinary team was compromised of physicians, pharmacists, nurses, and quality assurance (QA).  After evaluation from each member’s perspective, areas in need of process improvement were identified.  A review of established methods to implement and measure change was conducted and rapid-cycle testing using a PDSA (Plan, Do, Study, Act) cycle was chosen.  PDSA cycles allowed our project to be tested in a small population and resulted in measurable outcomes in a short timeframe.  Results from small cycles could be evaluated and then implemented on a larger scale. <p>The core team’s evaluation revealed that interdisciplinary patient care teams were lacking a formalized and collaborative review of medications.  It was hypothesized that input from disciplines, such as dietary and physical therapy, could provide additional perspectives on medication use.  One team out of ten was identified to participate.  The core team designed a process in which each discipline would review an elder’s medication list using guides tailored to their area of expertise.  All disciplines were challenged to reflect on how their specific assessments and care plans would aid in reducing polypharmacy in collaboration with other team members.  A survey establishing baseline opinions of team members in the area of medication management will be conducted before and after the project.  Furthermore, elders evaluated during the project will be assessed for changes in medication count and factors that may contribute to polypharmacy.en_GB
dc.subjectMedicationsen_GB
dc.subjectInterdisciplinaryen_GB
dc.subjectProcess Improvementen_GB
dc.date.available2013-12-19T17:30:47Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:30:47Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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