Medication reconciliation is a safe process that can benefit patients by providing accurate, up to date listing of current medications the patient is taking. Patients deserve high quality patient care that supports accurate medication list, eradicating potential medication errors, and providing superior safe patient care. Which then directs me to my clinical question, does accurate medication reconciliation (intervention) influence patient safety (outcome) in patent’s who have adverse drug events (problem) over a one year within ambulatory clinic settings (time)? My PICOT supportive research question has been further evaluated from the journal article, “Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center” written by Keogh et al. (2016). The Joint Commission Journal on Quality and Patient Safety, representative recognizes insufficient medication reconciliation consistently linking to adverse drug events, incidentally the World Health Organization’s recognizes medication reconciliation as one of the “top-five high- risk …show more content…
recognizes patient safety and adverse drug events negatively corresponded to inaccurate medication reconciliation processes (2016). An improvement effort was established in Boston with a sample of, “148 Brigham and Women’s Hospital ambulatory specialty practices” (Keogh et al., 2016, p. 186). Brigham and Women’s ambulatory specialty sample involving a 148 practices, 63 practices followed a thorough medication reconciliation process, 71 practices less restrictive revised moderate medication reconciliation process, and lastly 14 practices followed a minimal accountability with medication reconciliation (Keogh et al., 2016, p. 186). The three divisions within this study are defined in vague terms. Pointedly, a sample size of 148 specialty practices is a large respective quantity, however no definition to how many providers cover a specialty or patient to provider
MTM is used to describe the broad range of health care services provided by pharmacists. These services include comprehensive medication reviews, medication reconciliation, drug use review, the ordering and review of lab tests, immunizations, drug dosage adjustments, and identification of gaps in care. Integrated systems of care, such as accountable care organizations (ACOs), already view MTM as essential to care delivery and to meeting ACO quality and cost targets. Such organizations also are heavily invested in HIT, including e-prescribing and EHRs. MTM can improve medication adherence and patient outcomes among patients suffering from chronic diseases, thus cutting costs and improving the quality of care and patient
Six months after the introduction of medication aides, error rates were as follows: RN (2.75%), LPN (7.25%) and medication aides (6.06%) with a mean error rate of 6.6%” Randolph & Scott-Calwiezell (2010) as cited in Budden (2011). While errors remain, the objective of reducing inaccuracies among primary nursing staff was achieved by
Preventable medical mistakes cause approximately 200,000 deaths around the United States each year. (1) More than 1,000,000 Americans are negatively impacted by medication errors each year caused by inadvertent mistakes in the prescription filling process. With 4 out of 5 adults taking at least 1 medication daily and 1 out of 4 adults taking 5 or more medications daily nationwide, errors like these cost healthcare industry billions of dollars per year. Health information technology were developed to transform healthcare services, the way they are provided and compensated. Electronic prescribing (e-prescribing) becomes an internal part of that transformation process, which can be confirmed from annual Surescripts’ National Progress Report.
The registered nurse (RN) is reviewing orders and completing the medication reconciliation (Med Rec) in the electronic Medical Record (EMR). Med Rec is a process for double checking medications, where the RN verifies that the details of the medications written on the provider's orders match those recorded in the medication administration record (MAR) used by the nurse. During the Med Rec process, several alarms/alerts go off. Does the use of EMR guarantee error-free patient care? If yes, why?
However, half considered to be potentially preventable (Caughey et al., 2014). Dr Roughead, who from Quality Use of Medicines and Pharmacy Research Centre, University of South Australia, use his experiment to express different kind of medication-related problems commonly happened in Australian patient and the percentage of each problem. (Show as table
The implementation of medication synchronization, a process which is proven to save the system money by promoting improved medication adherence and eliminating waste when new medications are added and later discontinued due to various factors, would permit insurers in the State of New Jersey as well as the
Fisher Week Three Response to McConnelly Yvonne, your post was extremely intriguing to me as a community health department is not an environment I have had the privilege of experiencing. Interestingly, the utilization of computerized order entry does not prevent the prescriber from ordering an incorrect medication dose or the wrong drug (Lapane, Waring, Dube’, & Schneider, 2011). Do the facility employ process to assure nurses are checking the medication in order to avoid the administration of an incorrect drug or dosage? Distractions have been linked to medication errors, consequently, and the ability to care for a solitary patient at one time clearly minimizes the distractions and interruptions that a nurse may experience during medication
Medication errors can be very dangerous for the ones taking the wrong medicines or doses; therefore, safety measures must be in place. Administering them must be done with an understanding and focus. One missed check could have a staff member giving a resident the wrong set of pills. Some interventions to help prevent the medication error from occurring is to first report errors. When errors are reported, the main cause is to try and never let the error occur again.
Every profession has liability; which is every professional’s nightmare. Most liabilities can be prevented, while some happens without a profession’s awareness. All pharmacists must be aware of their standard of care, in order to avoid any risks of statements of malpractice. Pharmacy malpractice falls within the common law concept of negligence. In a pharmacy malpractice lawsuit, the elements of the case must include the following: the pharmacist had a duty of care, the pharmacist breached the duty of care, the breach proximately caused harm to the patient, and damages are the result (Milenkovich).
What outcomes will be analyzed and how they will be analyzed? Although the veterans are asked their full name and last four of their social security, the scanning provides the added comfort of providing the security or safety for everyone involved. The outcome of this research will show data that will be analyzed pre and post implementation of the BMCA system, which the approach is to show a significant change in the medication error rate. The outcome will be based on pre and post implementation of the barcode medication system by measuring the medication error rate.
Medication Errors in Healthcare The nursing profession entails many responsibilities that range from providing emotional support to administering medications that could result in death for those receiving care. Approximately 40% of a nurse's day consists of passing medication, a duty that sets their level of liability above many other healthcare professions (McCuistion, Vuljoin-DiMaggio, Winton, Yeager, & Kee, 2018). Despite today's advances in technology and nursing education, the frequency of medication errors is still staggering. To ensure that the benefits of nursing outweigh the risks, nurses look to the Quality and Safety Education for Nurses (QSEN) six core competencies for guidance.
Medication reconciliation assignment was an individual activity that I had to perform as a part of a course requirement. For this activity, we had clinical simulation lab organized with standardized patient. In simulation lab, I had to refer patient’s chart that includes his home medications and then interview standardized patient and get all detailed information regarding his medication schedule including name of medication, strength, dosage form, route, frequency and any adverse event associated with any medication patient is taking. After interviewing patient, I had to update patient’s medication list in to the patient’s chart and based on my clinical knowledge if I found any discrepancy in the patient medication list then I have to come
There is a lack of support from physicians as a separate medication ordering system will be used, creating an increased in workload and reduction in patient interaction time (Park et al.,
Communication can be a big factor in medication errors. Miscommunication by the members of the healthcare team can lead to deadly consequences, so orders should be repeated back and verified (Anderson, 2010.) Sometimes
Topic: Need and importance of clinical pharmacists in healthcare system Clinical pharmacy is a health science discipline in which pharmacists provide patient care that optimizes medication therapy and promotes health, and disease prevention, according to American College of Clinical Pharmacy (ACCP). Patient-oriented care requires specialized knowledge, skill and experience to improve quality of life of patient. The development of clinical pharmacy began at the University of Michigan in the early 1960s. Instead of drug-oriented pharmacy, patient-oriented concept was initiated within short period of time.