Improving Accuracy of Medication Reconciliation for Hospitalized Children: A Quality Project.
Hosp Pediatr
; 14(4): 300-307, 2024 Apr 01.
Article
en En
| MEDLINE
| ID: mdl-38529561
ABSTRACT
BACKGROUND AND OBJECTIVES:
Medication reconciliation is a complex, but necessary, process to prevent patient harm from medication discrepancies. Locally, the steps of medication reconciliation are completed consistently; however, medication errors still occur, which suggest process inaccuracies. We focused on removal of unnecessary medications as a proxy for accuracy. The primary aim was to increase the percentage of patients admitted to the pediatric hospital medicine service with at least 1 medication removed from the home medication list by 10% during the hospital stay by June of 2022.METHODS:
Using the Model for Improvement, a multidisciplinary team was formed at a children's hospital, a survey was completed, and multiple Plan-Do-Study-Act cycles were done focusing on 1. simplifying electronic health record processes by making it easier to remove medications; 2. continuous resident education about the electronic health record processes to improve efficiency and address knowledge gaps; and 3. auditing charts and real-time feedback. Data were monitored with statistical process control charts.RESULTS:
The project exceeded the goal, improving from 35% to 48% of patients having at least 1 medication removed from their home medication list. Improvement has sustained for 12 months.CONCLUSIONS:
The combination of interventions including simplifying workflow, improving education, and enhancing accountability resulted in more patients with medications removed from their home medication list.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_sistemas_informacao_saude
Asunto principal:
Niño Hospitalizado
/
Conciliación de Medicamentos
Límite:
Child
/
Humans
Idioma:
En
Revista:
Hosp Pediatr
Año:
2024
Tipo del documento:
Article