A journey of challenges with medication reconciliation
View File(s)
- Author(s)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Vinod, Julie by View
Title | Page Views |
---|
Popular Works for Vinod, Julie by Download
Title | Downloads |
---|
View Citations
Citations
Background and purpose: Unintentional medication errors are a significant problem in terms of morbidity, mortality and cost. Medication reconciliation is one of several strategies to reduce medication errors. The purpose of this study was to examine accuracy of electronic medication reconciliation upon admission compared to discharge.
Method: A retrospective electronic chart review was conducted at a tertiary care safety-net hospital using a data extraction tool created for the study. Modifiable and non-modifiable factors related to medication reconciliation were analyzed using descriptive statistics.
Conclusions: The sample of 150 patients (mean age 58.8, SD 9.4) had more males and was predominately white. Results suggest prevalence of medication discrepancies were detected, corrected and significant in greater than 60% of discharge medication reconciliations. Eighty percent of patients were discharged home with a change in medication regime. Seventy-one percent patients reported to be on five medications or more. The most common comorbid illnesses included hypertension (86%), hyperlipidemia (67%), and coronary artery disease (60%).
Implications: Discharge Medication Reconciliation is costly in terms of nursing workload. Detected discharge medication reconciliation took 30 minutes or less to get discrepancies corrected. Delay in discharge to correct medication discrepancies may have a negative impact on patient satisfaction and financial management of the institution. Outcomes rely on health care provider’s ability to enter complete and accurate medication information in the medical record and to identify risk factors for medication discrepancies.
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Systematic Review |
Research Approach | Other |
Keywords | Medication Reconciliation; Medication Discrepancies; Admission; Discharge |
MESH Subject(s) | Medication Reconciliation; Medication Errors |
MESH Subject(s) | Medication Reconciliation; Medication Errors |
Grantor | The State University of New York at Stony Brook |
Advisor | Jurgens, Corrine |
Level | DNP |
Year | 2015 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
A journey of challenges with medication reconciliation
Vinod, Julie (2016-03-21)Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: Unintentional medication errors are a significant problem in healthcare in terms of morbidity, mortality and cost. Hospitalized ... -
Improving medication safety through medication reconciliation in amulatory care
Yamamoto, MayuBackground/Significance. Medication reconciliation (MR) is recognized as an effective strategy to prevent harm from medications and yet it has not been consistently performed in the ambulatory care setting. Inaccuracies ... -
Medication reconciliation: It's in the bag
Becker, Dawn (2016-03-21)Session presented on Monday, November 9, 2015: Background: Medication discrepancies, defined as unexplained differences in documented medications between various sites of care, occur in 70% of patients at hospital admission ... -
Medication reconciliation completed by pharmacy on admission from the ED
Humiston, Lauren; Duncan, Rachael; Fry, Nancy J. (2017-12-04)Purpose: Medication reconciliation should be performed at all transitions of care according to the Institute for Healthcare Improvement and AHRQ Patient Safety Network. A recent systematic review on errors in medication ... -
Improving medication adherence in the geriatric population with hypertension by using a teamlet model with a systematic program of medication reconciliation in a primary setting
Ramirez, Leticia Ann (2016-03-17)Session presented on Sunday, July 26, 2015: This scholarly project examines one way to improve medication adherence among elderly patients diagnosed with hypertension by educating clinical staff on the teamlet model. ...