Medication Reconcilliation
TABLE OF CONTENT
INTRODUCTION………………………………………………………………….3
OBJECTIVE………………………………………………………………………..4 METHODOLOGY………………………………………………………………….4 RESEARCH INTERVIEWS AND SURVEYS…………………………………………..4 LITERATURE REVIEW: PREVIOUS AND CONTUNUING RESEARCH…….8 CONCLUSION…………………………………………………………………….10 REFERENCES…………………………………………………………………..... 12 APPENDIX APPENDIX A: SURVEY QUESTIONNAIRE………………………….. 13 APPENDIX B: QUESTIONNAIRE ANALYSIS……………………….. 14
Introduction
Medication discrepancies are explained to be the ‘unsolved differences between regimens patients think they should be taking and those ordered by their physicians across different sites of care’ (Schnipper, 2006). Unfortunately medication discrepancies are said to be common occurrence, especially after hospitalizations, and are a frequent cause of adverse events (ADE’s). A study published in 2006 revealed that medication discrepancies were found to be the cause of slightly over half of all preventable ADE’s that occur within 30 days after a hospitalization discharge (Schnipper, 2006).
Significant changes in patient medication regimens are common during hospital stays. The proper reconciliation and timely transfer of new treatment regimens improve the continuity of hospital handoff of patient treatment and ultimately prevent the likelihood of ADE’s (Sunil et al. 2007). A study of hospitalized elders found that 40% of all admission medications were discontinued by discharge and 45% of all discharge medications were newly started during the hospitalization (Schnipper, 2006). This study outcome clearly reveals the overwhelming potential for ADEs and the need for sufficient communication at transition points. The discharge summary is the most common method for documenting the diagnostic findings, hospital management, and arrangements for post discharge follow-up of the patient (Sunil et al. 2007). The Joint Commission on Accreditation of Health care Organizations (JCAHO) recommends
INTRODUCTION………………………………………………………………….3
OBJECTIVE………………………………………………………………………..4 METHODOLOGY………………………………………………………………….4 RESEARCH INTERVIEWS AND SURVEYS…………………………………………..4 LITERATURE REVIEW: PREVIOUS AND CONTUNUING RESEARCH…….8 CONCLUSION…………………………………………………………………….10 REFERENCES…………………………………………………………………..... 12 APPENDIX APPENDIX A: SURVEY QUESTIONNAIRE………………………….. 13 APPENDIX B: QUESTIONNAIRE ANALYSIS……………………….. 14
Introduction
Medication discrepancies are explained to be the ‘unsolved differences between regimens patients think they should be taking and those ordered by their physicians across different sites of care’ (Schnipper, 2006). Unfortunately medication discrepancies are said to be common occurrence, especially after hospitalizations, and are a frequent cause of adverse events (ADE’s). A study published in 2006 revealed that medication discrepancies were found to be the cause of slightly over half of all preventable ADE’s that occur within 30 days after a hospitalization discharge (Schnipper, 2006).
Significant changes in patient medication regimens are common during hospital stays. The proper reconciliation and timely transfer of new treatment regimens improve the continuity of hospital handoff of patient treatment and ultimately prevent the likelihood of ADE’s (Sunil et al. 2007). A study of hospitalized elders found that 40% of all admission medications were discontinued by discharge and 45% of all discharge medications were newly started during the hospitalization (Schnipper, 2006). This study outcome clearly reveals the overwhelming potential for ADEs and the need for sufficient communication at transition points. The discharge summary is the most common method for documenting the diagnostic findings, hospital management, and arrangements for post discharge follow-up of the patient (Sunil et al. 2007). The Joint Commission on Accreditation of Health care Organizations (JCAHO) recommends
References: Boston University Medical Center. (2007-2011). Project RED. Retrieved from http://www.bu.edu/fammed/projectred/index.html Healthcare.gov (2011, April).Healthcare.gov Retrieved on June 29, 2011 from Partnership for patients