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Improving Medication Safety Through ...

Yamamoto, Mayu.

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Improving Medication Safety Through Medication Reconciliation in Ambulatory Care.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Improving Medication Safety Through Medication Reconciliation in Ambulatory Care./
Author:	Yamamoto, Mayu.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
Description:	114 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-07, Section: B.
Contained By:	Dissertations Abstracts International85-07B.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30988403
ISBN:	9798381407082

Improving Medication Safety Through Medication Reconciliation in Ambulatory Care.
Yamamoto, Mayu.

Improving Medication Safety Through Medication Reconciliation in Ambulatory Care. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 114 p.

Source: Dissertations Abstracts International, Volume: 85-07, Section: B.

Thesis (D.N.P.)--Azusa Pacific University, 2024.

Background/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 in medication lists have contributed to medication errors and adverse drug events. Local Problem. In a pediatrics practice in Southern California, MR was conducted in only six percent of the clinic visits during October 2022 through March 2023. Maintaining an accurate medication list is crucial for healthcare providers as they need to refer to the list to understand the medications patients are taking when providing any healthcare service. It is important for organizations to adopt a standardized MR process to decrease the risk for medication-related problems and reinforce a culture of medication safety. Methods. The purpose of this quality improvement project was to implement a standardized MR process among healthcare providers and clinic support staff in a pediatrics practice to ensure patients' medication list were accurate and complete. The process measure was the percentage of clinic visits in which there was nursing documentation stating that medications were reviewed with the patient. The outcome measure was the percentage of clinic visits in which MR was successfully performed. Time-series data displayed in run charts were used to analyze the data and determine if there was a statistically significant change. Findings from this project are meaningful because they demonstrated a replicable model of a standardized MR process that can be effective in ambulatory settings. Intervention. The standardized MR process was comprised of two steps where the clinic support staff prepared the medication list for the healthcare provider to conduct any reconciliation that may be needed. Results. The project resulted in a 67% increase in clinic visits in which{A0}the provider conducted MR successfully and a 56% increase in clinic visits where the clinic support staff documented that medications were reviewed with the patient. Conclusions. This project improved clinical practice by ensuring that the medication list was accurate and that it reflected the medications that the patients were currently taking.

ISBN: 9798381407082Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Ambulatory care

Improving Medication Safety Through Medication Reconciliation in Ambulatory Care.
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520 $a Background/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 in medication lists have contributed to medication errors and adverse drug events. Local Problem. In a pediatrics practice in Southern California, MR was conducted in only six percent of the clinic visits during October 2022 through March 2023. Maintaining an accurate medication list is crucial for healthcare providers as they need to refer to the list to understand the medications patients are taking when providing any healthcare service. It is important for organizations to adopt a standardized MR process to decrease the risk for medication-related problems and reinforce a culture of medication safety. Methods. The purpose of this quality improvement project was to implement a standardized MR process among healthcare providers and clinic support staff in a pediatrics practice to ensure patients' medication list were accurate and complete. The process measure was the percentage of clinic visits in which there was nursing documentation stating that medications were reviewed with the patient. The outcome measure was the percentage of clinic visits in which MR was successfully performed. Time-series data displayed in run charts were used to analyze the data and determine if there was a statistically significant change. Findings from this project are meaningful because they demonstrated a replicable model of a standardized MR process that can be effective in ambulatory settings. Intervention. The standardized MR process was comprised of two steps where the clinic support staff prepared the medication list for the healthcare provider to conduct any reconciliation that may be needed. Results. The project resulted in a 67% increase in clinic visits in which{A0}the provider conducted MR successfully and a 56% increase in clinic visits where the clinic support staff documented that medications were reviewed with the patient. Conclusions. This project improved clinical practice by ensuring that the medication list was accurate and that it reflected the medications that the patients were currently taking.
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