Article ; Online: Improving Accuracy of Medication Reconciliation for Hospitalized Children: A Quality Project.
Hospital pediatrics
2024 Volume 14, Issue 4, Page(s) 300–307
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 ...
| 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. |
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| MeSH term(s) | Child ; Humans ; Medication Reconciliation ; Child, Hospitalized ; Medication Errors/prevention & control ; Patient Admission ; Hospitalization |
| Language | English |
| Publishing date | 2024-03-01 |
| Publishing country | United States |
| Document type | Journal Article |
| ISSN | 2154-1671 |
| ISSN (online) | 2154-1671 |
| DOI | 10.1542/hpeds.2023-007396 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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