Medication Adherence Research Paper

Goal three by the National Patient Safety Goal for 2014 is to use medicines safely. Many errors occur regularly with medications which is why communication is so important with the doctors, nurses and patients. One process that Joint Commission requires in accredited HCO’s is medication reconciliation “creating the most accurate list possible off all medications a patient is taking, including drug name, dosage, frequency, and route, and comparing that list against the physician’s admission, transfer, and/or discharge orders with the goal of providing correct medications to the patients at all transition points within the hospital (Finkelman & Kenner, 2012, p. 388)”. Ensuring medication reconciliation to the patient, health providers and any new consults that are

NHS quality improvement programs main purpose is to collect and review data entered in order to recognize the opportunities to improve business operations in healthcare. To bring changes in quality, it is necessary to respond to patient’s ideas and implement them for the better results. The key issues that are to be considered for quality-improvement NHS program, as it moves forward are the needs for the patients, necessity of the funds for quality improvements, needs of the service providers and expectations of the community. Outcomes for people and also change expertise. And to improve business operations in healthcare and also recognize opportunities.

Quality Improvement (QI) is an organizational approach leading to the quality of patient care and patient services through use of specific guidelines, principles, and methods to ensure quality of care for every patient and health care facility throughout the world. Quality outcomes focus on the principles of quality management. These measurements investigate the quality of care, patient outcomes and consumer needs, through being part of the participant group. This quality improvement discussion will review the foundational frameworks of QI and explanation of each framework in detail. Included in this QI report will be

Patient Adherence: There is no known cure for chronic disease, the progressive nature of chronic disease the patient and family must adjust to continual treatment changes, and the chronic disease continues throughout the patient’s lifetime developmental and lifestyle changes often influence or pose additional challenges to the person with a chronic

A quality improvement (QI) project involves data-guided activities with short timelines to improve health care delivery systems (Arndt & Netsch, 2012). The setting of QI projects take place in a single setting and are monitored in the institution where the QI project is conducted. The purpose of a QI project is to change practice outcomes and apply known solutions to a known problem in that institution (Arndt & Netsch, 2012). Data obtained from the activities is disseminated through newsletters, flyers, through staff meetings, or submitted for publication and presented in

The items or services are preventive care items and advance one or more of the following clinical goals such as i) Adherence to a treatment regime. ii) Adherence to a drug regime. iii) Adherence to a follow-up care plan. iv)

The Department of Health and Human Services launched Healthy People 2020 to promote quality of life and healthy development across all life ages (Centers for Disease Control and Prevention, 2011). As a healthcare professional working at retail sector, one of the pharmacist duties is to improve medication adherence that promote better quality of life for all groups. One of the biggest challenges for healthcare professional is improve medication adherence after the initial discharged of the patient to prevent hospital readmission. According to a study by the New England Healthcare Institute (NEHI), nearly one in five patients discharged from the hospital is readmitted within 30 days and resulted in an estimated total cost of readmissions

I have chosen the research topic of medication non-compliance, specifically regarding high blood pressure medication. I see patients very often at my job who do not take their medication because they say they feel fine or they forgot. I do teach my patients that they need to take their medication every day and suggest to take it at the same time as something they already do daily such as eating breakfast but my words seem to fall on deaf ears. Some patients don’t like the way the medication makes them feel so they just stop taking it instead of going back to their doctor. I believe that more visual aids in teaching such as videos that show what is happening inside your body when your pressure is high in addition to meeting stroke patients

Adverse drug events are the sixth leading cause of death in the United States and represent a significant financial burden to healthcare institutes at an estimated cost of $5.6 million per hospital per year (Meguerditchian N, Krotneva, Reidel, Huang, & Tamblyn, 2013). According to The Joint Commission (2006), medication reconciliation is the process of comparing a patient’s medication orders to all of the medications the patient has been taking. This reconciliation is done to identify and resolve medication discrepancies, which are unintended or unexplained

In order to evaluate and compare medication compliance the patient’s discharge medication reconciliation were compared to patient’s medication list at time of first office visit. Of the patients in population 1 (N=82), 71 were seen back for follow up and 11 never returned. Of the 71 that returned for follow up 97.18% (N=69) were compliant with discharged core measure medications. Population 2 (N=104), 97 were seen back for follow up with 7 never returned. Of the 97 seen back for office follow up 100% (N=97) were compliant with discharged core measure medications. Statistical analysis of the two population did not find a statistically significant difference (p= 0.0991).

Healthcare professionals need to provide patients with the necessary knowledge and tools to participate in management decisions about their illness to foster empowerment to comply with their prescribed treatment plan and adherence to self-management behavior.

Low medication adherence has significant consequences on the health of patients. Approximately 125 000 deaths per year in the U.S. are directly related to poor adherence to medication (Bosworth et al., 2011). A retrospective

The danger of medication nonadherence also comes in the health outcomes of those who fail to adhere. As explained above, when there is an increase in out-of-pocket spending required to get prescription drugs, there is an increase in noncompliance of medication usage. This increase in noncompliance can lead to an increase in a variety of negative outcomes in health. These can be regression or complication of the illness that was being medicated, emergency room trips and even admission into hospitals. No matter which negative health outcome occurs, it means a decrease in overall health for the Medicare beneficiary (Dalen, 2009; Stuart, 2005; Zhang and Donohue, 2009). This not only puts a strain on the beneficiary, once again spiking stress with illness relapse or hospital issues, but

Another topic that is underlined throughout the book was Andie’s non-adherence to her insulin shot and other medications. Throughout the book, Andie has demonstrated many incidences of non-adherence. Andie does not use her needles properly and has intentionally miss insulin shots to lose weight. The reason behind her behavior can be explained by the “Health Belief Model” in the Adherence and Behavior section of PHRM 826 Patient Centered Care. For patients to take action, they need to have high perceived threat from not taking the action. Threat is influenced by severity of non-adherence and susceptibility of those severities. For Andie, she definitely has high perceived severity from knowledge of possible complications of diabetes from

Some reasons for non-adherence are common across all types of illnesses. These include side effects, cost, forgetfulness, and not feeling the need to take the drug (Wegmann, n.d.). Adherence rates decrease even more when an illness is chronic, in part due to the additional complexities of these illnesses. Multifaceted treatment regimens, multiple physician involvement, and lack of understanding about medications are common reasons for this increase in non-adherence. Moreover, people who have chronic illnesses often feel that they do not need medication when they are feeling asymptomatic (Brown & Bussells, 2011). Chronic psychiatric disorders, especially severe ones, can come with their own reasons for non-adherence. These can include anosognosia (an unawareness or denial of a neurological deficit), and feeling “enslaved” to the medication (Colom et al., 2005). Even the very nature of bipolar disorder can lead to noncompliance. Both the seductive nature of mania, and the apathy of depression can lend themselves toward medication non-adherence (Black Dog Institute, 2013). In fact, 90% of people with bipolar disorder have seriously considered stopping their medication therapy at some time during their life (Colom et al., 2005). Given the multitude of reasons listed above, is not surprising that bipolar disorder has