Study on Effective Ways to Communicate Medication List

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

3. Medication errors, handoff process and information quality. Chiru, Alina M; Baxter, Ryan. Business Process Management Journal 19.2, (2003): 2011-2016

Peace Memorial Hospital is a 600-bed, independent, not-for-profit, general hospital located on the southern periphery of a major western city. It is one of six general hospitals in the city and twenty in the county. After doing much research, the Board of Directors has decided that they should open an ambulatory location in the downtown area, to be known as the Downtown Health Clinic (DHC). The clinic will have 4 major objectives: “1. To expand the hospital’s referral base, 2. To increase referrals of privately insured patients, 3. To establish a liaison with the business community by addressing employers’ specific health needs, and 4. To become self-supporting three years after opening” (Kerin

This journal talks about it takes failure to resolve medications across changes in care is an important cause of harm to patients. There is not a lot to known about medication discrepancies before patients are admitted to a skilled nursing facilities. To describe the prevalence of, type of medications involved in, and sources of medication discrepancies upon admission to the SNF setting. Cross-sectional study. Patients admitted to SNF for subacute care. Number of medication discrepancies upon admission to the SNF setting. Cross-sectional study. Patients admitted to SNF for subacute care. Number of medication discrepancies, defined as unexplained differences among documented medication regimens, including the hospital discharge summary, patient

Care should be integrated, and incentives should be aligned to the well-being of the enrolled population. The fundamental objective of implementation of the transition plan should be improving patient health. Primary care should be a major focus, and the goal should be improving the health of the enrolled population. The program should survive long enough to lead to improvements that can be measured.

In addition to telephone and clinic follow-up, medication reconciliation has been identified as critical transition of care intervention. Gunadi et

Medication discrepancies occurred when the medications the patient reported taking did not exactly match the discharge medication list. Medication discrepancies for essential medications occurred when the medications the patient reported taking did not include all essential acute and chronic discharge medications.

The projected process improvement is to only perform medication reconciliation in the outpatient EHR versus performing this task in the legacy Composite Health Care System (CHCS) system. AHLTA and CHCS are incompatible for the medication reconciliation; this known flaw in the system creates opportunities for medication errors and is considered a patient safety issue. This is an important issue to fix because it has been shown in studies that “Adverse drug events (ADEs), defined as harm

The trend for health care and hospitals is a movement towards a larger outpatient system of care while lowering the number of inpatient admissions. The health care system has made small changes towards this type of service for about a decade. Henry Ford Wyandotte Hospital should continue these efforts and implement the use of the Patient-centered medical home model. This model concentrates on patient care with a comprehensive, total patient care strategy, while lowering the incidence of emergency room use and lowering the number of times a patient is admitted to the hospital (Robeznieks, 2015). The health care team will evaluate the patient, monitor their condition while educating them about their specific needs and how to provide their own self-care at home.

The transition of patients from one health care settings to another or transferring between physicians is an ambiguous process. Frequent miscommunication, deferrals, disturbances can lead to misunderstanding, increased costs of care, additional care and unnecessary frustration among physicians, patients and their loved ones (Woodcock & Walker Keegan, 2014). Implementation of an efficient transition of care, as a value-based care, is a change that requires a massive restructuring of

According to the Institute for Healthcare Improvement, “Medication reconciliation is the process of creating the most accurate list possible of 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” (Institute For Healthcare Improvement, n.d). This process includes three steps: collecting the medication history, ensuring that the medications and dosages are appropriate for the patient, and documenting the changes in the orders. This occurs when the patient is admitted, transferred and discharged from the hospital (Institute for Healthcare Improvement, 2011). The purpose is to avoid any duplications, incorrect

People become ill every day and need medications to help them fight whatever disease or infection they may be suffering from. Medications play such a vital part in human lives today. Physicians are always coming up with new medications that they would like to try for a certain illness. As patients get prescribed new medications they need to be taught the purpose and the side effect of the drug. Communicating the purpose and side effects of drugs are vital components for patient safety and also compliance.

As defined by the Institute for Healthcare Improvement (IHI 2015) and National Institute for Health and Care Excellence (NICE 2015), medicines reconciliation (medsrec) ‘is the process of identifying an accurate list of a person's current medicines and comparing them with the current list in use, recognising any discrepancies, and documenting any changes, thereby resulting in a complete list of medicines, accurately communicated’. It has been shown on many occasions that uncorrected discrepancies during medsrec contributes to medication errors on discharge. As a result, medsrec is now a compulsory process and forms part of the discharge planning in compliance with NICE, Department of Health (DoH), RPS and local policies. NICE guideline (NG5)

By delving into the present standardized survey instrument, the HCAHPS data sets, it can be clearly assessed whether patients felt that their communication and measures of health literacy were effective during and prior to their hospital stay. This standardized survey instrument of existing data sets, which was formed by a public and private partnership and led by the Federal government, has been actively implemented since 2006 to measure patients’ care (Medicare.gov, 2016). The survey asks a random sample of eligible discharged patients with varied medical conditions, to provide feedback about select topics pertaining to the quality of their stay at the healthcare facility. The time frame of their discharge is between 48 hours and a 6-week period. Data is collected on a monthly basis and reflected in four-quarterly rollover periods, April, July, October and December, and the final results are disclosed at the end of the 12-month reporting period.

Background - At the heart of healthcare as an institution is, of course, the need to care for the sick and the injured. However, in the contemporary model of healthcare, effective communication during a crisis is not only important, but also vital. This communication must be in relation to a model, for instance, a Continuous Quality Improvement Model. The CQIM is an evolving, but strategic, approach to both meet and exceed customer expectations. Typically, this is done using a four point system: 1) Plan, 2) Do, 3) Check, 4) Act. Communication by healthcare professionals takes the concern and worry out of the situation; offers a quicker resolution, makes better control of information possible, earns the trust of the public and individual families; and keeps the flow of information consistent and accurate, thus averting potential external problems (Barnard and Hannon, 2010). For healthcare professionals, planning and defining patient goals is a critical first step to the model. Then, the action plan or treatment, procedure, etc. must be realized. Once this is done, the healthcare professional must check to ensure the data is correct, as well as the patient's comfort and understanding, and finally the final learning steps to understand how the process might be improved. This is an expected and necessary model of contemporary health care, with its clear basis in communication with the patient, colleagues, and family (Nemeth, 2008).