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Buena Vista Success Story
Buena Vista Regional Medical Center, Storm Lake, IA. Ongoing data collection since March, 2006 shows continued compliance at 99-100% for completion of the Med Reconciliation process on the inpatient Medical-Surgical Unit. We are currently developing the process for compliance monitoring for the other inpatient units and ambulatory settings.
Additionally —
Medication reconciliation is carried out into the community setting via the use of follow-up discharge phone calls. Patient Care Coordinators make a telephone call to each patient discharged from the medical-surgical unit, within 24-48 hours of discharge. Included in this phone call is an additional review of the medications ordered at the time of discharge, and the patient is asked whether all prescriptions were filled and whether they have any additional questions or concerns about the use of their medications. This provides an opportunity for futher clarification, teaching and verification of medications ordered at the time of discharge.
Prevent Adverse Drug Events (Medication Reconciliation)
Buena Vista Regional Medical Center – Storm Lake, IA
Availability Status: Available to answer requests
Licensed Beds: 54
Teaching / Non-Teaching Status: Non-teaching
Urban / Rural Status: Rural
Start Date of Intervention Work: November 2004
Mentor Contact Name: Michele Kelly, RNC, MSN, Dir. of Quality
Mentor Contact Email: kelly.michele@bvrmc.org
Mentor Contact Phone: 712-213-8604
Additional Information:
- Developed and implemented medication reconciliation process throughout all inpatient areas. Currently working on expansion to outpatient care areas.
- Process includes use of standardized medication reconciliation documentation form that is initiated within 8 hours of hospital admission, updated throughout hospitalization, and again at the time of discharge.
- Process includes gathering patient medication history, verification of history, and reconciliation with medications ordered at time of admission, transfer and discharge.
- Medication Reconciliation Policy developed to describe guidelines for use of documentation tool.
Process:
As of March 2006, current data shows 99% compliance with use of Medication Reconciliation Tool for inpatients on pilot unit (Med-Surg). Baseline data from 10/2004 (prior to implementation)--0% compliance as no process for medication reconciliation existed.
Outcome: Data for Medication Variances for calendar year 2005 show no adverse drug events related to medication reconciliation process.
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