National patient safety goals. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting.
Background: Discrepancies in medication documentation most often occur at handoffs or transition points in care. A process improvement team at the Portland Department of Veterans Affairs developed a standardized medication reconciliation process for the Portland chemotherapy administration unit, a p...
| Publicado en: | Joint Commission Journal on Quality & Patient Safety Vol. 35; no. 5; pp. 264 - 271 |
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| Autores principales: | , , , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
2009 May
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105526697&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105526697 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15537250 17W5 jtl: Joint Commission Journal on Quality & Patient Safety issn: 15537250 maglogo: N pubinfo: dt: 2009 May vid: 35 iid: 5 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 105526697 105526697 2010277449 105526697 ppf: 264 ppct: 7 formats: tig: atl: National patient safety goals. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. aug: au: Lesselroth B Adams S Felder R Dorr DA Cauthers P Church V Douglas D sug: subj: Chemotherapy, Cancer Computers and Computerization Utilization Medication Reconciliation Academic Medical Centers Automation Communication Electronic Health Records Decision Making, Clinical Documentation Funding Source Interviews Oregon Patient Centered Care Patient History Taking Patient Safety Primary Health Care Professional-Patient Relations Quality Improvement Software United States Department of Veterans Affairs Human ab: Background: Discrepancies in medication documentation most often occur at handoffs or transition points in care. A process improvement team at the Portland Department of Veterans Affairs developed a standardized medication reconciliation process for the Portland chemotherapy administration unit, a physically self-contained clinic with a standard intake process and a uniform patient traffic pattern. Methods: The team developed the automated patient history intake device (APHID), a reconciliation software program accessed by the patient using a computer terminal kiosk in the clinic lobby. The program simultaneously checks in patients for an appointment and gathers a medication-adherence history by retrieving medication lists from all Veterans Affairs facilities and pairing each medication with a pill picture. Installation of the APHID kiosk included an initial two-week roll-in period beginning in February 2008. Results: During the roll-in period, 91 (82.0%) of 111 patients completed check-in and performed medication reconciliation using the kiosk. Medication lists gathered at the kiosk were compared with existing health record documentation and clinician interviews. For each patient encounter, the process demonstrated an average of 4.59 discrepancies and an average of 1.61 clinically significant or potentially lethal discrepancies. The new process saved approximately 0.24 full-time equivalents of nursing time in the chemotherapy clinicDLa nearly 50% reduction in nursing time dedicated to reconciliation activities without an apparent loss in data accuracy. Discussion: A patient-centered reconciliation model using consumer-based kiosk technology helped providers efficiently retrieve a comprehensive list of medications across a geographically diverse area and improve patient medication recall using visual cues including medication pictures. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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