Teaching Project: Discharge Medication Reconciliation
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Teaching Project: Discharge Medication Reconciliation. Andrea Martinez University of Texas Health Science Center at San Antonio. Introduction. Institute of Medicine report Institute for Healthcare Improvement definition When do errors occur?. Goals.
Teaching Project: Discharge Medication Reconciliation
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Teaching Project: Discharge Medication Reconciliation Andrea Martinez University of Texas Health Science Center at San Antonio
Introduction • Institute of Medicine report • Institute for Healthcare Improvement definition • When do errors occur?
Goals • Patients discharged with a correct list of medications • Verified and signed by two nurses, and a Core Measures auditor • St. Luke’s Baptist Hospital Stroke Program
Learning Theory • Andragogy by Malcolm Knowles • Self-concept • Problem-centered • Motivation
Learning Objectives • Discharge nurse will compose a comprehensive list of newly prescribed, current, over-the-counter, and herbal medications • Discharge nurse will apply the process for assuring accurate transcription of physician discharge medication orders to the patient discharge medication list
Process • Physician fills out discharge medication reconciliation form • A list is composed from form • Two nurses compare form to list • Core Measures auditor compares form to list • Medications that are new or changed are indicated on list • Patient is discharged with updated list
Evaluation • Exam administered before and after presentation, and any time during audit • Appropriate for current and incoming nurses • Simple and direct questions assess nurses’ understanding of discharge medication reconciliation process • Survey allows for feedback of process
References • Climente-Marti, M., Garcia-Mañon, E.R., Artero-Mora, A., & Jimenez-Torres, N.V. (2010). Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service. The Annals of Pharmacotherapy, 44, p. 1747-1754. doi: 10.1345/aph.1P184 • Crawford, S.R. (n.d.). Andragogy: Malcolm Knowles. Retrieved from http://academic.regis.edu/ed205/Knowles.pdf • Hakim, H. (2014). Not just for cars: Lean methodology. Nursing Management, 45(3), p. 39-43. doi: 10.1097/01.NUMA.0000443942.06621.6e • Weber, R.J. & Moffatt-Bruce, S. (2014). Patient Safety. New York, NY: Springer Science+Business Media, LLC.
