The effect of medication reconciliation timeout on patient safety: An evidence-based project
Review TypeNone: Degree-based Submission
Repository Posting Date2020-09-03T19:04:32Z
Author DetailsRenante Dizon, DNP(c), MSN, RN
Lead Author Sigma AffliationNon-member
Lead Author AffliationUniversity of St. Augustine for Health Sciences, St. Augustine, Florida, USA
TypeDNP Capstone Project
Level of EvidenceDescriptive/Correlational
Research ApproachTranslational Research/Evidence-based Practice
KeywordsTimeout; Medication Errors; Medication Reconciliation; Medication Reconciliation Checklist; Medication Reconciliation Timeout; Medication Reconciliation Errors
Abstract Practice Problem: There was a report of a high rate of medication errors from inaccurate medication reconciliation during admission to a local hospital in South Texas. The medication error rate was 14.88% on 20 reviewed charts, and 85% of all evaluated charts contained at least one medication discrepancy. PICOT: This evidence-based, system-change project was guided by the following PICOT question: For nurses administering medication in a long-term acute care hospital, does the implementation of Medication Reconciliation Timeout Process (MRTP) decrease the medication errors, compared to the usual medication practice, in one month? Evidence: Thirteen pertinent studies recommended the use of a combination of checklists and the timeout process to see a reduction in the number of medical errors and improvements in performance and safety. Intervention: The evidence-based intervention utilized MRTP with a checklist while performing medication reconciliation during admission. Two nurses checked the medication reconciliation for accuracy and completeness by comparing the medication list against transferring facility to physician’s admission orders. Outcome: The outcome of the project after the evidence-based intervention was a medication error rate of 3.77%, which was a significant reduction from 14.88%. Conclusion: The implementation of MRTP resulted in an 11.11% decrease in medication errors within four weeks in a long-term acute care facility.
Degree GrantorUniversity of St. Augustine for Health Sciences
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Dizon, Renante by View
Popular Works for Dizon, Renante by Download
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Showing items related by title, author, creator and subject.
What Impact Does Pharmacist Led Medication Reconciliation Strategies Have on Reduction of Medication Errors in the Older Adult? Von Eeden, Lorraine A. (2014-11-17)Session presented on Saturday, July 26, 2014: To study the role of the pharmacist in optimizing medication reconciliation strategies and the potential impact on medication related problems in community dwelling older adults. ...
Improving Medication Adherence in the Geriatric Population with Hypertension by Using a Teamlet Model with a Systematic Program of Medication Reconciliation in a Primary Setting Ramirez, Leticia Ann (2016-03-17)Session presented on Sunday, July 26, 2015: Abstract: This scholarly project examines one way to improve medication adherence among elderly patients diagnosed with hypertension by educating clinical staff on the teamlet ...
Anthone, Joseph Anthony; Whitmire, TaraBackground: Hospital readmissions are a major expenditure within our healthcare system. Poor medication adherence and literacy greatly increases the risk of readmission. To combat this problem insurance payors incentivize ...