Development of a medication reconciliation policy in outpatient mental health facility
View File(s)
- Author(s)
- Details
-
Karen E. Webster, DNP Student, BSN, PHN, RN, kwersal@css.edu
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Webster, Karen E. by View
Title | Page Views |
---|
Popular Works for Webster, Karen E. by Download
Title | Downloads |
---|
View Citations
Citations
Introduction/Background: Adverse drug events and medication discrepancies are patient safety challenges for patients and healthcare professionals. Medication errors result in approximately 7000 deaths annually, and adverse drug events harm 1.5 billion people and cost $3.5 billion annually (Dunham & Makoul, 2008). Medication reconciliation can significantly decrease medication errors. "It involves obtaining, verifying and documenting the patient's current medicines and comparing to their medication orders and the patient's condition to identify and resolve any discrepancies" (Duguid, 2012, p. 15). The deliberate time taken to complete medication reconciliation plays a significant role in patient care, along with increasing the quality of care provided.
The objectives for the creation of medication reconciliation policy 1) Aids in providing a more accurate list of medications a patient is taking, 2) Reduces the risk of drug interaction for a patient, 3) Allows providers to prescribe what will benefit the patient, 4) Creates a quality control in a patient's care plan. These objectives have a significant impact on patient care and require the deliberate actions of completing a medication reconciliation with patients at their appointments.
Synthesis and Analysis of Literature: The literature supports that the lack of medication reconciliation is a patient safety issue. Almanasreh, Moles & Chen stated that adverse drug events and medication discrepancies place patients at risk for potential harm. Implementing a medication reconciliation process improves patient safety (2016). Barnsteiner indicated that medication errors are the most common safety error. They stated that healthcare settings need to develop standards that determine who is responsible for specific tasks and how the process will be completed. Barnsteiner also said that Whittington and Cohen reported that the accuracy of medication lists went from 45 percent to 95 percent with the implementation of reconciliation standards (2008). da Silva & Krishnamurthy agreed that medication reconciliation is essential for patient safety (2016).
Project Implementation: The medication reconciliation policy will be developed and reviewed by experts in the health care field. Experts were identified based on their experience and role involved with medication reconciliation. Three experts agreed to provide feedback on the policy. The experts include a Doctorate of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner, Psychiatric Mental Health Nurse Practitioner with 15 years of experience as an FNP and 20 years of experience as a Registered Nurse. A clinic coordinator for a Mental Health Center/Psychiatric Hub through a Minnesota county. This Mental Health Center serves approximately 1500+ patients each year with a multidisciplinary team of psychiatric providers, therapists, nurses, and many other specialized team members. A PharmD who works as a site manager at a Minnesota Pharmacy located within a Human Development Center with 10 years of experience. Experts will review the policy, provide feedback, and suggest changes that will strengthen the policy. After the medication reconciliation policy has been reviewed and revised, it will be presented (date to be determined) to providers at the project site for feedback and buy-in during their weekly clinical meeting. The medication reconciliation policy is still in the review portion of the project; it will undergo two to three reviews by experts in the healthcare field.
Evaluation Criteria: A review of the medication reconciliation policy will be conducted by experts in the healthcare field. This review will serve as the evaluation of the policy. Expert feedback will be used to evaluate the policy and make changes based on its validity and if the changes align with the policy's design and intended purpose. Feedback evaluation will occur in the following manner; is the feedback relevant to the policy, and are the changes recommended substantial or minor regarding the policy.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Clinical Practice Guideline(s) |
Research Approach | N/A |
Keywords | Policy; Medication Reconciliation; Outpatient Mental Health; Medication Errors; Patient Safety |
Grantor | The College of St. Scholastica |
Advisor | Ferry, Rhea |
Level | DNP |
Year | 2022 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
License
The following license files are associated with this item:
Related items
Showing items related by title, author, creator and subjects.
-
The effect of medication reconciliation timeout on patient safety: An evidence-based project
Dizon, RenantePractice 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 ... -
Development of a home use medication organizer to improve patient adherence to medication regimens
Frith, Karen Harris; Chancellor, NoreneThe impact of medication nonadherence is staggering--patients have a 5.4 times increased risk of hospitalization, re-hospitalization, or premature death low or nonadherence. A smart medication organizer was developed to ... -
Associate and baccalaureate degree nursing students' knowledge of the attitudes toward medication errors and reporting medication errors: Implications for curriculum development
Teal, Tabatha D.This paper evaluates senior nursing students' knowledge and attitudes of medication errors and reporting errors. This study was conducted to evaluate a need for improvements to nursing education on these two concepts. This ... -
Preparing nurses to communicate and lead: Using toolkits and standardized patient experiences
Webster, Debra A.; Seldomridge, Lisa A.; Willey, Amanda J.This session describes development of toolkits, complete web-based learning modules, along with standardized patient experiences with live actors, to teach communication and leadership skills to undergraduate nursing ... -
Evaluation of health care worker vaccination rates in Utah outpatient clinics
Luthy, Karlen E.; Macintosh, Janelle L. B.; Beckstrand, Renea; Eden, Lacey M. (2016-03-17)Session presented on Sunday, July 26, 2015: Purpose: The purpose of this study was to explore vaccination rates of health care workers (HCW) employed in the outpatient clinic setting in Utah. It was hypothesized that Utah ...