AMIA Annu Symp Proc - Impact of electronic medication reconciliation at hospital admission on clinician workflow.

Tópicos

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Resumo

Many hospitals have experienced challenges with accomplishing the Joint Commission's National Patient Safety Goal for medication reconciliation. Our institution implemented a fully electronic process for performing and documenting medication reconciliation at hospital admission. The process used a commercial EHR and relied on a longitudinal medication list called the "Outpatient Medication Profile" (OMP). Clinician compliance with documenting medication reconciliation was difficult to achieve, but approached 100% after a "hard-stop" reminder was implemented. We evaluated the impact of the process at a large urban academic medical center. Before the new process was adopted, the average number of medications contained in the OMP for a patient upon admission was <2. One year after adoption, the average number had increased to 4.7, and there were regular updates made to the list. Updating the OMP was predominantly done by physicians, NPs, and PAs (94%), followed by nurses (5%) and pharmacists (1%).

Resumo Limpo

mani hospit experienc challeng accomplish joint commiss nation patient safeti goal medic reconcili institut implement fulli electron process perform document medic reconcili hospit admiss process use commerci ehr reli longitudin medic list call outpati medic profil omp clinician complianc document medic reconcili difficult achiev approach hardstop remind implement evalu impact process larg urban academ medic center new process adopt averag number medic contain omp patient upon admiss one year adopt averag number increas regular updat made list updat omp predomin done physician nps pas follow nurs pharmacist

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