Medication Reconciliation in the Perinatal Area: A Collaborative Performance Improvement Project
- Describe 2 technology, environmental and human factors that affected the completion of Medication reconciliation 100% of the time.
- Identify changes that led to improvement in medication reconciliation.
- Describe the changes that led to improvement in completion of medication reconciliation.
Complete medication reconciliation 100% of the time during outpatient visits and inpatient admissions, discharges, and transfers within 90 days.
Proposed change: Improve the compliance with the medication reconciliation regulatory standard.
Implementation, outcomes and evaluation: Using the PDSA model, the multidisciplinary team first developed and tested the workflow for medication reconciliation for patients during outpatient visits and inpatient admissions, discharges, and transfers. We then implemented a process that would enable real-time feedback when medication reconciliation is not completed. After inservicing the staff and providers, the department saw drastic improvement in the medication reconciliation completion. The improvement seen were: Nursing completing med rec on admit went from 50% to 100% ; Provider completing med rec on admit went from 30% to 95%; Provider completing med rec on Transfer went from 42% to 90%; Provider completing med rec on D/C went from 28% to 90%.Implications for nursing practice: Nurses were empowered to call the providers when the medication reconciliation was not completed at any point in care. Nurses felt they could work more collaboratively with providers to care for patients more safely.
Keywords: perinatal medication reconciliation
