Session Type
Meeting
Search Results for Reconciliation
Abstract Number: 319
SHM Converge 2023
Background: Studies, particularly the MARQUIS trial, have demonstrated the value of pharmacist-led medicine reconciliation. At our institution, we partnered with the College of Pharmacy to implement, revise, and grow a novel hospitalist-led transitions of care pharmacy student rotation. Pharmacy students work directly with attending hospitalists to address admission medication reconciliation errors and collaborate in the […]
Abstract Number: 334
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Studies have shown that care transitions represent times of great risk, especially to vulnerable patients; medication reconciliation is a major component of ensuring safe care transitions. Yet, challenges exist to obtaining a best possible home medication list (BPHML) on a provider, patient, and institutional level. Academic hospitals have large pools of in-training providers. Safety […]
Abstract Number: 348
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: High-quality medication reconciliation is key to reducing medication errors during care transitions. This concept is of paramount importance to Veterans living in rural areas due to less access to clinical pharmacy services. We adapted MARQUIS (Multicenter Medication Reconciliation Quality Improvement Study), in which hospitalists mentored teams in implementation of best practices for inpatient medication […]
Abstract Number: 350
SHM Converge 2023
Background: Accurate and reliable medication reconciliation (MedRec) is an indispensable step ensuring patient safety and minimizing medical errors during transitions of care. Yet, it is one of the most challenging aspects in healthcare quality and safety. In fact, inaccurate MedRec accounts for 40 % of medication errors, up to 20% of which result in harm […]
Abstract Number: 355
SHM Converge 2023
Background: Medication reconciliation (MR) is a patient medication verification process performed by providers. Best practices and the intricacies of MR are poorly defined nationally, institutionally, and amongst individual providers. In graduate medical education, the skills of MR are implied and imperative in the Transitions of Care (TOC) Milestones 2.0. Prior institutional studies have indicated only […]
Abstract Number: 362
SHM Converge 2023
Background: Medication reconciliation (MR) is foundational to patient safety during and after a hospital admission. Although many electronic health records (EHRs) have a dedicated space for documenting home medications on admission, use of such EHR sections remains variable. Providers may opt to record the MR only in the admission H&P, which is not easily updated […]
Abstract Number: 382
SHM Converge 2024
Background: Critical illness requires initiation of several classes of medications to treat or prevent different conditions. These include nebulizers, PPIs, antipsychotics, antibiotics, steroids, anticoagulants, opioids, benzodiazepines, & several others. Continuation of these medications upon transfer from MICU to the floor is a common occurrence with downstream implications including side effects or potential harm to patients, […]
Abstract Number: 393
SHM Converge 2024
Background: Medication reconciliation (MR) is foundational to patient safety during and after a hospital admission. Frequently, MR can be delayed at the time of hospital admission due to incomplete records, patient health literacy, barriers to patient communication such as language or mental status, and unavailability of family or primary care providers. Electronic health records (EHR) […]
Abstract Number: 400
SHM Converge 2023
Background: Correct home medication histories are critical to prevent harm during a patient’s hospitalization [1]. The wrong dose of a home medication or omission of a medication can result in serious drug toxicity or withdrawal. However, hospital medicine providers and pharmacists may have limited time and resources to perform thorough medication histories for all patients […]
Abstract Number: 428
SHM Converge 2024
Background: Ensuring compliance with CMS requirements for inpatient admission orders and improving medication reconciliation at discharge are crucial aspects of patient safety and regulatory adherence. However, challenges such as missing admission orders and medication errors during transitions of care persist. In response, we implemented two strategic EHR interventions, Best Practice Advisories (BPAs), to enhance workflows, […]