Enhancing Medication Reconciliation- A Comprehensive Approach to Patient Safety

Enhancing Medication Reconciliation- A Comprehensive Approach to Patient Safety

Managers use gap analysis to determine the size and shape of a task, such as transitioning from the current setup to the desired form. This can help planning teams achieve the necessary levels of organizational performance. Business gap analysis is a technique used to determine whether the required goals are met at the end of a given process (Dennis et al., 2015). A gap analysis compares an organization’s current performance to its potential performance.

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This study looks into incomplete medication reconciliation as a workflow issue in the healthcare system. Further research will be done to describe its direct relationship with the EHR system and its influence on achieving organizational goals. The paper will also identify key issues, such as sampling and other data collection techniques, and systems that ensure no disruptions occur during the observation process.

Medical errors are said to have resulted in several injuries to patients worldwide. The dramatic increase in medical errors necessitated research into how to keep errors to a minimum. Medication reconciliation compares a patient’s medication orders to the medication the patient has been taking. Despite the measures put in place, there are still variations in the reconciliation process.

Medication reconciliation can be accomplished in two ways: first, by creating a list of all medications patients receive, and second, by transferring the obtained information to the next healthcare provider. Medication reconciliation can be effectively done using health records (EHR). The EHR is a valuable tool that facilitates obtaining the Pre-admission Medication List (McGonigle & Mastrian, 2015). This is accomplished by using an automated process to provide pre-existing medication data. On the other hand, this system can lead to inconsistencies, such as when a medication is recorded in the EHR but no longer used by the patient. As a result, patients who use the EHR should be cautious of the information retrieved from the system, such as pharmacy benefits data, prescriptions, outpatient visits, and dispensing information, which may not correspond to the patient’s medication (Campbell et al., 2009). Electronic health records should aim to provide clinicians with information that will assist them in performing medical reconciliation, such as recording and reconciling medical prescriptions, reusing the obtained information for subsequent patient treatment, and leveraging PAMI during the dispense reconciliation process.

The second stage of the medication reconciliation process should be used effectively to achieve medical reconciliation. This stage aims to electronically and concurrently display data from at least two sources so that the system user can see the patient’s data and attributes, which should have a source and a modification date. This allows the user to create a reconciled list while validating the data set’s accuracy.

The Goals of the Gap Analysis

Many medical errors will be reduced if medical reconciliation is done correctly, increasing the efficiency of medical processes. These are the goals I intend to set for this project.

Improve care coordination when a patient’s location changes.

Increase decision-making at the healthcare facility.

Increase both the clinician’s and the patient’s understanding of medical terminology.

Data Gathering

Survey methodology is the best way to collect data because it maximizes accuracy and involves all levels of management. Furthermore, the survey collects massive data, ranging from demographics to clinic staff structure. I would research a hospital that uses EHR to assess its efficiency. I’ll also devise a metric ranging from 1 to 10, and the interviewees will rate the process.

Keeping disruptions to a minimum in the workflow

I anticipate disruptions during observation and will try to keep them minimal. As a result, I will notify management beforehand of my intentions and the approximate time required. To avoid bias, I will conduct my research in various hospitals.

Data collection and analysis

The data will be entered into a table and then transferred to SPSS software, generating graphs and curves to show the overall trend. Standard deviations, weighted mean, and cumulative frequencies will also assess central tendencies.

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References

Campbell, E. M, Guappone, K. P., Sittig, D. F., Dykstra, R. H., & Ash, J. S. (2009). Computerized provider order entry adoption: Implications for clinical workflow. Journal of General Internal Medicine, 24(1), 21–26.

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning

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ILE is currently working with a partner for my ILE on Medication reconciliation. It includes a literature review, survey, data analysis, and the training manual, which contains all the information, including background, problem statement, methodology,, suggested improvements, and suggestions for patient education regarding medication reconciliation. It should also contain a brochure/flyer for patient medication reconciliation education.

Medication Reconciliation

As a part of the requirements criteria, the ILE should contain 2 foundational; and 2 concentration competencies. My concentration is Infectious diseases; I was planning to include patient education in association with medication compliance for antibiotics and interruption in patient education, which can increase antimicrobial resistance among those with infections.

Also, the ILE patient education component should bring up theories of behavioral theories.

The capstone should have at least 10,000 words and AMA citations. It is mandatory to have citations at the end of each sentence for the ones taken from references.

Attached is the capstone document along with the draft of the medication reconciliation literature review that I have done,e which does not contain citations at the end of every sentence. As of now, it is still in the process of development.