Medication Reconciliation

Have you checked out IHI.org?

http://www.ihi.org/IHI/Topics/PatientSafety/MedicationSystems/ImprovementStories/AccuracyatEveryStep.htm

Yes thank you. We have based much of our form off IHI. Just having difficulty with physician and nurse compliance. Physician more than nurse. Sad thing is we have not implemented the entire med rec process yet. We are currently only doing admissions. Looking for any recommendations from others who have had success.

not much success, it allows meds to be ordered that shouldn't be for this specific admit; then it's up to the nurse to point that out to the doc who doesn't really remember signing the rec form anyway. just my observation...

We are just getting started with Medrec so I would also be interested to hear if anyone is having any luck. My nurses are already grumbling..and rightly so...about the added paperwork it involves. We are an LTACH and get a lot of admits in a day and we rely on one PA to write the orders..and by write I really mean verify since the RN"s physically write them and then he gives us a verbal...I know not the best idea as VO should only be for ER only but if we want our patients to get what they need we have no other choice. Most of the time our patients don't remember what meds they were on, you really can't rely on aunt Suzie to have an accurate list...it is a nightmare. I understand the rationale but there has got to be a better way! Good Luck to everyone.

We had problems with physician compliance as well- mostly our neurosurgeons. The answer: The surgical doc writes for an Internal Medicine consult prior to discharge. This is working very well for us.

I find that the hospitalist is getting the hang of the form and using it when completing the h&P. Residents are getting the hang of the form. I do agree for the most part, the doc's just check and sign.

Our compliance rates are increasing - all due to the old due diligence.

I have a sense the physicians have not entirely embraced this safety measure - we have not rolled it out to include transfers and discharges. Having a glitch with the computer program we plan on using.

Keep on sharing

Starlibra,

We have had success with our medrec program. It may be because it is simple and a part of the admision protocol or because our nurses appreciate having a resource for the inevitable statement of "just give them whatever they were on at home". We are also a peds facility which may account for some of the positive followthrough.

The program was begun after thorough staff education, resident education and (fortunately) some staff physician education and buy in. I think the staff physician buy in was one of the most important parts to making this a sucess.

Kidsrme

My hospital is looking into an electronic answer to this, and we found only a couple of guys doing this. One is www.medirecon.net. The have an electronic version of the reconciliation. makes it real easy. We are going for it with this group.

MK