BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative...
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BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006
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Transcript of BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative...
BURNS LAKE HOSPITAL
Rural, British Columbia
Medication Reconciliation
Western Node CollaborativePrepared by: Alana Froese
June 2006
TEAM MEMBERS
• Alana Froese, Team Leader
• Lori Henderson, Pharmacist
• Lindsey Williams, Pharmacy Technician
• Marie Hunter, Manager of Nursing
BACKGROUND
• Burns Lake Hospital is a 13-bed acute care rural hospital– With a full-time “stand-alone” Pharmacy
Technician
• One of Northern Health Authorities’ Medication Reconciliation test sites
AIMS
• To prevent Adverse Drug Events (ADE’s) by implementing medication reconciliation
at admission in Burns Lake Hospital
• Goals:
– To increase the effectiveness of the medication admission reconciliation process over time
– To reduce the rate of Unintentional and Undocumented Intentional discrepancies at admission by 75% in 6 months
CHANGES TESTED
• 4 hour Med Reconciliation training workshop
• Pre-Admission Medication Verification Tool
• Best Possible Medication History Checklist– With verification & discrepancy codes
• Laminated pocket card BPMH support tool – OTC medications - Review of systems – Social history guidelines
PRELIMINARY RESULTS
0
2
4
6
8
10
12
14
16
18
20
0 1 2 3
Discrepancy Types
# of Discrepancies
Discrepancy Types
0 – None
1 – Intentional
2 – Undocumented
Intentional
3 - Unintentional
KEYS TO SUCCESS & LESSONS LEARNED
• Dedicated Pharmacist focused on the promotion of Medication Reconciliation in the Northern Health Authority
• Developing a workshop to train the Medication Reconciliation process
• Utilizing a Pharmacy Technician to do the work
VERIFICATION CODING SYSTEM
Verification codes 1. Indication 2. No indication 3. Dose too low4. Dose too high5. Wrong drug 6. Non-compliance 7. Adverse event8. Drug interaction
NEXT STEPS
• Reporting – Stage 1 data collection results
• Training – Physicians and nursing staff in Burns Lake
• Implementation – Integrating form into admission process in
Burns Lk
• Expansion – Pharmacy Technician led Med Rec Pilot Project
• Prince George Jun 26 – Aug 28, 2006
CONTACT INFORMATION
• Alana Froese, Medication Reconciliation
Coordinator
• Ph: 250 847-7268• Fx: 250 847-7557• [email protected]
