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

Transcript of BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative...

Page 1: BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006.

BURNS LAKE HOSPITAL

Rural, British Columbia

Medication Reconciliation

Western Node CollaborativePrepared by: Alana Froese

June 2006

Page 2: BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006.

TEAM MEMBERS

• Alana Froese, Team Leader

• Lori Henderson, Pharmacist

• Lindsey Williams, Pharmacy Technician

• Marie Hunter, Manager of Nursing

Page 3: BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006.

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

Page 4: BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006.

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

Page 5: BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006.

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

Page 6: BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006.

PRELIMINARY RESULTS

0

2

4

6

8

10

12

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16

18

20

0 1 2 3

Discrepancy Types

# of Discrepancies

Discrepancy Types

0 – None

1 – Intentional

2 – Undocumented

Intentional

3 - Unintentional

Page 7: BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006.

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

Page 8: BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006.

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

Page 9: BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006.

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

Page 10: BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006.

CONTACT INFORMATION

• Alana Froese, Medication Reconciliation

Coordinator

• Ph: 250 847-7268• Fx: 250 847-7557• [email protected]