Low-Tech Medication Reconciliation Process Emphasizing Standardized, Easy-to-Execute Roles Significantly Reduces Rate of Unreconciled Medications
Contra Costa Health Services launched a medication reconciliation process at its county-owned hospital based on Institute for Healthcare Improvement concepts for redesigning work to achieve a high degree of reliability. The institution uses a process in which providers, pharmacy, and nursing staff have standardized, easy-to-understand, and easy-to-execute roles related to medication reconciliation.
Monthly Multidisciplinary Patient Safety Conferences Improve Hospital Staff Perceptions of Organization's Safety Culture and Increase Reporting of Adverse Events
Monthly patient safety conferences that allow clinicians and all levels of staff to openly discuss adverse events improved staff perceptions of the organization's safety culture and increased the reporting of such events.
Nurse Case Managers Offer Low-Resource Transitional Care Services, Reducing Readmissions for At-Risk, Community-Dwelling Veterans in Remote Areas
Nurse case managers at a Veterans Affairs hospital provide inhospital and post-discharge, telephone-based support to at-risk, community-dwelling patients and their caregivers, leading to better care transitions, fewer readmissions, and substantial cost savings.
Nurse Practitioner–Led Transitional Care Program Does Not Reduce Readmissions During Period Between Discharge and Followup Appointment
A nurse practitioner–led service to bridge the gap in care for recently discharged patients awaiting a followup appointment did not reduce the rate of unplanned readmissions.
Patient Videos That Describe Care Experiences Spur Development of Many Successful Quality Improvement Initiatives
As part of Kaiser Permanente's Care Management Institute’s video ethnography approach, provider teams interview patients about their care experiences, leading to the development of many quality improvement projects that have resulted in better care processes and outcomes.
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Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) Toolkit
The goal of MARQUIS (Multi-Center Medication Reconciliation Quality Improvement Study) is to develop better ways for medications to be prescribed, documented, and reconciled accurately and safely at times of care transitions when patients enter and leave the hospital.
Medications At Transitions and Clinical Handoffs (MATCH) Initiative
The goal of the Medications At Transitions and Clinical Handoffs (MATCH) Initiative is to measurably decrease the number of discrepant medication orders and the associated potential and actual patient harm.
Medication Reconciliation Review
The Medication Reconciliation Review tool provides step-by-step instructions for conducting a review of closed patient records to identify errors related to unreconciled medications. Organizations that are considering creating a medication reconciliation process can use this tool to establish a baseline of errors from unreconciled medications and to build a case for the importance of having a reconciliation process in place.
Center for Healthy Aging: Resource Library
This library of resources for community-based organizations provides materials to help develop and implement evidence-based programs to promote healthy lives for older adults.
Arizona CERT Medication Record
This tool can help patients keep track of the medicines, vitamins, and herbs that they take.