Implementation of a closed-loop medication reconciliation process for ambulatory oncology patients at Winchester District Memorial Hospital
| Autor: | Ali Elbeddini, Jacqueline Mcmillan, Mohamed Gazarin, Joanne Leclair, Emily Mulligan, Brian Devin, LCdr Randy Tuff |
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| Rok vydání: | 2019 |
| Předmět: |
Quality management
Drug-Related Side Effects and Adverse Reactions MEDLINE Medical Oncology 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Medication Reconciliation Ambulatory care Multidisciplinary approach Intervention (counseling) Ambulatory Care Medicine Humans 030212 general & internal medicine Polypharmacy Ontario business.industry 030503 health policy & services Health Policy medicine.disease Leadership Ambulatory Organizational Case Studies Medical emergency 0305 other medical science business |
| Zdroj: | Healthcare management forum. 33(2) |
| ISSN: | 0840-4704 |
| Popis: | Medication Reconciliation (MedRec) is a proven method of optimizing pharmacotherapy and decreasing incidence of Adverse Drug Events (ADEs); however, consistent and correct execution is often a challenge in the setting of outpatient oncology. Ambulatory chemotherapy patients are particularly susceptible to polypharmacy and ADEs and their medication management is often complicated due to gaps in communication between an increased volume of non-co-located, multidisciplinary, healthcare providers. Acknowledging these challenges, Winchester District Memorial Hospital (WDMH) led an initiative to create an ambulatory chemotherapy MedRec process using behavioural change approaches. Prior to the intervention, ambulatory chemotherapy MedRec at WDMH was conducted informally via an “open-loop” process. Through an iterative quality improvement process which involved understanding and communicating failure points in the transmission of patients’ medication information directly with the frontline medical staff, a practical and sustainable “closed-loop” system evolved, which improved rates to 97.8% overall completion post-intervention. |
| Databáze: | OpenAIRE |
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