Effect of Nursing Education on Optimization of Medication Reconciliation in the Pediatric Emergency Department
| Autor: | Danielle McDonald, Frank Diaz, Christine A Robinson, Suzannah Kokotajlo, Rupal Mansukhani |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pediatric emergency
medicine.medical_specialty Medication history business.industry Clinical Investigations Pharmacist Medication name 03 medical and health sciences 0302 clinical medicine Primary outcome Medication Reconciliation 030225 pediatrics Family medicine Pediatrics Perinatology and Child Health medicine Pharmacology (medical) 030212 general & internal medicine Nurse education business |
| Zdroj: | The Journal of Pediatric Pharmacology and Therapeutics. 23:203-208 |
| ISSN: | 1551-6776 |
| Popis: | OBJECTIVE This study was conducted to evaluate the impact of education on optimizing medication histories in a single-center pediatric emergency department. METHODS This was a prospective, 2-phase study of 200 patients ages 21 years and younger who presented to the pediatric emergency department in January and February 2017. In phase I of the study, 100 patients were interviewed by both a nurse and a pharmacist. Between phases I and II, the pharmacist educated each nurse and disseminated standardized education materials. In phase II, 100 additional patients were interviewed by both a nurse and a pharmacist. Discrepancies were quantified in both phases of the study. The primary outcome was the distribution of total discrepancies in medications identified. Total discrepancies were defined as a composite of medication name, dose, route, frequency, and time of last dose. RESULTS A total of 200 medication histories were collected over phases I and II. In phase I (n = 79), the pharmacist identified 185 medications, 88 of which were also identified by the nurse. In phase II (n = 82), the pharmacist identified 180 medications, 95 of which were also identified by the nurse. The distribution of discrepancies per patient and per medication was significantly reduced in regard to dose, route, and frequency documentation. CONCLUSION Although improvement was observed, barriers beyond a knowledge deficit exist to limit accuracy of medication histories collected by nurses. |
| Databáze: | OpenAIRE |
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