MedManage: The development of a tool to assist medication reconciliation in a rural primary care clinic
| Autor: | Jill Cochran, Traci Jarrett, Adam Baus, Kayla Delmar |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
MEDLINE Rural Health Article 03 medical and health sciences Medication Reconciliation 0302 clinical medicine Health care medicine Humans Medication Errors Nurse Practitioners 030212 general & internal medicine General Nursing Aged Medical Audit Hospital readmission Practice Patterns Nurses' Primary Health Care 030504 nursing business.industry Rural health General Medicine West Virginia medicine.disease Primary care clinic Benchmarking Female Pilot test Medical emergency 0305 other medical science business Fall prevention |
| Zdroj: | J Am Assoc Nurse Pract |
| ISSN: | 2327-6924 |
| Popis: | BACKGROUND: Medication reconciliation is a critical step in the health care process to prevent hospital readmission, adverse drug events, and fall prevention. The purpose of the study was to pilot test a medication reconciliation process, MedManage, informed by the Medications at Transitions and Clinical Handoffs (MATCH) toolkit with nursing staff in a rural primary care clinic. METHODS: The research team conducted 38 chart audits of high-risk patients, and preintervention and post-intervention were conducted to assess changes in medications reported by patients. The intervention included a chart audit tool and medication reconciliation tool created by the interdisciplinary team, MedManage, were pilot tested in the clinic. CONCLUSIONS: The Use of MedManage resulted in improvements in patient reporting of over-the-counter (82% of patients reported previously unrecorded OTCs), PRN medications (3% unreported), and herbal supplements/vitamins (28% reported previously unrecorded vitamins). IMPLICATIONS FOR PRACTICE: MedManage may be an effective tool to assist clinical nursing staff to attain a more complete and accurate medication list from patients and should be assessed more broadly across rural primary care clinics. |
| Databáze: | OpenAIRE |
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