Revisiting Electronic Medication Reconciliation during Patient Safety Awareness Week
Accurate and timely medication reconciliation is a key to patient safety in the hospital setting. Over the years, many studies have documented the risks associated with incomplete med rec at transition points of an inpatient’s journey. The negative impact and high cost of ineffective medication reconciliation is why the Joint Commission includes it among its National Patient Safety Goals.
There are many reasons for the lack of success with medication reconciliation to date. It is a highly complex, multidisciplinary process that relies on information that is often missing, vague or difficult to access. For physicians in particular, the process has suffered from a lack of integration with their existing workflow, resulting in reduced efficiency and redundant work. Reconciliation traditionally has required physicians to access, document, and reconcile medications from within multiple systems and workflows.
So in recognition of Patient Safety Awareness Week, it seems like an opportune moment to revisit the merits of a thoughtfully designed electronic med rec system, such as PatientKeeper Medication Reconciliation, part of PatientKeeper’s advanced clinical suite.
PatientKeeper makes it easy for physicians and other clinicians to electronically track and transition patient medications from home to hospital at time of admission, and back to the home at time of discharge. Key features of PatientKeeper Medication Reconciliation include:
- Integration with CPOE. Physicians can reconcile home medications and place admission orders (including using order sets) for continued meds as part of one, integrated process. They can also reconcile discharge medications while entering discharge orders, both from within a single screen.
- Clinical alerts and interaction checking. Supports drug-drug, drug-allergy and duplicate therapy checking.
- Readily identify home vs. hospital and continued vs. discontinued meds. PatientKeeper Medication Reconciliation makes it easy and efficient for physicians to distinguish between medications that came with the patient from home from those that have been prescribed upon admission. The system also automatically matches home and hospital medications, including brand/generic and therapeutic class matching, and allows the physician to easily continue the home or hospital therapy with a single click – no more “manual reconciliation” and matching.
- Maintains established nursing workflow. Nursing plays a significant role in the reconciliation process, including often establishing a comprehensive list of home meds. PatientKeeper Medication Reconciliation doesn’t replace this process or, worse, require the physician to repeat this process from within yet another system. Rather, the system interfaces with existing nursing documentation systems to pull home medications for review and edit by the physician.
- Execute multiple orders in a single step. Modifying an existing order automatically generates a DC of the existing order and a new order reflecting the change.
- Clearly organizes discharge meds for patients. Physicians can view and print in a format that clearly organizes discharge meds into “Meds to Take at Home” (flagging any new/changed therapies) and “Meds to Stop Taking at Home.” The system can generate printed or electronic prescriptions for filling home medications.
Interested in learning more about the benefits of PatientKeeper Medication Reconciliation? Request a demo today!