Western Node Collaborative BC Children’s Hospital Medication Reconciliation Penticton – October 2006 1
conti nued………Back ground • BC Children’s Hospital – part of Children’s & Women’s Health Centre of BC • Multidisciplinary team (RN, MD, Pharmacist, QS&RM, Family Rep) • Emergency Department (ED) with spread to Oncology Clinic Oncology Inpatient Unit then site-wide • Start December 2005 and end December 2006 2
Bac kground • Aligns with Provincial Health Services Authority Strategic Plan which states that “we must implement systems and processes that ensure safe clinical and work environments”. • Med Rec and Accreditation – Patient Safety Goals • Project led by Department of Quality, Safety & Risk Management; team members from each clinical area join and leave the team as 3 initiative spreads.
Aim • Purpose: to prevent adverse drug events at BCCH by implementing a medication reconciliation process. • Goals/Objectives or Aim Statements: To reduce the number of: a) undocumented intentional discrepancies & b) unintentional discrepancies at admission by 95% by December 2006. 4
Team Members • Emergency - Physician (Quality Initiatives), Educator, Charge Nurse, Quality & Safety Coordinator • Oncology Clinic and Inpatient Unit Physician, Nurse Educators and Clinicians • Quality Safety & Risk Management • Pharmacy • Family Representative • Decision support 5 • Communications
Changes Tested Emergency - form trialed by Educator in different places: • Triage desk (no time) • Fast Track area (very few admissions) • Family completing form (too stressed) • In the cubicle area of ED after order to admit received (adopted) Oncology Clinic - form trialed by Oncology staff nurse who first used the form then taught clinic nurses to complete it (very successful) 6
Keys to Success & Lessons Learned • Ask unit leadership and staff how they would best like to proceed with implementation • Obtain buy-in from unit (Physician, Nursing Leadership, Pharmacy) • Find unit staff to act as a champion and able to provide one-to-one training • Remain flexible in scheduling meetings and maximize use of electronic communication tools 7
Next Steps and Plans for Spread • Confirm education plans for ED and Oncology • Train staff re: completion and use of Medication History form and reconciliation process • Finalize generic Power Point Presentation with video clips from staff and families • Laminated poster for clinical areas 8
continued……. Next Steps and Plans for Change • Explore electronic and paper discharge forms already in use • Consider how electronic tools can support the medication reconciliation process long term • Standardize Discharge Form as much as possible for parents to use when/if readmitted. Close the Loop! 9
Contact Information • Judy Komori, Leader Quality & Safety jkomori@cw. bc. ca. 604. 875. 2105 • Anne Compton, Leader, Quality & Safety acompton@cw. bc. ca 604. 875. 2345 local 7002 • Denise Hudson, Emergency Quality Initiatives • dhudson@cw. bc. ca 604. 875. 2354 local 5341 • Irene Matsui, Leader, Quality & Safety imatsui@cw. bc. ca 604. 875. 2354 local 6261 10
Скачать презентацию Western Node Collaborative BC Children s Hospital Medication Reconciliation
27abfb14cef51bef45702111990d4f49.ppt