TNA & TASN Joint Conference Nursing Ethics: Commitment ...

TNA & TASN Joint Conference Nursing Ethics: Commitment, Compassion, Quality Care October 23-25, 2015 Franklin Marriott, Cool Springs 700 Cool Springs Blvd. Franklin, TN 37067 Title of Poster Presentation:

The Journey Toward One Medication List

Abstract: Description as you would like it to appear on the web and in the conference program. Please describe your session in 250 words or less (including what you will present, how, and what participants will do):

Medication reconciliation is considered best practice and necessary to meet Meaningful Use and National Patient Safety Goal standards; however, collecting a complete and accurate home medication list is complicated. Differing clinician workflows and information needs result in multiple, often discrepant medication lists, leading to potential medication errors and/or patient harm. This poster will describe our two-year journey integrating various tools and lists into a single medication list tool (MLT) used in outpatient and inpatient settings by nurses, providers, and pharmacists. We will focus on the training and implementation processes, and highlight lessons learned in the process. Pre- and post-implementation satisfaction surveys showed that inpatient nurses were satisfied with the new tool. Provider responses to embedding MLT into their workflow (through H&P and reminders during admission ordering and discharge medication reconciliation) have been either positive [“now I can see the med list from the nurse”] or neutral. Despite the initial positive response to MLT from clinicians, there were challenges with adoption. We employed several strategies to increase adoption, including: 1) Embedding completion indicators on inpatient whiteboards and in electronic forms 2) Granting clinical pharmacists the ability to update MLT 3) Targeting re-education for low performing services 4) Adjusting MLT design to improve user-interface and workflow Current adherence with the tool is 68.1%, with many providers and nurses still using other methods to document outpatient medication lists. We will discuss our journey towards medication reconciliation for every patient at every encounter through continued enhancements to the tool and integration with user workflows.