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Gestational Diabetes Mellitus: Interventions for Hispanic/Latina Pregnant Women

Luis A. Gutierrez

PSMEMC OB Unit

Resurrection University, NUR 4642: Role Transition

Problem/topic

Medication reconciliation is critical for safe and effective healthcare and involves confirming the accuracy of a patient's medication list upon admission, transfer, or discharge.

Medication mistakes are the most common source of avoidable injury in healthcare.

Research has shown that medication reconciliation can reduce medication errors and increase patient safety while lowering costs.

The project aims to create a comprehensive medication reconciliation process for the hospital to improve patient safety, reduce medication errors, and ensure correct medication administration.

Community background

Patients receiving healthcare services in the hospital setting are the affected community and are at risk of experiencing medication errors.

The project aims to improve patient safety and reduce the likelihood of medication errors through a comprehensive medication reconciliation process, with hospital staff also involved in ensuring its success.

Literature Review

Problem/topic

Medication reconciliation is crucial for safe and effective healthcare and is associated with improved medication safety, decreased medication errors, and improved patient satisfaction.

Education and training in medication reconciliation are necessary for successful implementation in healthcare settings.

Implementing a comprehensive medication reconciliation process can reduce medication errors, improve patient safety, and lower costs related to adverse drug events.

Solution/Intervention

Daliri et al. (2021) found that longitudinal medication reconciliation decreases medication mistakes and adverse drug events.

Killin et al. (2021) conducted a systematic review and found that advanced medication reconciliation helps reduce medication errors and adverse drug events.

Both articles demonstrate the effectiveness of medication reconciliation in improving patient safety and the need for education and training in medication reconciliation to ensure successful implementation in healthcare settings.

Solution

Develop and implement a comprehensive medication reconciliation process to improve patient safety and reduce medication errors in the hospital setting.

Implementation

Recruitment

Identify a healthcare facility setting with systemic issues in medical reconciliation systems and target it for improvements.

Intervention

Evaluate the current medication reconciliation process and identify areas for improvement.

Develop a comprehensive medication reconciliation process.

Implement the medication reconciliation process.

Follow up and evaluate the impact of the medication reconciliation process.

Assessment

Develop an evaluation plan to assess the impact of the medication reconciliation process.

Collect data on medication errors, adverse drug events, and patient satisfaction to assess the impact of the process.

Survey staff to evaluate the effectiveness of the process and identify any areas that need improvement.

Future Implementations

Acknowledgements

I would like to thank my Preceptor, colleagues and staff of school who endorse this project and felt that it would be beneficial to the Medical-Surgical unit. I would also like to thank the Medical-Surgical Unit residents who provided feedback on my intervention.

Medical Reconciliation

Providing continuous education and training to hospital staff to maintain their knowledge and skills related to medication reconciliation and its implementation.

Expanding the scope of medication reconciliation beyond hospital settings to other healthcare settings such as clinics and long-term care facilities to improve patient safety and reduce the likelihood of medication errors across the entire healthcare system.