Transcript Northern Health - Burns Lake Story Board

BURNS LAKE HOSPITAL
Rural, British Columbia
Medication Reconciliation
Western Node Collaborative
Prepared by: Alana Froese
June 2006
TEAM MEMBERS
• Alana Froese, Team Leader
• Lori Henderson, Pharmacist
• Lindsey Williams, Pharmacy Technician
• Marie Hunter, Manager of Nursing
BACKGROUND
• Burns Lake Hospital is a 13-bed acute care
rural hospital
– With a full-time “stand-alone” Pharmacy Technician
• One of Northern Health Authorities’ Medication
Reconciliation test sites
AIMS
• To prevent Adverse Drug Events (ADE’s)
by implementing medication reconciliation at
admission in Burns Lake Hospital
• Goals:
– To increase the effectiveness of the medication admission
reconciliation process over time
– To reduce the rate of Unintentional and Undocumented
Intentional discrepancies at admission by 75% in 6 months
CHANGES TESTED
• 4 hour Med Reconciliation training workshop
• Pre-Admission Medication Verification Tool
• Best Possible Medication History Checklist
– With verification & discrepancy codes
• Laminated pocket card BPMH support tool
– OTC medications - Review of systems
– Social history guidelines
PRELIMINARY RESULTS
20
18
16
14
Discrepancy Types
12
0 – None
10
1 – Intentional
2 – Undocumented
8
Intentional
6
3 - Unintentional
4
2
0
0
1
2
3
Discrepancy Types
KEYS TO SUCCESS & LESSONS LEARNED
• Dedicated Pharmacist focused on the
promotion of Medication Reconciliation in the
Northern Health Authority
• Developing a workshop to train the
Medication Reconciliation process
• Utilizing a Pharmacy Technician to do the
work
VERIFICATION CODING SYSTEM
Verification codes
1.
2.
3.
4.
5.
6.
7.
8.
Indication
No indication
Dose too low
Dose too high
Wrong drug
Non-compliance
Adverse event
Drug interaction
NEXT STEPS
• Reporting
– Stage 1 data collection results
• Training
– Physicians and nursing staff in Burns Lake
• Implementation
– Integrating form into admission process in Burns Lk
• Expansion
– Pharmacy Technician led Med Rec Pilot Project
• Prince George Jun 26 – Aug 28, 2006
CONTACT INFORMATION
•
•
•
•
Alana Froese, Medication Reconciliation Coordinator
Ph: 250 847-7268
Fx: 250 847-7557
[email protected]