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- W3100168385 abstract "Background: The prevention of medication errors was a TJC priority, per the 2017 National Patient Safety Goals. The literature states that medication errors are quite common, and that 40% are related to inadequate medication reconciliation. In general, there should be 9one truth9 or list of home medications in the electronic medical record (EMR). Our EMR contains 4 areas for documentation of home medications. Previously, our RTs lacked access to one area - the 9External Rx History9 - which links to an OP pharmacy data repository. Per pharmacy, this is the most accurate data related to home medications. Our RTs rely on home inhaled medications as the foundation for our inhaled medication (bronchodilator and inhaled steroid; BDT) protocol, and discrepancies in EMR and patient reporting can influence appropriate in-hospital ordering of these drugs. Methods: We retrospectively reviewed the EMRs of a convenience sample of patients placed on our bronchodilator protocol (N=30) (IRB - 2571). Using structured intake, we reviewed 9Inpatient Summary9, 9Transition of Care9, 9Document Med by Hx9, and 9External Rx History9, for consistency of information across charting areas. We also sought to determine whether 1) Home inhaled medications were congruent with inpatient orders, 2) Any outpatient inhaled medications were omitted, and 3) Transition of care included appropriate discharge inhaled medications. Descriptive statistics were used to summarize data. Results: A total of 30 charts were reviewed. The inpatient summary matched the External Rx History in 72% of cases (n=29, with data missing for 1 subject), and congruency of our BDT with home inhaled meds was only 63%. Thirty percent of subjects had an outpatient-inhaled medication omitted from inpatient orders, and there were discrepancies in the Transition of Care inhaled medication list in 60% of subjects. Only 11% of subjects had congruence among all sources of inhaled medication reconciliation across designated areas within the EMR. Conclusions: Multiple areas to display home medications leads to a lack of consistency and congruence within the EMR." @default.
- W3100168385 created "2020-11-23" @default.
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- W3100168385 date "2018-10-01" @default.
- W3100168385 modified "2023-09-26" @default.
- W3100168385 title "Inhaled Medication Reconciliation in the Electronic Medical Record" @default.
- W3100168385 hasPublicationYear "2018" @default.
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