Document Detail


Medication reconciliation in the emergency department: opportunities for workflow redesign.
MedLine Citation:
PMID:  20554575     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
AIM: To examine the role of workflow redesign to improve medication reconciliation at four Washington State community hospital emergency departments.
METHOD: Lean redesign methodology was used for workflow process mapping and redesign workshops attended by emergency department staff. Observations were made about barriers to successful operation of current medication reconciliation workflows, and ideal future process maps were developed to improve the efficacy of creating a current, complete and accurate medication list for each patient seen in the emergency department.
CONCLUSION: Ideas for an optimal workflow to generate a medication list include involving patients and utilising clerical staff to a greater extent in medication information gathering, identifying and flagging patients with missing medication information, and gathering only the medication information needed to make clinical decisions in the emergency department.
Authors:
J Hummel; P C Evans; H Lee
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-06-16
Journal Detail:
Title:  Quality & safety in health care     Volume:  19     ISSN:  1475-3901     ISO Abbreviation:  Qual Saf Health Care     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136980     Medline TA:  Qual Saf Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  531-5     Citation Subset:  H    
Affiliation:
Qualis Health, Seattle, Washington 98133, USA. jeffh@qualishealth.org
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