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Improving admission medication reconciliation compliance using the electronic tool in admitted medical patients

机译:使用电子工具改善入院医疗患者的入院药物对账合规性

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Sheikh Khalifa Medical City (SKMC) in Abu Dhabi is the main tertiary care referral hospital in the United Arab Emirates (UAE) with 560 bed capacity that is fully occupied most of the time.SKMC senior management has made a commitment to make quality and patient safety a top priority. Our governing body Abu Dhabi Health Services Company has identified medication reconciliation as a critical patient safety measure and key performance indicator (KPI). The medication reconciliation electronic form a computerized decision support tool was introduced to improve medication reconciliation compliance on transition of care at admission, transfer and discharge of patients both in the inpatient and outpatient settings. In order to improve medication reconciliation compliance a multidisciplinary task force team was formed and led this quality improvement project. The purpose of this publication is to indicate the quality improvement interventions implemented to enhance compliance with admission medication reconciliation and the outcomes of those interventions.We chose to conduct the pilot study in general medicine as it is the busiest department in the hospital, with an average of 390 patients admitted per month during the study period. The study period was from April 2014 till October 2015 and a total of 8576 patients were evaluated. The lessons learned were disseminated throughout the hospital. Our aim was to improve admission medication reconciliation compliance using the electronic form in order to ensure patient safety and reduce preventable harm in terms of medication errors. Admission medication reconciliation compliance improved in general medicine from 40% to above 85%, and this improvement was sustained for the last four months of the study period.
机译:阿布扎比的谢赫·哈利法医学城(SKMC)是阿拉伯联合酋长国(UAE)的主要三级转诊医院,大部分时间可容纳560张病床,SKMC高级管理层承诺要提高质量和耐心安全是重中之重。我们的理事机构阿布扎比健康服务公司已将药物和解确定为重要的患者安全措施和关键绩效指标(KPI)。引入了计算机决策支持工具中的药物核对电子表格,以提高住院和门诊患者入院,转移和出院护理过渡时的药物对帐依从性。为了改善药物调解的依从性,成立了一个跨学科的工作组,负责该质量改进项目。本出版物的目的是指出为提高入院药物和解的依从性而采取的质量改进措施以及这些措施的效果。我们选择进行常规医学的试点研究,因为它是医院中最繁忙的部门,平均在研究期间,每月有390名患者入院。研究期间为2014年4月至2015年10月,共评估了8576例患者。所汲取的教训在整个医院中传播。我们的目标是使用电子表格改善入院药物对账单的依从性,以确保患者安全并减少用药错误方面可预防的伤害。普通药物的入院药物调和依从性从40%提高到85%以上,并且这种改善在研究期的最后四个月中一直持续。

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