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Medication Reconciliation is recognized as one of the most important steps in coordinating our patient’s healthcare. While writing down a list of medications seems so very simple, it isn’t until we follow a patient through multiple transitions of care where medications are changed, added, or deleted by multiple caregivers that we realize how easily mistakes can be made. If we add to this outside influences such as therapeutic substitutions due to drug formulary restrictions, we can easily see why reconciliation must occur at every change in a patient’s level of care by trained professionals in varied disciplines. At the 2007 International MUSE Conference, we met to discuss Medication Reconciliation. We shared ideas and methods on how we were facing the challenge of utilizing our MEDITECH and other vendor software to accurately and completely reconcile medications across the continuum of care. (The Joint Commission Goal #8). We discussed where we were then and how we planned on improving on these… Joint Commission Implementation Expectations 8.A: (M) C 1. The organization, with the patient’s involvement, creates a complete list of the patient’s current medications at admission/entry. (M) C 2. The medications ordered for the patient while under the care of the organization are compared to those on the list and any discrepancies (e.g., omissions, duplications, potential interactions) are resolved. 8.B: (M) C 1. The patient’s accurate medication reconciliation list (complete with medications prescribed by the first provider of service) is communicated to the next provider of service, whether it be within or outside the organization. (M) C 2. The next provider of service checks the medication reconciliation list again to make sure it is accurate and in concert with any new medications to be ordered/prescribed. (M) C 3. The complete list of medications is also provided to the patient on discharge from the organization.
MUSE is proud to host Part II of the CPOE Summit. Part I at the 2007 International MUSE Conference gave us the “whys” and fundamentals of “how to”. Part II will continue where that left off (don’t worry, if you missed it last year there will be a review). At the 2008 International MUSE Conference, we will provide you with solutions to CPOE challenges and guidance in determining which features to implement. Plus, join us for an extensive Q&A session. Our panel of participants include users that have years of experience is the successful implementation of CPOE, so this is a “can’t miss” opportunity for you!
The 2008 MUSE International conference will be hosting a technical Summit showcasing the latest technological innovation in Server Virtualization, Storage Area Networks (SANs), Wireless Networks and Single Sign On. Presentations, case studies and discussions will be conducted on SANs, Asynchronous Replication, Data Snapshots, Disaster Recovery, and Single Sign On for Access card and Biometric Access to hospital systems. This work stream will be led by the Liverpool Women’s NHS Foundation Trust (based in the UK), who have recently won several international awards from Information Age, computerworld, and CNET for their pioneering efforts with these technologies.
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