In nursing homes, both registered nurses (RNs) and licensed practical nurses (LPNs) frequently are assigned to detect medication order discrepancies, using the process of medication reconciliation.
It is recognised in the literature that medication related adverse events are most often related to systems failures associated with the complex process of medication administration.
Therefore, the objective of this observational pilot study was to evaluate the process of medication review using STRIP in adults with an ID living in a centralized or dependent setting and the identification of drug-related problems using this tool.
Partners HealthCare, an integrated delivery network in Boston, Massachusetts, has answered this interdisciplinary challenge by leveraging its multiple outpatient electronic medical records (EMR) and inpatient computerized provider order entry (CPOE) systems to facilitate the process of medication reconciliation.
An analysis of the process of medication reconciliation gives insight into the current process of care and its inefficiencies.
The five teams developed detailed process map for own process of medication use, identifying failure modes for each step.
There were several opinions among professionals on how best performance should be reached within the process of medication reconciliation.
Evaluation meetings regarding the conduct of the medication reviews will be organized to provide continous evaluation by guiding and counseling in the process of medication review.
Indeed, environmental factors such as interruptions during the process of medication administration by colleagues, patients or telephone calls have been suspected of contributing to medication administration errors [ 25].
The process of medication reconciliation is mandated in North America in an effort to decrease such medication errors and improve quality of care and patient safety.
This team should standardise the process of medication reconciliation through the development of protocols and forms, which include all the wishes and needs of the professionals involved.
