Development of Medication Reconciliation Model to Reduce Medication Errors with Information Technology Systems at Ward of Medicine, Roi Et Hospital
Keywords:
medication errors, information technology systems, chronic diseaseAbstract
Background and Objective: Giving medicine to a patient with a medication error is high risk and could cause severe harm to the patient. This study aimed to develop medication reconciliation (MR) model to reduce medication errors by using information technology systems at Medical ward, Roi Et Hospital.
Methods: This study was participatory action research. The research was divided into 4 phases; 1) analysis of the current situation and problems, 2) MR process development, 3) implementation of the MR process, and 4) evaluation of the performance. Data were collected from 563 patients, before development 268 cases and after development 295 cases. The medication lists coordinated 633 times in patients with chronic diseases admitted during November 2022 to October 2023. Descriptive statistics were used for all data analyzed.
Results: The MR model was developed consists of 9 steps; 1) check every admitted patient, 2) Retrieve history data of patients with chronic disease that take medication for the past 180 days to medication review, 3) The doctor consider to order same medication list, 4) The nurse scans the order form as “new case”, 5) The pharmacy staff collected the original medication history and typed it into MR program, 6) The pharmacist checking the original medication list from the pharmacy staff, 7) In the case of patient moved to new wards, the doctor has to treatment reviews, 8) When discharged patient, pharmacist who dispensing medicine always check and compare with original medicine list. If has problem consults doctor, 9) the pharmacist attached list of medicines of patient with chronic diseases when discharged. After development MR was found 66 times, 4.55 % corrected, and 95.45% prevented. The most common MR was 44.16% did not receive the medicine that they should receive. The severity of MR that not found severity and dangerous to death. The cost of medicines was saved from MR process increased from 17,920.34 baht to 42,967.45 baht.
Conclusion: The MR development process by using information technology that has 9 steps for work. These processes increase the speed of work and make patients safety. It can reduce MR and also save cost of medicine.
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