A Toolkit to Disseminate Best Practices in Inpatient Medication Reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS)

Joint Commission Journal on Quality and Patient Safety - Tập 39 Số 8 - Trang 371-AP3 - 2013
Stephanie K. Mueller1, Sunil Kripalani2, Jason Stein3,4,5, Peter J. Kaboli6,7, Tosha B. Wetterneck8,9, Amanda H. Salanitro10, Jeffrey L. Greenwald11,12, Mark V. Williams13,14, Edward Etchells15,16,17, Daniel J. Cobaugh18, Lakshmi Halasyamani19, Stephanie Labonville20, DAVID HANSON21,22, Hasan Shabbir23,24, John E. Gardella25, Rebecca Largen26, Jeffrey L. Schnipper27,28
1Division of General Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston
2Section of Hospital Medicine, Department of Medicine, Vanderbilt University, Nashville, Tennessee
3Associate Director for Quality, Division of Hospital Medicine, Emory Hospital
4Associate Professor, Emory University School of Medicine, Atlanta
5Director, Clinical Operations Program
6Director, Veterans Rural Health Resource Center (VRHRC), VA Office of Rural Health
7Professor, Division of General Internal Medicine, University of Iowa Carver College of Medicine, Iowa City
8Hospitalist and Associate Professor of Medicine, University of Wisconsin School of Medicine and Public Health
9Researcher, Center for Quality and Productivity Improvement, University of Wisconsin, Madison
10Geriatric Research, Education, and Clinical Center, VA Tennessee Valley Healthcare System and Section of Hospital Medicine, Vanderbilt University, Nashville
11Associate Professor of Medicine, Harvard Medical School, Boston
12Member, Inpatient Clinician Educator Service, Department of Medicine, Massachusetts General Hospital
13Principal Investigator, Project BOOST, Chicago
14Professor and Chief, Division of Hospital Medicine, Feinberg School of Medicine, Northwestern University
15Associate Director, University of Toronto Centre for Patient Safety
16Associate Professor of Medicine, University of Toronto
17Medical Director, Information Services and Staff Physician, Division of General Internal Medicine
18American Society of Health System Pharmacists Research and Education Foundation, Bethesda, Maryland
19Quality and Systems Improvement, Saint Joseph Mercy Health System, Livonia, Michigan
20Brigham and Women's Hospital, Boston
21Clinical Nurse Specialist, for Cardiovascular Services, Methodist Hospital, Clarian Health Partners
22President-emeritus, American Association of Critical-Care Nurses, Indianapolis
23Assistant Professor of Medicine, Emory Division of Hospital Medicine, Emory University School of Medicine, Atlanta
24Chief Quality Officer, Emory Johns Creek Hospital
25Clinical Improvement for Novant Health - Greater Charlotte Market, Charlotte
26Novant Health Presbyterian Medical Center, Charlotte
27Associate Professor of Medicine at Harvard Medical School, Boston
28Director of Clinical Research of the Hospitalist Service at Brigham and Women's Hospital

Tóm tắt

Từ khóa


Tài liệu tham khảo

Coleman, 2005, Posthospital medication discrepancies: Prevalence and contributing factors, Arch Intern Med., 165, 1842, 10.1001/archinte.165.16.1842

Smith, 2004, A new tool for identifying discrepancies in postacute medications for community-dwelling older adults, Am J Geriatr Pharmacother, 2, 141, 10.1016/S1543-5946(04)90019-0

Cua, 2008, Medication use in the transition from hospital to home, Ann Acad Med Singapore, 37, 136, 10.47102/annals-acadmedsg.V37N2p136

Forster, 2003, The incidence and severity of adverse events affecting patients after discharge from the hospital, Ann Intern Med, 138, 161, 10.7326/0003-4819-138-3-200302040-00007

Kripalani, 2007, Promoting effective transitions of care at hospital discharge: A review of key issues for hospitalists, J Hosp Med, 2, 314, 10.1002/jhm.228

Kripalani, 2007, Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care, JAMA., 297, 831, 10.1001/jama.297.8.831

Beers, 1989, Influence of hospitalization on drug therapy in the elderly, J Am Geriatr Soc, 37, 679, 10.1111/j.1532-5415.1989.tb02227.x

Omori, 1991, The adverse effects of hospitalization on drug regimens, Arch Intern Med., 151, 1562, 10.1001/archinte.1991.00400080064011

Schachtner, 2002, Prevalence and cost savings of therapeutic interchange among U.S. hospitals, Am J Health Syst Pharm, 59, 529, 10.1093/ajhp/59.6.529

Bond, 2006, Clinical pharmacy services, pharmacy staffing, and adverse drug reactions in United States hospitals, Pharmacotherapy, 26, 735, 10.1592/phco.26.6.735

Makaryus, 2005, Patients’ understanding of their treatment plans and diagnosis at discharge, Mayo Clin Proc, 80, 991, 10.4065/80.8.991

Calkins, 1997, Patient-physician communication at hospital discharge and patients’ understanding of the postdischarge treatment plan, Arch Intern Med., 157, 1026, 10.1001/archinte.1997.00440300148014

Cornish, 2005, Unintended medication discrepancies at the time of hospital admission, Arch Intern Med., 165, 424, 10.1001/archinte.165.4.424

Gleason, 2004, Reconciliation of discrepancies in medication histories and admission orders of newly hospitalized patients, Am J Health Syst Pharm, 61, 1689, 10.1093/ajhp/61.16.1689

Pippins, 2008, Classifying and predicting errors of inpatient medication reconciliation, J Gen Intern Med, 23, 1414, 10.1007/s11606-008-0687-9

Tam, 2005, Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review, CMAJ, 173, 510, 10.1503/cmaj.045311

Wong, 2008, Medication reconciliation at hospital discharge: Evaluating discrepancies, Ann Pharmacother, 42, 1373, 10.1345/aph.1L190

Forster, 2005, Adverse drug events occurring following hospital discharge, J Gen Intern Med, 20, 317, 10.1111/j.1525-1497.2005.30390.x

Johnson, 1995, Drug-related morbidity and mortality. A cost-of-illness model, Arch Intern Med., 155, 1949, 10.1001/archinte.1995.00430180043006

Resar, 2004

2004

2011, Modifications to National Patient Safety Goal on reconciling medication information, Jt Comm Perspect, 31, 1

Mueller, 2012, Hospital-based medication reconciliation practices: A systematic review, Arch Intern Med., 172, 1057, 10.1001/archinternmed.2012.2246

Greenwald, 2010, Making inpatient medication reconciliation patient centered, clinically relevant and implementable: A consensus statement on key principles and necessary first steps, J Hosp Med, 5, 477, 10.1002/jhm.849

Salanitro, 2013, Rationale and design of the Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS), BMC Health Serv Res, 13, 230, 10.1186/1472-6963-13-230

Maynard, 2012, 2011 John M. Eisenberg Patient Safety and Quality Awards. Mentored implementation: Building leaders and achieving results through a collaborative improvement model. Innovation in patient safety and quality at the national level, Jt Comm J Qual Patient Saf, 38, 301, 10.1016/S1553-7250(12)38040-9

Society of Hospital Medicine. BOOSTing Care Transitions Resource Room: Overview. 2008. Accessed Jun 27, 2013. http://www.hospitalmedicine.org/ResourceRoomRedesign/RR_CareTransitions/CT_Home.cfm.

Society of Hospital Medicine. SHM VTE Prevention Collaborative. 2012. Accessed Jun 27, 2013. http://www.hospitalmedicine.org/AM/Template.cfm?Section=QI_Current_Initiatives_and_Training_Opportunities&Template=/CM/HTMLDisplay.cfm&ContentID=14406.

Society of Hospital Medicine. Glycemic Control Resource Room: SHM’s Glycemic Control Program. 2008. Accessed Jun 27, 2013. http://www.hospitalmedicine.org/ResourceRoomRedesign/html/GC_RR_Mentor_Program.cfm.

Gleason, 2010, Results of the Medications at Transitions and Clinical Handoffs (MATCH) study: An analysis of medication reconciliation errors and risk factors at hospital admission, J Gen Intern Med, 25, 441, 10.1007/s11606-010-1256-6

Agency for Healthcare Research and Quality. Is Our Pharmacy Meeting Patients’ Needs? Pharmacy Health Literacy Assessment Tool User’s Guide. Jacobson K, et al. Oct. 2007. Accessed Jun 27, 2013. http://www.ahrq.gov/professionals/quality-patient-safety/pharmhealthlit/pharmlit/index.html.

2011

Kripalani S, et al.; Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS). Taking a Good Medication History. Video. Accessed Jun 27, 2013. http://www.hospitalmedicine.org/MARQUIS.

Hawe, 2004, Complex interventions: How “out of control” can a randomised controlled trial be?, BMJ., 328, 1561, 10.1136/bmj.328.7455.1561

Kripalani S, et al.; Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS). Good Discharge Counseling. Video. Accessed Jun 27, 2013. http://www.hospitalmedicine.org/MARQUIS.

Society of Hospital Medicine. Overview: Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS). Accessed Jun 27, 2013. http://www.hospitalmedicine.org/MARQUIS.

National Patient Safety Foundation. Ask Me 3. Accessed Jun 27, 2013. http://www.npsf.org/for-healthcare-professionals/programs/ask-me-3/.

Bates, 1995, Relationship between medication errors and adverse drug events, J Gen Intern Med, 10, 199, 10.1007/BF02600255

Kripalani, 2008, Medication use among inner-city patients after hospital discharge: Patient-reported barriers and solutions, Mayo Clin Proc, 83, 529, 10.1016/S0025-6196(11)60724-6

Kripalani, 2009, Development and evaluation of the Adherence to Refills and Medications Scale (ARMS) among low-literacy patients with chronic disease, Value Health, 12, 118, 10.1111/j.1524-4733.2008.00400.x

Kripalani, 2007, Development of an illustrated medication schedule as a low-literacy patient education tool, Patient Educ Couns, 66, 368, 10.1016/j.pec.2007.01.020

Kripalani, 2012, Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: A randomized trial, Ann Intern Med, 157, 1, 10.7326/0003-4819-157-1-201207030-00003

Kripalani, 2010

Schnipper, 2006, Role of pharmacist counseling in preventing adverse drug events after hospitalization, Arch Intern Med., 166, 565, 10.1001/archinte.166.5.565