SHM Converge Scientific Abstract ePoster Gallery-Admission Medication Reconcilation

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This quality improvement project focused on improving medication reconciliation on admission, a key patient safety process that compares pre-admission medications with newly prescribed inpatient medications to prevent interactions, dosing errors, and adverse events.<br /><br />The team identified delays and care gaps in completing admission medication reconciliation within 24 hours. Using Plan-Do-Study-Act (PDSA) cycles, they implemented several interventions: collaboration with clinical pharmacists to improve home medication list accuracy, simplification of the reconciliation workflow in the EPIC electronic medical record system, monthly compliance monitoring with provider notifications for noncompliance, provider education through conferences and one-on-one teaching, workplace posters, monthly feedback, and regular stakeholder meetings to review progress and refine the approach.<br /><br />The project aimed to raise compliance from 75% in Q4 2023 to 95% from March 2024 through February 2025. Results showed improvement in pre-admission medication reconciliation compliance from 75% in Q4 2023 to 84% in Q4 2024, and outside medication reconciliation improved from 77% to 93% over the same period.<br /><br />Despite these gains, gaps remain in obtaining complete medication lists because patients may use multiple pharmacies, be unsure of their medications, take duplicate drugs within the same class, or receive medications from different facilities for the same condition.<br /><br />Overall, the project demonstrated that targeted interventions, ongoing audits, and feedback can improve medication reconciliation compliance and support safer, higher-quality care.

Asset Subtitle

Woyessa D. Sida

Meta Tag

Author List Ariane Yangco, Enyioma Nwogwugwu, Esra Alshdifat, Faridat Abdulkarim, Gabriela Galicia Garcia, Ho Yin Henry Chan, Ibienebari Jessica Bakpo, Ibtihal Safih, Jose Amaya, Julian Ategeka, Laverne Yip, Mariam Arif, May Hnin Pwint Soe, Priscila Castro Puell

Category Research

Concept Medication Reconciliation

Concept Patient Safety

Concept Quality Improvement

Concept Compliance

Concept Hospital Admission

Distinguished Non-Finalist

Presenter Organization Lincoln Medical and Mental Health Center - Department of Medicine

Presenting Author Woyessa D. Sida

Track Quality Improvement

Keywords

medication reconciliation

patient safety

admission reconciliation

PDSA cycles

electronic medical record

EPIC

clinical pharmacists

compliance monitoring

provider education

quality improvement

Medication Reconciliation

Patient Safety

Quality Improvement

Compliance

Hospital Admission