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PICO
Question: What is the impact of a quality improvement program using health information technology on improving medication reconciliation in a children’s hospital?
Question type: Quality improvement
Study design: Prospective, single-center (before-after)
Investigators at the Cincinnati Children’s Hospital Medical Center (CCHMC) undertook a quality improvement (QI) project to improve and sustain medication reconciliation (MR) at admission. MR at admission was defined as nursing documentation of a complete, accurate list of a patient’s medications within 20 minutes of admission and corroboration/correction of the list by a physician within 24 hours of admission.
A multidisciplinary team (physician and nursing leadership, frontline clinical staff, and a quality/safety and data team) mapped the MR process, analyzed failure modes, and prioritized drivers and interventions. The interventions, based on feedback from iterative Plan-Do-Study-Act (PDSA) cycles, focused on: a) establishing and maintaining a safety culture that prioritized MR; …
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