Module 1-medication, History -Taking

Question 1

BID

Answer 1

Twice a day

Question 2

BPMH

Answer 2

“ best possible” medication history

Question 3

CI

Answer 3

Confidence interval

Question 4

ED

Answer 4

Emergency department

Question 5

EHR

Answer 5

Electronic health record

Question 6

HD

Answer 6

Hospital day

Question 7

MRA

Answer 7

Medication, reconciliation assistance

Question 8

med rec

Answer 8

Medication reconciliation

Question 9

PAML

Answer 9

Pre-admission medication list

Question 10

PO

Answer 10

My mouth

Question 11

RCT

Answer 11

Randomized controlled trial

Question 12

RN

Answer 12

Registered nurse

Question 13

The majority of potential harmful medication discrepancies in hospital order are due to errors
In :

Answer 13

Medication history-taking

Question 14

In recent studies, such as a book key, MARQURIS2, the receipt of patient level interventions, such as a “BPMH,” can result in how large of a reduction in medication discrepancy in admission and discharge orders? 


Answer 14

60%

Question 15

Medication reconciliation errors in control group of partner RCT
Potential for harm 27%

Answer 15

History error 72%
Reconciliation error 30%

Question 16

1- BPMH
2-reconciliation at discharge
3-patient counseling.
4-forward information to next provider.

Answer 16

Medication reconciliation bundle:

Question 17

Risk assessment :

Answer 17

-intense vs. Standard bundle depending on patient risk.

Question 18

Intervention components :

Answer 18

1-medication reconciliation bundle.
2-risk assessment.
3-train providers in taking a BPMH and in performance discharge counseling
4-improving access to pre-admission medication sources.
5- other the risk, high reward interventions

Question 19

Improving access to pre-admission medication sources:

Answer 19

-Encouraging patient all medication list.
-Facilitating assess to other medication sources example pharmacy

Question 20

Other high risk, high reward interventions

Answer 20

-Implementing and improving health information technology
-utilizing social marketing.
-Engaging community resources

Question 21

Why is this hard?

Answer 21

-Information system that don’t talk to each other.
-Lack of single “ source of truth”
-Fragmented healthcare system
-many transition care
-Lack of communication between patient and providers( and
among providers)
-Patient who may not be engaged in their own healthcare, have low health literacy,
-few social support.
-

Question 22

Why is this hard?

Answer 22

-poly pharmacy,
-frequent changes in regiment,
-lack of value place on medication reconciliation.

Question 23

Best possible medication history barriers:

Answer 23

-We need an army of trained, competent, upper BPMH -takers
-That’s why you are here

Question 24

Conclusions:
error in medication history taking are the most common cause:

Answer 24

-error in medication history taking are the most common cause:
1-of unintentional medication
2-, discrepancy in admission and
3- order in hospital

Question 25

Conclusion

Answer 25

-Recent study have shown accurate history taking can be performed by pharmacy technician, and that this action can lead to a substantial reduction in medication discrepancy

Question 26

Conclusion : Barrier to accurate medication history includes:

Answer 26

• the complex and fragmented US ‘,’
• system lack of interoperability of medication history sources,
• lack of patient understanding on their medication,
• and poly pharmacy

Question 27

Why the medication history is important ?

Answer 27

1-A good medication history is a critical for patient safety.
2-error in medication history:
— account for up to 75% of all potentially harmful medication, discrepancy in admission and discharge order

Question 28

A process of identifying the most accurate list of all medication a patient is taking and should be taking, including them, dosage, frequency, route, purpose, and duration.
And use this list to provide correction medication for patient anywhere within healthcare system. This definition is compatible with that of the joy commission and also include ordering medication accuracy, which is ultimately the purpose of medication reconciliation.

Answer 28

Definition

Medication reconciliation