Medical Kaizen Blitz

7/25/2019 Medical Kaizen Blitz

1/27

FRHS Kaizen Workshop #1

Medication Reconciliation (MRR)

Admission / Dischare !nl"

!ctoer $%&' *


2/27

Kaizen #1+ Medication Reconciliation

Admit / Dischare

Mission:,o impro-e the process o. medication reconciliation toassre patient sa.et"0

Objectives:

10 Achie-e a & impro-ement in accrac" o. medicationin.ormation pon admission0

0 Redce nrsin time spent " 10&/da"0

$0 Redce dela"s in medication administration " &0

20 Redce medical errors " 3

&0 Spport the ne4 hospitalist proram0Train-the-Trainer objectives

50 6earn 6ean tools as process impro-ement method0

*0 Di..se impro-ement mindset throhot the hospital0

30 Redce 4aste throhot all ma7or processes0


3/27

Medication Reconciliation

Kaizen,eam


4/27

Kaizen ,eam Work

Da-id' 8eth' Ste-e' 9ohn' Rhonda'8eth H' Melissa' :arol' Mark' Miss"'

;ick"'


5/27

>R

DirectAdmit

>?ternal

,rans.er

!tain list

o. crrent

meds@:ontact

ph"sician

:ontact

e?ternal

pharmac"

Ho4 toet Re-ie4initial

orders

:ontact

admittinph"sician to

identi." meds

Reconcile

medsRe-ie4

e?ternal

.acilit" list

1& min

Brse4rite ot

med list

(i.

needed)@

Fa? order

to internal

pharmac"

1% hors

$ C 5 min

Brses temporders are

cancelled and

re%entered

=h"sicians dont 4rite .ll

admit meds list@

Brses act on meds list

1&min

sec to 1&

min

ADMESSE!B

dcation

impro-ements .or ne4

people0

;A6G> S,R>AM MA= C M>DE:A,E!B R>:!B:E6EA,E!B


6/27

=h"sician

dischare

order

.orm and

sins

=rint

Dischare

Enstrctions

DES:HAR

Are meds

complete

:alls ph"sician tocomplete list

=h"sician task to

4rite meds' acti-it"'

diet' etc0

>nter .llin.o into

:=SE

Bo

es D!B>

Encomplete

ph"sician meds@

!r contine

home meds@

=h"sicians

dont respond

till later0

Dischare order

aot not on all

charts0 >dcate

nrses and

ph"sicians onlocation0

=rocess >..icienc" .or dischare+ &5 8est $ Worse :ase

1& min

min to 1

hr

Redo

min

=h"sicians not 4ritin complete list o.

meds .or patient to contine to take0

:ompter

enerated list o. all

home meds and

meds taken 4hile

hospitalized0

Shold list onl"

meds acti-e on da"o. dischare0

+ ;ale Added

+Bo -ale added

,otal ,ime+

Min+ 21 min

Ma?+ 11 min

:ompleteseparate

.orms as

needed .or

trans.ers0

Redo 4ork to

ettin trans.er

.ormscompleted0

;A6G> S,R>AM MA= C M>DE:A,E!B R>:!B:E6EA,E!B


7/27

Nurse obtain list

of meds ifnot already

providedand enter in

CPSI

Nurse tocontact

physicianand send

MRR tophysician

for review

Faxcompleted

MRR topharmacy

and process

and review

R !dmit

"a

xternal

transfer#list of meds

sent with

patient

transfer

$irect!dmit# fax

list of

admission

orders andlist ofhome meds

Reviewlist of

external

facility

%owto &et

info'

Review

initial

orders

() min "* min +) seconds+ min to ,) min() min

FG,GR> S,A,> % ADMESSE!B


8/27

FG,GR> ;A6G> S,R>AM DES:HAR

Fax verifyMRR andd-c meds to

pharmacy

to review


9/27

=R!:>SS EM=R!;>M>B, WH! WH>B

1 =h"sician order .orm =ats" I 8eth W0

At dischare rin .ileJ0

$ Modi.ication o. medication reconciliation report to hihliht or stract Rhonda I ;ickie

2 Standin order ased on dianosis0 Alison and MR' nrses pll != list ponadmission0

1 :hart link .or nrses to -ie4 past medical histor"

11 >dcation =h"sicians and nrses reardin medication reconciliation :arol and Mark

1 =harmac" contacts ph"sician directl" to clari." missin dose or .reLenc" Miss" I 8eth H

1$ =harm D oes to .loor / or re-ie4 electronic chart .or clinical monitorin' interactions on homeI in%hose medications0

12 =rolem sol-e 4h" all =re%op meds are not stopped at pre%op' trans.er

1& Wh" pharmac" is ot o. loop on patient trans.er and times to stop drs Miss" I 8eth H

15 EME to associate standards o. care .or medication reconciliation into ph"sicians pa"

1* ReLire =:= to .a? crrent medications on admission

Week #1 C Medication Reconciliation =rocess Empro-ement


10/27

Date: 10/3-5/07 Team: Beth and Patsy

PROBLEM SITUATION: COUNTERMEASURE(S

Stan!ar!: Consistent "rocess # "$ace%e nt &or !ischar'e or!ers Contain%ent: e!cation o& nit c$er)s* e!cation o& "h+sicians (ne,*

contina$ srve+in' o& sers &or i%"rove%e nt

Crrent Sitation: arios "rocesses bein' se! !e to "h+ "re&erenceaddition o. nd retrn section .or consltants (possi#l")

Lon' te r% S+ste% So$tion: .os"ita$ist "ro'ra% ,ith &$$ co%"$i%e nt

/iscre"a nc+: Ph+ "re&erence

E0te nt: Ever+ /ischa r'e

1h+ Reco%%en!e!2 Can3t teach o$! !o's ne, tric)s

Rationa$ e: Continit+ o& care # "a tient sa&et+ # &e! co%"$iance

4OAL IMPLEMENTATION

What Who W hen W here St atus

/o 1hat: 5in! consistent "atien !ischar'e or!ers :ontine se o. crrent .orm all

clinical

areas FRHS done

To 1hat: Patient recor!s redo .orm 4ith o-ernment pdates :are Mmt Lrt l" FRHS pendin

.o, Mch: a$ $ !ischar'es edcation o. nit clerks ,6 Bo- nits pendin

B+ 1he n: at !i schar'e instrction ti%e edcation o. ph"sicians

CAUSE ANAL6SIS

Potentia$ Cases: .o, Chec)e!2 Res$t2

=h" =re.erence 1+1' committee partial #"%in

location o. .orm

-arios nit clerks

4ith no set

placement na#le to .ind

5OLLO1-UP

Most Li)e$+ Case(s Chec) %etho!:Chec) &re7en c+:

Prob$e% State%ent: 1ho ,i$$ chec)2

Wh" Bo consistant process ,aret

Wh" Bo consistent #"%in Actal

Wh" Bo consistent placement o. order .orm on chart

Wh" 6ack o. trainin

Wh" 6ack o. acconta#ilit" .or process completion

! B D 9 F M A M 9 9 A S

Root Case: Accontabi$i t+ Isses

Reco%%e n!e! Actions: a $$

re!esi'n &or%8 "roo&8

a""rova$s8 "rint8 !istribet8

se8 co$$ection ! ata

T.EME: Revie, Ph+sician or!e r - !ischar'e &

Prob$e% So$vin' Re"ort


11/27

Dischare

!rders

FormSample


12/27

Date: 10/3-5/07 Team: Steve & John

PROBLEM SITUATION COUNTERMEASURE(S

Stan!ar!: each "atient sho$! have accrate $ist o& ho%e %e!s Contain%ent:

Revie, .5AP stan!ar!s 9 %atch P9P ,ith stan!ar! !e ve$o"%e nt

de-elop ne4 ph"sician order sheet 4ith options to cont/stop home meds

Lon' te r% S+ste% So$tion:

I%"$e%ent ne, %e! reconci$iation P9P an! "rotoco$

E0tent: vaies hose-,i!e

1h+ Reco%%en!e !2

de-elop responsi#ilit" .or part ies in-ol-ed and a-oid nrses orderin otside

scope o. practice and direct ph"sicians to speci.icall" state medications

4OAL IMPLEMENTATION

W hat W ho When W here St atus

/o 1hat: estab$ish % e! reconci$iation "rotoco$#"9" #enchmark .acilit ies 4ho ha-e meds 9ohn/Ste-e 2%!ct FRHS pendin

To 1hat: "rovi!es !irection &or nrsin' sta&& an! "h+sicia ns de-elop =I= on Med Reconcile

Ste-e'

8eth

=ats" *%Bo- FRHS pendin

.o, Mch: ever+ a!%ission train ph"sicians/pharmac"/nrsin

8eth'

=ats"

con ine ho%e %e!s>

Rationa$e : Nrsin' na b$e to obtain ne e!e! in&or%ation &ro%

/iscre"anc+: Nrsin' crren t$+$ %a)in' j!'e%e nt ca$ $s


13/27

DRAF,

=olic"


14/27

=h"sician

6ist

Sample


15/27

Date: 10/3-5/07 Team: Rhonda & Vicy


Sta n!a r!: re "ort sho ,s crre nt a n! !in scon ti ne ! % e! s Conta in% ent:

chan'e &or% !esi'n - 'ive o"tion to "revent a$$ or on$+ crrent %e!s

Crrent Sitation: not ti$i?e! - !oesn3t &it sers nee!sLon' ter% S+ste% So$tion:

/iscre"anc+: on$+ ,ant crrent %e!s at !ischar'e to ho%e a""$+ '$oba$ stan!ar!s to the re"ort@ A$,a+s "rint $ines &or a!!itiona$

%e!s8 a$ ,a+s "rint ho%e % e!s !oc%e nte! on a !%ission8 a $,a+s "rint

E0tent: hose-,i!e bo0 &or %e!s !oc%ente! on a!%ission an! &or "h+sician@

1h+ Reco%%e n!e!2

Rationa$e: ne, re"ort &ro% co%"ter s+ste% >ncorae se o. the report to ensre med reconciliat ion at dischare and

decrease medication errors

4OAL: i%"rove re"ort to %eet "atient nee!s IMPLEMENTATION

What Who When Where Status

/o 1hat: Set" &or% to better &it sers nee!sTo 1hat: Encora'e se o& the re"ort o& %e! reconci$iation at !ischar'e

.o, Mch: each !ischar'e (non-!eath

B+ 1hen: i%%e!iate$+ .orm chanes ;ick" no4 ES done

consistent sae #" sta.. Bs $) da"s nit pendin

CAUSE ANAL6SIS


so.t4are isses printed report prints all meds

5OLLO1-UPMost Li)e $+ Ca se (s: not se t-" corre ct$+ in s+ste % Che c) % etho!: "rint the re "ort

Chec) &re7enc+: at $e ast 7arter$+ ,ith SI= re"orts

Prob$ e% Sta te %e nt: re "ort !oe s no t % ee t se rs n ee !s 1ho ,i $$ che c)2 Ea ch !e "t

Wh" ,his report 4as not pre-iosl" sed ,aret

Wh" DidnOt kno4 the report 4as there Actal

Wh" =oor commnication

Wh"

Wh"

1 1) () $)

Root Case: Reco%%en!e! Actions:

poor commnication Enitial se o. report' edcate as needed' implement' adit 4ith SEN reports

T.EME: %e!ication reconci$iation re"ort



16/27

Reconcile

Sample


17/27

Reconcile

Sample

>?tra 6ines


18/27

Date: 10/3-5/07 Team: Rhonda & Vicy


Stan!ar!: Accrate $ist o& ho%e %e !ications nee!e! a t a!%ission Contain%ent:

chec) secrit+ s,itches &or RN#LPN an! CNAs* Ma)e sre a$$ have

Crrent Sitation : Initia $ in tervie, inc$!es $ist o& % e!ications* secrit" s4itchAvai$ab$e &or !a+s Lon' ter% S+ste% So$tion:

/iscre"a nc+: RN#LPN not 'ettin' "ro%"t or in&or%ation to inc$!e train nrsin' to se the co"+ &or,ar! o"tions in CPSI

E0tent: varies &ro% "a tient - to - "atie nt

1h+ Reco%% en!e !2 To &$$+ ti$i?e this o"tion in CPSI

Rationa $e: a ccrate ho%e %e ! $i st "rovi!es best sa&et+ "rocess &or "atient@

4OAL: "rovi!e consistent "rocess &or brin'in' sta+ in&or%ation &or,ar!IMPLEMENTATION

What Who W hen Where Status

/o 1hat: se the co"+ &or,ar! o"tion check s4itches ;ick" 2%!ct ES done

To 1hat: ct !o,n on ti%e re7ire! to enter in&or%ation chane 1)) .or RB/6=B Kim 2%!ct ES done

.o, Mch: ;D chane 1)1 .or :erti.ied BA Kim 2%!ct ES done

B+ 1hen: I%%e !iate$+ promote se o. cop" .or4ard Bs 2%!ct Bs nits pendin

CAUSE ANAL6SIS


secrit" s4itches settins E, re-ie4 inconsistent

6ack o. trainin Enter-ie4 donOt kno4 ho4

5OLLO1-UP

Most Li)e$+ Case(s Chec) %etho!: ser secrit+

Gnkno4n that this option 4as a-aila#le Chec) &re7enc+: ; !a+s

Prob$ e% Sta te% ent:: co"+ &or, ar! &ncti on no t se t " 1ho ,i $$ chec)2 Po in t o & Care contact

Wh" DidnOt kno4 .nction a-aila#le ,aret

Wh" 6ack o. commnication Actal

Wh" :ompter s"stem edcation inconsistent

Wh" Bo compter edcatino process

Wh" 6ack o. priorit"

1 & 1) 1& () (& $)

Reco%% en!e! Actions:=ro-ide consistenc" o. secrit" le-els .or cop" .or4ard option

T.EME: Co"+ "ertine nt h istor+ &ro% "revios


Root Case: $ac) o& &o$$o," &ro% so&tare s""ort


19/27

$R. /!N$R0 1 $R. 23%NS3N

/!43R !N$ $/I5R0 S6!N$IN7 3R$RS

ADMISSION

". Admit to 6aor and Deli-er"0 Bothin " moth e?cept ice chips ntil other4ise ordered0

$0 =el-ic e?amination " nrse to e-alate cer-i? and cephalic presentation020 :ontinos ele ctronic .etal monitorin 4hil e in ed0

&0 8ed rest a.ter rptre o. memranes050 :omplete lood cont' ,"pe I Screen' i. none has een done in last 2 %hors atonce0

*0 Dipstick rine .or lcose and protein30 Maternal -i tal sins (8lood pressre' ,e mperatre' =lse' Respiration) per

protocol00 Boti." ph"sician a.ter initial e-alation0

ME/ICATIONS10 :ontact ph"sician .or pain medication and/or epidral reLest00 Entra-enos .lid+

6actated Riners P 1& cc/hor 4hile in laor0

$0 E. ?ample


20/27

Standardized Work :hart

1a$)Ste"

No@

1

Man. AutoKey

Fax to pharmacy for review

Nurse to review with patinet at discharge

Department

Name:

Date / Sign

Totals

Std Work

Sheet No:

WORK ST!S

!rocess

Descr"pt"on: Discharge FormT"me

O#ser$at"ons

S"te: Takt

T"me:

Date: !a%e:

&

7

8

2

3

!

"

1#

$atient admitted

Discharged orders p%aced in front of chart

$hysician and nursing education& orientation to

form'na(%e to write )continue home meds)

*ust review / reconci%e *++ from ,$S-

,hec. continue/discontinue

dd new meds 0if need ed

SafetyKEY:8uality

Chec9Q

$elta

Critical

In1Process

Stoc9


21/27

Standardized Work :hart

/e"art%ent

Na%e:

1OR STEPS

Process

/escri"tion: Direct dmission

$,$/oce faxes current home med %ist to unit

Nurse interviews patinet and fami%y and veri4e

or o(tains current home med %ist

+N documents in ,$S-

+N contact physicina and sends *++ for revie

$hysician signs *++ with speci4c documentati

on initia% home meds

!

2

3

Std Work

Sheet No:

S"te: Takt

T"me:

Date: !a%e:

&

T"me

O#ser$at"ons

Totals

Nurse sends *rr to pharmacy for review

Man. AutoKey Walk Step

No.

1

SafetyKEY:8uality

Chec9Q

$elta

Critical

In1Process

Stoc9


22/27

Date: 10/3-5/07 Team: !"ison# $"o%ia# & e"issa


Stan!ar!: 5e!era $ 'i!e$ ines in " $ace crrent$+ not %et Conta in%ent: Invo$ve "h+sicians

/eve$o" ne, or!ers an! obtain "h+sician in"t

Crrent Sitation: So%e stan!in' or!ers bt not &or a$$ cate'ories

Lon' ter% S+ste% So$tion:

/iscre"anc+: /oes not % ee t re7 ire! ' i!e $ines /eve $o" stan! in' o r!ers ,ith "h+sici na in"t an! i nc$ !e an

accontabi$it+ "$an

E0tent: /R4s o& to" F /R4s to be &ocs Co%%nicate8 co%%nicate8 co%%nicate

1h+ Reco%%en!e!2

Rationa$e: to" F /R4s %onitore! a$on' ,ith &e!era$ re7ire%ents =h"sician #"%in is essential

4OAL IMPLEMENTATION

What Who When Where Status

/o 1hat: increase G o& stan!in' or!ers De-elop dra.t order =ats" $ mos FRHS pendin

To 1hat: stan!in' or!ers &or a!%ission "rocess =resent to ph"sicians 8eth' =ats" $ mos FRHS pendin

.o, Mch: %ini% % - &e!era$ re7ire%ents Re-ise .orm #ased on sestions =ats" $ mos FRHS pendin

B+ 1hen: H %onths - +r Send .or appro-als =ats"' 8eth $ mos FRHS pendin

Emplement .orm sae Bs $ mos FRHS pendin

CAUSE ANAL6SIS


!rders not accessi#le inter-ie4 clerk trno-er

6ack o. edcation inter-ie4 no orientation process

Disconnect o. in-ol-ed inter-ie4 no acconta#ilit" 5OLLO1-UP

Most Li)e$+ Case(s Chec) %etho!: 7arter$+ !ata co$$ection

Chec) &re7enc+: 7arter$+

Prob$e % Sta te %e nt: !isconne ct o& invo$ve ! "a rtie s 1ho ,i$$ che c)2 Ca re M'% t /e "t

Wh" 6ack o. ph"sician compliance ,aret

Wh" Bo orientation process Actal

Wh" ,ime not pro-ided .or orientat ion

Wh" Encome 4anted ASA=

Wh" Financial Endependence

Apr 9l" !ct 9anRoot Case: Stab$e ,or)in' environ%ent Reco%%en!e! Actions:

De-elop and implement standin orders .or .ederal compliance

T.EME: Stan!in' or!er base! on !ia'nosis



23/27

Date: 10/3-5/07 Team: a% and 'a%o"


Sta n! ar!: A$ $ re cor! s , i$ $ h ave % e! ica tio n re co nci$ ia tio n Co nta in% e nt:

trainin' &or tea% %e%bers

Crrent Sitation: Stan!a r! not be in' &o$$o,e !


/iscre "anc+: too$s not acce "te ! &or co% "$ia nce ne , co% "te r so&t,are o"tions

E0tent: in!ivi!a$ "h+sician "re&erences "reventin' stan!a r!i?ation

1h+ Reco%%en!e !2

So.t4are s"stem needed to impro-e commnications #et4een departments

4OAL IMPLEMENTATION

What W ho W hen Where Status

/o 1hat: train :=SE trianin edcation ASA= FRHS pendin

To 1hat: tea% %e%bers an! !octors and

.o, Mch: one c$ass E,

B+ 1hen: ne0 t 7arter

CAUSE ANAL6SIS

Potentia $ Cases: .o, Chec)e!2 Res$t2

>R Bo list inter-ie4 Bot important

=h"siicans donOt pro-ide inter-ie4 ,oo #s"

5OLLO1-UP

Most Li)e $+ Case(s Chec) %etho!: chart a!itlack o. time@ :=SE n.riendl" Chec) &re7enc+: %onth$+ at &irst then 7arter$+

Prob$e% State%e nt: Lac) o& b+-in 1ho ,i$$ chec)2 TL in ea ch nit

Wh" 6ack o. trainin ,aret

Wh" 6o4 priorit" list Actal

Wh" Bon%re-ene eneratin

Wh" Spport ser-ice onl"

9 F M A M 9 9 A S ! D 9 M 9 !


6imited -ision .or connectin non%spport ser-ices to #ene.its ,rain' retrain' and so.t4are prade

T.EME: Sta&& e!cation on %e!ica$ recor!s


Rationa $e: Nee ! reso$tion to "rovi!e sa&est "atie nt

Wh" Disconnect #et4een spport

and cstomer ser-ice re-ene


24/27

Date: 10/3-5/07 Team: issy & Beth (


Stan!ar!: Interna$ trans&ers re7ire %e!ication reconci$iation Contain%ent: Cross the !e"art%enta$ barriers (,ith ar%or


/eve$o" "o$icies an! "roce!res &or inter!e"art%enta$ trans&ers

E0tent:

1h+ Reco%%e n!e!2

Rationa$e :rrentl" 4e do not ha-e and need this process to meet idelines0

4OAL IMPLEMENTATION

W hat W ho W hen W here St at us

/o 1hat: Stan!a r!i?e the "rcoess =olic" / =rocedres MRec rop ,8D pendin

To 1hat: Me!ication reconci$iation >dcation to all clinical pro-iders all e..ected

=I=

done

dept

le-els pendin

.o, Mch: 1ith a$$ trans&ers

B+ 1hen:2222

CAUSE ANAL6SIS

Potentia $ Cases: .o, Chec)e!2 Res$t2

:ompt er limit at ions Ent er-ie4/ -isal Ene..ect i-e process

6imited commnication Enter-ie4

8reakdo4n in

commnications"stem

5OLLO1-UP

Most Li)e$+ Case(s Chec) %etho!: chart a!its

Chec) &re7e nc+: 'oa $: % onth$+8 at $e ast ;

Prob$e% State%ent: 1ho ,i$$ chec)2 TL or !esi'nee o& each !e"t

Wh" !rders not .a?ed to pharmac" ,aret

Wh" Bo process in place Actal

Wh" 6ack o. a4areness

Wh" Disconnect #et4een ph"sician ides and others

Wh" We donOt kno40

9 F M A M 9 9 A S ! B D


6ack o. commnication #et4een processes De-elop ne4 process/policies and monitor monthl" .or compliance0

T.EME: Phar%a c+ Invo$ve% ent


Crrent Sitation : Po$ic+ e0 ists &or %e!i cation

!iscontina tion &or sr'ica$ "atie nts* Nee! "o$ic+ &or trans&erbet,ee n nits@

/iscre" an c+: Inconsistenc+ in tran s&er "rocesses@

Or!ers not a $,a +s !iscontine !@


25/27

8>F!R> AF,>R EM=A:,

=h"sician !rder Form (#1)

Bo consistent process .or se and chart placement@ph"sicians ask nrses to complete0

:ontine to se crrent .orm@ edcation nitclerk/ph"sician@ Ltrl" re-ie4

Encreased sae and compliance % 13 o. 13

Med Reconcile report+ (#$)

Form contained all home meds and all medicationsadministered drin the hospital sta"

Form can e modi.ied so all home meds and onl"crrent medications ordered at time o. dischare 4illsho4@ contine or dischare o?es a-ailale .or orders@nrsin option .or all meds or crrent onl" meds@ hard%code med name/t"pe/rote

6ess medication errors' impro-ed patient sa.et"' lessrisk 4ith compliance to applicale relations0

Standin !rders (#2)

Some in place % 1* top & DR


26/27

8>F!R> AF,>R EM=A:,

:ompter sae #11 C s"stem not ein tilized to itsma?imm potential

All incomin patients 4old ha-e their home medicationlists started at the earliest entr" point C 4ith .ocs on>R0

:ompter s"stem sae ma?imized and patient careimpro-ed -ia speed" medication reconciliation0

=harmac" missin does@ .loor re-ie4@ stopped orders(#1) C medications are not ein discontined prior totrans.ers

=harmac" has onl" one terminal 4ith trier .or trans.erset4een .loors C t no srical trier0 ,"picall" notlooked at " the pharmac" team0 =harmac" sinpersonal decisions on 4hat medications to contine deto lack o. ne4 orders 4ritten " ph"sician pon trans.er0

All pts 4ill ha-e their orders discontined pontrans.erred and ne4 orders recei-ed as the ph"sician.eels appropriate on med rec .orm .or that patientscontined care0

!rders .or trans.er 4ill e complete and incldemedication reconciliation et4een nits as per the HFA=standards0 Srer" to .a? all post%op orders topharmac"0

Medication lists 4ill e printed et4een trans.ers andsed as a ide .or 4hich meds to contine0 Edeall" theph"sician 4ill pro-ide this in.ormation0 Brsin andpharmac" 4ill 4ork in con7nction to re-ie4 and assess.or potential patient sa.et" isses0

Meets hospital polic" and impro-es patient sa.et"0

Medication errors redced0

:on.orms to .ederal idelines0

R>SG6,S


27/27

Reslts Smmar":A,>SG6,S 8AS>6EB> A:HE>;>D :!MM>B,S

Steps+

6ead ,ime /=rocess >..icienc"

15 1

Standard 4orks+4ritten

Q1

Nalit" Standard orders impro-e care@

=harmac" re-ie4/process MRR@=h"sicians se re-ised MRR to con.irm meds

>nter >:F meds into :=S

Decrease medication errors

,ime / =rodcti-it" Fe4er pharmac" calls@

Fe4er nrse calls to ph"sician@

Brses ha-e less con.sion on 4hose orders to

.ollo4Med orders more clearl" nderstood@

Fe4er calls to ph"sicians .or dischareinstrctions@

Dischare nrses do not ha-e to enter into:=SE0

!ther Encrease nrsin morale 4ith etter 4ork .lo40

Empro-e commnication et4een ns / docs

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Medical Kaizen Blitz