Glycemic Control Collaborative - Quality _ Health - Georgia Hospital

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   Background
   Description
   Vision
   Mission
   Measurements
   Participation Requirements
   Recent data shows that:
    ◦ 73% of patients had at least one medication
      discrepancy between the surgery and
      anesthesiology preoperative medication histories.1

    ◦ Up to 27% of all hospital prescribing errors can be
      attributed to incomplete medication histories at
      the time of admission.2

    ◦ 33% of patients discharged from the ICU had one
      or more of their chronic medications omitted at
      hospital discharge.3
   Recent data shows that:
    ◦ 22% of medication discrepancies could have
      resulted in patient harm during their
      hospitalization, and

    ◦ 59% of the discrepancies could have resulted in
      patient harm if the discrepancy continued after

Medication Reconciliation is an important issue that
 greatly impacts patient safety.
Partnering with the
 ◦ Agency for Healthcare Research and Quality (AHRQ),
   IPRO –
 ◦ the Quality Improvement Organization (QIO) for
   New York State,
 ◦ the Georgia Medical Care Foundation (GMCF),
 ◦ and the Georgia Hospital Association’s Partnership
   for Health and Accountability (PHA),
hospitals will use the AHRQ-funded toolkit to
 improve medication reconciliation.
   All patients admitted to Georgia Hospitals will
    receive the necessary tools and information
    that insures accurate and complete
    administration of medication during
    hospitalization as well as prepare the patient
    to receive appropriate medications after the
    hospital stay.
   Improve the overall health outcomes of the
    patient we serve through an accurate
    medication reconciliation process.
   Percent of patient records with a
    complete medication history collected on
   Percent of patient records with
    unreconciled medication on admission.
   Adverse drug events from unreconciled
    medication on admission.
   Submit CEO Commitment Letter and
    Memorandum of Agreement.
   Participate in monthly education calls.
   Submit self–assessment/Action Improvement
   Submit data where appropriate.
   This collaborative has started. A second cohort
    will begin in June, with a possible third cohort
    starting in September.

   Please contact Kathy McGowan, 770-249-4519,, with any questions.
1Burda   SA, Hobson D, Pronovost PJ. What is the patient really
    taking? Discrepancies between surgery and anesthesiology
    preoperative medication histories. Qual Saf Health Care

2   Dobrzanski S, Hammond I, Khan G, et al. The nature of
    hospital prescribing errors. Br J Clin Govern 2002;7:187-

3   Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of
    Chronic Medications in Patients Discharged from the
    Intensive Care Unit. J Gen Intern Med 2006; 21:937-941.
4   Sullivan C, Gleason KM, Groszek JM, et al. Medication
    Reconciliation in the Acute Care Setting, Opportunity and
    Challenge for Nursing. J Nurs Care Qual 2005; 20:95-98.

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