Abstract

The Head and Neck Cancer Clinic is within a Cancer Center in the Southeastern United States. The organization has a medication reconciliation policy in place to ensure that accurate medication information is updated in each patient’s chart, which is used in the Head and Neck Cancer Clinic. The purpose of this project was to improve medication reconciliation participation by implementing a medication reconciliation tool sheet in a Head and Neck Cancer Clinic over a two-month period. For two weeks data was collected on the current medication reconciliation discrepancies for individual patients that have an appointment at the clinic. Comparison was done on what was in each patient’s electronic medical record and what the patient stated they were actually taking. This data collection was measured by how many patients had an inaccuracy in the electronic medical record during this two week period. Following the pre-implementation phase, the medication reconciliation tool sheet was implemented for four weeks. Post implementation data was collected over the following two weeks and measured how many patients had an inaccuracy in the electronic medical record after the medication reconciliation tool sheet was implemented. Both prescription and over-the-counter medications were reviewed with each patient in all phases of the intervention. The intervention had 100% participation by all the patients seen during the intervention time frame. The results of the intervention were 100% of the patients had an inaccurate EMR pre-implementation. The post-implementation data showed that 100% of patients had an inaccurate EMR and no improvement noted from the intervention.

Description

Tool(s) Used: Lippitt's Phases of Change Theory

Megan Lee Lucas

Author Details

Megan Lee Lucas BSN, RN, DNP

Sigma Membership

Non-member

Lead Author Affiliation

Nebraska Methodist College, Omaha, Nebraska, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Pilot/Exploratory Study

Keywords:

Head and Neck Cancer, Medication Reconciliation, Electronic Medical Record

Advisor

Krumbach, Jillian

Degree

DNP

Degree Grantor

Nebraska Methodist College

Degree Year

2021

Rights Holder

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Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

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