Allergy Reconciliation Improving process and outcomes

Allergy Reconciliation
Allergy
Sources
Root Cause Analysis
Outpatient Service
Outcomes
Assessment:
Nursing
Assessment:
ER
Urgent Care
Physician Office
Assess
Compare
Validate
Talk
We indentified the main systems used by
physicians and nurses and discovered these
systems did not "Talk" to each other, creating an
unsafe environment.
90%
Develop Solution
Physician
Offices
Inventory
Systems
RCA
Negative
Outcome
Recognize
Outpatient
80%
70%
60%
50%
40%
30%
20%
Utilization of
Provider Portal
10%
0%
Ancillary
Services
Investigate
Housewide Results
Inpatient
Identify
Housewide Results
100%
ER
Urgent Care
Mirror MedRecon
Process
Care
Providers
Location
Concept
Systems didn’t talk but now
there is a way to share
information to protect patients
Physician Rounds
Pharmacy Rounds
Nutrition/Dietetics
Ancillary Services
Utilization Rate
After medical errors that severely harmed
patients as a result of an allergic reaction, our
RCA’s revealed a lack of coordination and
information with our electronic medical record
systems related to known allergies.
Improving process and outcomes
Reconciliation
Contact for more information
LeAnn Brown, RN [email protected]
David Petrous, CPHRM [email protected]
Baseline
WEEK 1:
7/8/2013
WEEK 2:
7/21/2013
WEEK 3:
8/7/2013
WEEK 4:
8/22/2013
17%
92%
88%
97%
95%