Greeley Reflections
Accreditation Connection, September 6, 2010
Medication Management and pharmacist first-dose review
Part 7 of 7
Performance review and improvement
A good way to test your process is by incorporating ongoing tracers, along with retrospective record review, for each of your medication administration sites to identify issues or vulnerabilities related to the first review of medication orders. At a minimum, orders written and processed at various hours of the day and on weekends should be reviewed. The hospital is required to evaluate the effectiveness of its medication management system anyway so this can be incorporated into the process. Review the monthly manual override lists for trends on units and in the organization. This way you will be able to identify breakdowns in your process and will allow you to target specific interventions to the problematic areas.
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