BURNS LAKE HOSPITAL Rural, British Columbia Medication Reconciliation

1. BURNS LAKE HOSPITALRural, British ColumbiaMedication Reconciliation Western Node Collaborative Prepared by: Alana Froese June 2006

2. TEAM MEMBERS • Alana Froese, Team Leader • Lori Henderson, Pharmacist • Lindsey Williams, Pharmacy Technician • Marie Hunter, Manager of Nursing

3. BACKGROUND • Burns Lake Hospital is a 13-bed acute care rural hospital • With a full-time “stand-alone” Pharmacy Technician • One of Northern Health Authorities’ Medication Reconciliation test sites

4. AIMS • To prevent Adverse Drug Events (ADE’s) by implementing medication reconciliation at admission in Burns Lake Hospital • Goals: • To increase the effectiveness of the medication admission reconciliation process over time • To reduce the rate of Unintentional and Undocumented Intentional discrepancies at admission by 75% in 6 months

5. CHANGES TESTED • 4 hour Med Reconciliation training workshop • Pre-Admission Medication Verification Tool • Best Possible Medication History Checklist • With verification & discrepancy codes • Laminated pocket card BPMH support tool • OTC medications - Review of systems • Social history guidelines

6. PRELIMINARY RESULTS Discrepancy Types 0 – None 1 – Intentional 2 – Undocumented Intentional 3 - Unintentional # of Discrepancies Discrepancy Types

7. KEYS TO SUCCESS & LESSONS LEARNED • Dedicated Pharmacist focused on the promotion of Medication Reconciliation in the Northern Health Authority • Developing a workshop to train the Medication Reconciliation process • Utilizing a Pharmacy Technician to do the work

8. VERIFICATION CODING SYSTEM Verification codes • Indication • No indication • Dose too low • Dose too high • Wrong drug • Non-compliance • Adverse event • Drug interaction

9. NEXT STEPS • Reporting • Stage 1 data collection results • Training • Physicians and nursing staff in Burns Lake • Implementation • Integrating form into admission process in Burns Lk • Expansion • Pharmacy Technician led Med Rec Pilot Project • Prince George Jun 26 – Aug 28, 2006

10. CONTACT INFORMATION • Alana Froese, Medication Reconciliation Coordinator • Ph: 250 847-7268 • Fx: 250 847-7557 • alana.froese@northernhealth.ca