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%
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