1. BURNS LAKE HOSPITAL Rural, British Columbia Medication 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 # of Discrepancies Discrepancy Types 0 – None 1 – Intentional 2 – Undocumented Intentional 3 - Unintentional

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 1.Indication 2.No indication 3.Dose too low 4.Dose too high 5.Wrong drug 6.Non-compliance 7.Adverse event 8.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