http://www.kevinmd.com/blog/2008/09/medical-errors-3.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 http://www.kevinmd.com/blog/2008/09/medical-errors-3.html/comment-page-1#comment-87404 Tony Wed, 24 Sep 2008 01:41:00 +0000 http://clients.emmense.com/kevinmd/2008/09/medical-errors-3.html#comment-87404 I would like to know how medication reconcilliation really saves lives and the study that supports this stupid process that was placed upon hospitals by JACHO. During my residency (I was at 3 hospitals) and each hospital did it differently and now that I am in my fellowship they also do it differently. In the end, I always did a medication reconcilliation when I talked with my patient (getting a history, doing a consult) or just seeing them in a clinic...I always ASK what medications one is on. That is my reconcilliation. At my present place of employment, the nurses ask and then enter the data into power chart...in all honesty, do I ever look at what they do...heck no. I could care less what they get from the patient. I trust what I do period and it is always present in my H&P, consultation or my clinic dictation. PERIOD. So again I ask...why all this BS with medication reconcilliation. I find that at discharge, it creates way more confusion with everyone...then myself just writing out the medicines and telling the patient to talk what I have prescribed and stop everything else. I hypothesize that more mistakes happen now then how things were done before med reconcilliation. I again would like to see the IOM and JACHO provide evidence based studies to prove that this time, intensive and confusing process actually saves lives. COuld anyone point me to those studies? I think not...yet we are all at the mercy of the stupid, idiotic mandated requirements because some beurocrat without any medical background thinks it makes sense to do this. I would like to know how medication reconcilliation really saves lives and the study that supports this stupid process that was placed upon hospitals by JACHO. During my residency (I was at 3 hospitals) and each hospital did it differently and now that I am in my fellowship they also do it differently. In the end, I always did a medication reconcilliation when I talked with my patient (getting a history, doing a consult) or just seeing them in a clinic…I always ASK what medications one is on. That is my reconcilliation. At my present place of employment, the nurses ask and then enter the data into power chart…in all honesty, do I ever look at what they do…heck no. I could care less what they get from the patient. I trust what I do period and it is always present in my H&P, consultation or my clinic dictation. PERIOD. So again I ask…why all this BS with medication reconcilliation. I find that at discharge, it creates way more confusion with everyone…then myself just writing out the medicines and telling the patient to talk what I have prescribed and stop everything else. I hypothesize that more mistakes happen now then how things were done before med reconcilliation. I again would like to see the IOM and JACHO provide evidence based studies to prove that this time, intensive and confusing process actually saves lives. COuld anyone point me to those studies? I think not…yet we are all at the mercy of the stupid, idiotic mandated requirements because some beurocrat without any medical background thinks it makes sense to do this.

]]> http://www.kevinmd.com/blog/2008/09/medical-errors-3.html/comment-page-1#comment-87390 Anonymous Tue, 23 Sep 2008 12:44:00 +0000 http://clients.emmense.com/kevinmd/2008/09/medical-errors-3.html#comment-87390 do you have the link to the post about IOM? I can't find it there. do you have the link to the post about IOM? I can’t find it there.

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