Doctor of Nursing Practice (DNP) Projects

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Open Access

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Embargo Period

4-29-2015

Degree Program

Doctor of Nursing Practice

Degree Track

Public Health Nurse Leader

Year Degree Awarded

2015

Month Degree Awarded

May

Keywords

medication, reconciliation, discrepancies, adverse events, older adults

Advisor Name

Raeann

Advisor Middle Initial

G

Advisor Last Name

LeBlanc

Capstone Chair First Name

Raeann

Capstone Chair Middle Initial

G

Capstone Chair Last Name

LeBlanc

Capstone Member Name

Joan

Roche

Capstone Outside Member Name

Mary

DeVeau

Abstract

Accurate medication reconciliation with every transition of care is necessary to prevent and eliminate medication discrepancies and errors that may lead to increased hospital readmissions and potential adverse events related to medication errors. For the older population, this is especially important when considering the increasing rates of polypharmacy in this age group. This capstone project evaluated a nurse-led medication reconciliation program, including teaching after patient discharge from a hospital or facility to home, and coordination and communication with patient’s primary care provider. The project measured issues with medication reconciliation across care transitions at the individual, provider, system, and community levels, and the impact of nursing interventions through process and outcomes measures. The goals of the program are to support patient safety, improve patient ability to self-manage medication therapy independently or with family support, increase health care quality and perception of quality of life, and decrease health care costs. From a public health perspective, expansion of this nurse-led program model has potential for significant positive effect on health care management and outcomesacross a larger population.

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Nursing Commons

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