Kelly Grund, Client Services Manager
Adverse Drug Events (ADEs) account for up to 19% of injuries in a hospital or 280,000 admissions each year. This is a staggering number for an issue that can be easily prevented. In addition to the large number of admissions each year, ADEs also contribute to higher care costs and sadly mortality.
Some of the top reasons why an ADE occur are:
- EDUCATION: A lack of sufficient education for staff and patients is a key contributor. As medications and the associated regulations change, the information is not communicated completely and thoroughly.
- MONITORING: Hospitals fail to monitor high risk medications, medication storage temperature, etc., this included inadequate medication reconciliation across all areas.
- COMMUNICATION: During post-discharge not all information is communicated to the patient or the patient’s family. Drug interactions, dosage, and storage are not always properly explained, documented or understood.
Rounding can help to minimize the risk to the healthcare organization without adding undue work and stress on hospital personnel. Here are a few of the ways we have found that we can help our customers prevent Adverse Drug Events:
- High Alert Medication Policy (HAMP): Does your organization round on your High Alert Medication Policy to ensure standardization, distribution, proper labeling, monitoring of performance, corrective action, and plans for improvement? Rounding applications can make sure that your HAMP is not only adhered to but is constantly improving.
- Look Alike / Sound Alike Policy: Ensure that medications that look alike and sound alike are properly identified, communicated, and displayed. Rounding solutions can ensure that your organization is compliance with Medication Management Standard MM 01.02.01, EP 1.
- Staff Education: Rounding can help make sure that your staff receives the appropriate documentation, reviews and understands the policies and has the necessary tools to follow the standards. When issues such as lack of policy distribution, corrective action can be taken quickly ensuring proper training occurs.
- Post-Discharge Education: Using Hourly Rounding and Discharge Rounds, patients are informed of dosage requirements, drug interactions, as well as high risk medications. By implementing these questions within your rounds, ADEs can be reduced by 50%.