(L-R) Dr Keefai Yeong, Sumbal Chaudhry (pharmacist), Dr Reshmee Doolub and Taz Comar (pharmacist)
Dr Reshmee Doolub, an F2 junior doctor has carried out a research project to improve medicines reconciliation rates onto drug charts during patient admission at St Peter’s Hospital.
Medicines reconciliation is the process of identifying the most accurate list of a patient’s current medicines and comparing them to the current list in use, recognising discrepancies, and documenting any changes.
Dr Doolub carried out a study on the reconciliation rates of medicines on admitted patients in Aspen Ward at St Peter’s Hospital and found inconsistencies with only 58% of drug charts reconciled at the point of discharge.
So she devised a green sticker system in the medical notes and placed the reconciliation record on top of the drug chart when it was incomplete to increase its visibility and priority.
This improved the reconciliation rates, as the sticker reminded the doctors to reconcile the patient’s medicines and having the reconciliation sheet on top of the drug chart also reinforced this.
Using the stickers showed that 75% of patients had their medicines reconciled, concluding that the stickers did improve the rate of medicine reconciliation rates. Due to this successful outcome this will be rolled out to the other wards to improve reconciliation rates throughout the hospital.