When printing the discharge instruction report from the POC printing area, the new med list does not include any medication changes or discontinuations. It only includes an active list of meds the patient currently is taking. The old DC instructio...
We just dismissed a patient this weekend and discontinued 12-15 medications. We had to free text the list of medications to STOP into the medication instruction flow sheet box. What a mess it was as those flow sheets are not user friendly and entering all that information as free text leaves room for transcribing errors and not to mention makes the discharge instructions an extra page long. The extra text is just one long paragraph so it could be very confusing for the lay person to read through. We need to do better for our patients when it comes to accurate, easy to read discharge instructions! Please fix this!
@michelle mason - has there been any discussion on this topic?
This is regulatory and PATIENT SAFETY issue. I vote YES!!
Thank you.
Kris Jarvis
Director Clinical Informatics
Yes, this would be a safer discharge med list if these were added. We have received comments from patients and physicians stating confusion when looking at the list. There is a concern for a formal complaint from patients. Please add this as soon as possible.
Would love to see this enhancement as the discharge instructions from TruBridge now are disorganized. The ability for distinction of what meds are to be continued, stopped or started would be very helpful and additionally add columns for a visual to help pt's understand when they are to take the "continue or new" meds such as Breakfast/Morning, Lunch, Dinner/Evening, Bedtime. Also add in this same space the date and time of the last dose of every med they rec'd in while in the hospital.
In addition, pull from the MAR the meds administered to pt's while in the ED so they know what they were given and when.
This is a huge issue for us and a safety need. I have opened a situation and it was closed with all of excuses for me to provide mandates that it is a CMS requirement. Why can't you see it is a huge patient safety issue and go from there. As my provider stated this morning if you explain to the patient and they forget or the caregiver and a different caregiver is taking care of the patient then the printed discharge instructions is what will be presented if something goes to court. My provider stated this morning that he will be taking you court with him when this happens as he can't control what the EHR does and patients can't remember!!!
Absolutely!! This is a huge safety need.