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Prescribing efficiently in nursing homes.

J R Curtis, B W Rovner, L E Klein

    Psychosomatics
    |January 1, 1989
    PubMed
    Summary
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    Consolidating medication administration in nursing homes can save significant nursing time. This optimization could eliminate 19% of medication visits, freeing up resources for improved patient care.

    Area of Science:

    • Gerontology
    • Nursing Administration
    • Health Economics

    Background:

    • Medication administration in nursing homes is a resource-intensive process.
    • Current practices may not be optimized for nursing efficiency.
    • High costs associated with nursing time impact overall care quality.

    Purpose of the Study:

    • To evaluate the potential for nursing time savings through medication administration consolidation.
    • To quantify the financial impact of optimizing medication administration schedules.
    • To explore the reallocation of saved nursing time to enhance resident care.

    Main Methods:

    • Analysis of medication orders within a community nursing home setting.
    • Physician-led independent judgment to assess potential visit eliminations.

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  • Calculation of potential annual cost savings based on eliminated nursing time.
  • Main Results:

    • Nineteen percent of medication administration visits were deemed eliminable.
    • Potential annual savings of up to $19,000 in nursing time were identified.
    • Consolidation offers a viable strategy for resource optimization.

    Conclusions:

    • Consolidating medication administration presents a significant opportunity to reduce nursing workload.
    • Reallocating saved nursing time can lead to improvements in the quality of care.
    • This strategy offers a cost-effective approach to enhancing nursing home operations.