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Streamlining the Medication Review Process by Use of a New Review Tool: CHART
Quincy Ostrem1, Stephen Carlson, Brady Hamilton
1Banner Health, Phoenix, Arizona, USA.
Objective:
The Carlson-Hamilton Adult Medication Review Tool (CHART) represents an effort to improve the approach to geriatric care by streamlining the medication review process and identifying potential medication issues that may be relevant to patient's cognitive presentation and impact clinical decision making.
Setting:
CHART was created at a behavioral health facility. The most common primary diagnoses on this unit include new onset psychosis and recent mental status changes.
Practice Description:
This facility contains 155 beds divided into six units. The geriatric unit has an average census of 10 patients, with an average length of stay of 10 to 12 days.
Practice Innovation:
This site is working to improve geriatric patient care by simplifying and streamlining the medication review process.
Main Outcome Measurements:
The pharmacy team evaluated change in medication burden and change in medication review requests.
Results:
Following implementation, this facility saw both a decreased medication burden and an increase in medication review requests.
Conclusion:
CHART is a tool that allows pharmacists and student pharmacists to streamline the review of medications and make recommendations.
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