Know When to Hold It: Teaching Patients About Pre-Procedure Medication Management
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Purpose: The purpose of this quality improvement project is to implement strategies to improve the pre-procedural process for medication administration instructions and increase patient adherence.|Background: Preparation for endoscopic procedures regularly requires short-term modifications to the patient’s medication regimen; however, patients are not adhering to the pre-procedure medication management instructions. Non-adherence increases the risk for adverse health conditions, negative outcomes, or a life-threatening complication.|Sample/Setting: The setting was an outpatient Surgical & Specialty Clinic in the Upper Midwest region of the United States. The sample included patients scheduled for an outpatient, endoscopic procedure within the time span of the study.|Methods: Adult learning theories were utilized in this study to encourage patients to take an active role in their care, as well as provide nurses tools to engage patients to become more involved. Outcomes will be measured to track the number of patients who arrive and do not adhere to pre-procedure medication management instructions before and after the intervention; including, any patients who had an adverse event or negative outcome occur due to non-adherence, or any cases which were delayed or cancelled.|Results: Data collection is in process. Upon completion, data will be analyzed, and results will be disseminated to include the incidence of non-adherence to pre-procedure medication management prior to and during the use of the interventions.|Conclusion: The research group anticipates that the implementation of strategies will decrease the number of patients who arrive on the day of their procedure and are non-adherent to their specific medication management instructions.
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