• Barnes-Jewish Hospital – Awardee
• Community Health Network – Finalist
• Mercy Health Center – Finalist
The ASHP Foundation announced Barnes-Jewish Hospital in St. Louis, Missouri, as the recipient of the 2007 Award for Excellence in Medication-Use Safety. The two finalists were Community Health Network in Indianapolis, Indiana, and Mercy Health Center in Oklahoma City, Oklahoma.
2007 Awardee – Barnes-Jewish Hospital, St. Louis, Missouri
Barnes-Jewish Hospital is a 1,200-bed, university-based teaching hospital with general medical and surgical services that treats approximately 1,200 patients per year with the diagnosis of severe sepsis. A multidisciplinary team believed that adopting and standardizing interventions related to the rapid diagnosis and treatment of severe sepsis would have a consistent positive impact on patient outcomes.
Pharmacist, nurse and physician project champions collaborated to institute standardized care pathways supported by evidence-based treatment guidelines. Key components to the success of the initiative included development of a severe sepsis order set focusing on early hemodynamic resuscitation and appropriate antimicrobial therapy, interdepartmental education of all patient care providers and adaptation of the order set into the emergency department’s computerized prescriber order entry system.
A comparison of before- and after-implementation data demonstrated statistically significant reductions in 28-day mortality, hospital length of stay and hospital expenditures. Barnes-Jewish clearly demonstrated that standardizing sepsis care translated into significantly improved patient outcomes.
Scott Micek, Pharm.D.
Craig McCammon, Pharm.D.
Richard Reichley, R.Ph.
Jennifer Williams, A.P.R.N.-B.C.
Courtney Harrison, B.S.N., R.N.
Donna Prentice, A.P.R.N.-B.C, C.C.R.N.
Brent Ruoff, M.D.
Marin Kollef, M.D.
Chris Holthaus, M.D.
2007 Finalist – Community Health Network, Indianapolis, Indiana
In 2005, 80 percent of Community Health Network’s patients had at least one unresolved issue with a medication on their admission histories. The organization used a systematic approach to develop and implement an action plan that would improve both their admission history and medication reconciliation processes. A multidisciplinary team instituted a successful Medication History and Reconciliation Program that led to the authorization of additional pharmacy staff. Partnering with the IT department, the team developed an innovative approach to notifying pharmacists of new admissions, which allowed for more timely completion of medication histories. The new process also implemented electronic documentation by pharmacists in the medical record, which immediately alerted other hospital staff to the updated medication histories.
Community Health Network’s program significantly reduced unresolved medication issues. During the first three quarters of 2007, pharmacists documented medication histories for more than 21,000 patients. Involving pharmacists in medication histories decreased unreconciled medications at Community Health Network by a remarkable 73 percent.
Bill Malloy, M.S., Pharm.D., B.C.P.S.
Dan Degnan, Pharm.D., M.S., C.P.H.Q.
Steve Hultgren, R.Ph., M.B.A.
Erica Durham, Pharm.D, M.B.A.
Barry Young, B.S.
Glenn Bingle, M.D., Ph.D.
Sarah Lackey, Pharm.D, B.C.P.S.
Mike Anton, B.S.
Lushawna Dulin, Pharm.D., M.H.A.
Brian Peters, Pharm.D., M.S.
Renee Embrey, Pharm.D.
Shelly Elias, Pharm.D.
Rhea Oliver, B.S., R.N.
Scott Hufford, Pharm.D.
Scotta Haley, B.S., R.N.
Kelly Jenkins, B.S., R.N.
Lainey Docque, Ph.D.
Kathy Bruce, B.S., R.N.
Kim Miller, B.S., R.N.
Nancy Wilberding. B.S., R.N.
Laura Sweany, B.S., R.N.
Dana Williams, B.S., R.N.
Donallyn Tumey, B.S., R.N.
Lori Hufford, Pharm.D.
Cheen Lum, Pharm.D., B.C.P.P.
2007 Finalist – Mercy Health Center, Oklahoma City, Oklahoma
In 2003, Mercy’s Falls and Restraints Committee began benchmarking the number of patient falls and related injuries by reporting them to the National Database of the Nursing Quality Indicators. This practice made Mercy aware that its fall rate exceeded the national average. In response, a pharmacist was added to the Falls and Restraints Committee and the pharmacy developed a Medication Fall Risk Score, which identifies medications as having a high, medium or low fall risk value.
These tools and the involvement of pharmacists in fall prevention led to the development of the Pharmacy Falls Prevention Program. The Medication Fall Risk Score is used to determine if a patient needs further evaluation by a pharmacist. Both pharmacists and nurses evaluate patient medication profiles for fall risk, according to their respective assessments. By classifying medications into fall risk categories, the pharmacy team was able to perform targeted medication utilization reviews related to fall prevention. Specific drug therapy interventions are recommended by the pharmacists to help minimize patient falls.
Since the implementation and use of the Pharmacy Fall Prevention Program, there has been a substantial decrease in the total number of falls. The results were impressive: A little over one year after implementation, fall-related injuries decreased by 32 percent.
Burl Beasley, M.P.H., D.Ph.
Edna Patatanian, Pharm.D.
Keith Madison, Pharm.D.
Richard Wheeler, Pharm. D.
LeAnn Graham, Pharm.D.
Teresa Tharp, Pharm.D.
Eric Flaming, Pharm.D.
Santosh John, Pharm.D.
Adam Buersmeyer, Pharm.D.
Donna Poole, R.N., B.S.N.
Linda Fanning, R.N.
Teri Round, R.N.
Kathy Schumacher, R.N.
Frederick Delafield, M.D.
Mary Neuman, B.S.
Christopher Turpin, Pharm.D.