Barr, Gavin C, Jr.  MD

Beauchamp, Gillian A., MD

Ebeling-Koning, Natalie E, DO

Goyke, Terrence E, DO

Kane, Bryan G, MD

Quinn, Shawn M., DO

Soares, Charles A, MD

Weaver, Kevin, D.O.,FACOEP

Yenser, Dawn M, C-TAGME

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health Network LVHN Scholarly Works Department of Emergency Medicine Emergency Medicine Resident Identification of Medication Safety Issues Natalie E. Ebeling-Koning DO Lehigh Valley Health Network, Natalie.Ebeling-Koning@lvhn.org Charles A. Soares MD Gillian A. Beauchamp MD Lehigh Valley Health Network, gillian.beauchamp@lvhn.org Gavin C. Barr Jr. MD Lehigh Valley Health Network, Gavin.Barr_jr@lvhn.org Terrence E. Goyke DO Lehigh Valley Health Network, Terrence_E.Goyke@lvhn.org See next page for additional authors Follow this and additional works at: https://scholarlyworks.lvhn.org/emergency-medicine  Part of the Emergency Medicine Commons, and the Medical Education Commons Published In/Presented At Ebeling-Koning, N., Soares, C., Beachamp, G., Barr, G., Goyke, T., Quinn, S., Weaver, K., Yenser, D., & Kane, B. (2021, May 11-14). Emergency Medicine Resident Identification of Medication Safety Issues. [Poster presentation]. Society for Academic Emergency Medicine (SAEM) Annual Meeting, Virtual. Ebeling-Koning, N., Soares, C., Beachamp, G., Barr, G., Goyke, T., Quinn, S., Weaver, K., Yenser, D., & Kane, B. (2021, May 11-14). Emergency Medicine Resident Identification of Medication Safety Issues. [Poster presentation]. Society for Academic Emergency Medicine (SAEM) Annual Meeting, Virtual. This Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by an authorized administrator. For more information, please contact LibraryServices@lvhn.org. Authors Natalie E. Ebeling-Koning DO; Charles A. Soares MD; Gillian A. Beauchamp MD; Gavin C. Barr Jr. MD; Terrence E. Goyke DO; Shawn M. Quinn DO; Kevin Weaver D.O.,FACOEP; Dawn M. Yenser C-TAGME; and Bryan G. Kane MD This poster is available at LVHN Scholarly Works: https://scholarlyworks.lvhn.org/emergency-medicine/644 © 2021 Lehigh Valley Health NetworkEmergency Medicine Resident Identification  of Medication Safety IssuesNatalie E. Ebeling-Koning, DO, Charles A. Soares, MD, Gillian A. Beauchamp, MD, Gavin Barr, MD, Terrence E. Goyke, DO, Shawn M. Quinn, DO, Kevin R. Weaver, DO, Dawn Yenser, C-TAGME, Bryan G. Kane, MDAll authors are affiliated with Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Lehigh Valley Campus, Allentown, PA; Department of Emergency and Hospital Medicine BackgroundThe Accreditation Council for Graduate Medical Education (ACGME) has directed use of Milestones for evaluation of resident performance. The objectives of Patient Care Milestone 5: Pharmacotherapy (M5) include “possible adverse effects” and “allergies, potential drug-food and drug-drug interactions” where a resident ultimately “monitors and intervenes in the advent of adverse effects in the ED”. The ACGME also has patient safety as a focus of its interim Clinical Learning Environment Review (CLER) visits. We present a method for resident documentation of M5, with a focus on resident-observed medication safety themes. MethodsAfter Clinical Competency Committee approval, a PGY 1-4 EM program required 1 log per 4-week EM rotation. The electronic form was designed with input from core faculty and medical toxicologists. The form included multiple-response questions analyzed descriptively and free-text fields. A single reviewer qualitatively categorized residents’ free-text descriptions into discrete categories for analysis.ResultsFrom June 2017 to July 2019, 738 reports were submitted by 71  EM residents. Upon review, 26 were noted as duplicate, incomplete, or inappropriately submitted, leaving 712 for analysis. Overall, 663 (93%) of the encounters occurred in the ED. In 93% (N=665), the reporting resident was on an EM rotation at the time of the encounter. Overall, 79% (N=560) of the reports involved prescription medications. Residents determined that 67% (N=478) of the safety events were caused by an adverse reaction to a medication with the most common reason for encounter being an adverse response to a patient administered medication (N=308, 43%). In 51% (N=362) of cases, treatment was administered as a result of the medication error. The most common method of prevention that residents identified was prescribing provider education (N=229, 32%), followed closely by patient education (N=219, 31%). ConclusionsIn this single site convenience sample, EM residents appear able to identify medication safety events. Data collected through resident submissions can not only provide data to evaluate M5 but may reveal local patient safety themes for future process improvement projects. Of note, this process led to EM residents identifying pharmacologic issues outside of the ED, when submission was not required suggesting that it contributed to a more general culture of patient safety.712RESIDENT-OBSERVED MEDICATION SAFETY REPORTS ANALYZED

Emergency Medicine Resident Identification of Medication Safety Issues

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1660&context=emergency-medicine

Emergency Medicine Resident Identification of Medication Safety Issues

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Lehigh Valley Health Network: LVHN Scholarly Works