Health Medical
GCU Quality Improvement Initiative Medication Reconciliation Research Paper

HLT 362v

Grand Canyon University


Question Description

I’m trying to learn for my Nursing class and I’m stuck. Can you help?

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply "The Road to Evidence-Based Practice" process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

  1. Provide an overview of the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Final Answer


Quality Improvement Initiative - Outline

Medication Reconciliation for the Elderly at Home
Significance of Quality Improvement


Literature Review


Steps to Implement Initiative


Evaluation of Quality Improvement
Variables, Hypothesis and Statistical Tests


Quality Improvement Initiative: Medication Reconciliation




Quality Improvement Initiative: Medication Reconciliation
Medication Reconciliation for the Elderly at Home
Medication is an essential aspect of the healthcare industry. The elderly, due to the
existence of several illnesses, have to take multiple drugs at the same time, which can be
confusing with time. Adverse effects have been reported among older adults as they forget to
take some medication or overuse others, leading to medical issues (Rappaport et al., 2017).
Medication reconciliation is an important aspect of extending care to the elderly, especially after
discharge from the hospital. Use of interventions to promote proper use of medication among the
elderly would help in improving their health outcomes (Spalla & Castilho, 2016). Indeed, having
an accurate list of all medication, their description, and how they should be taken can help many
older adults deal with the polypharmacy. While those in nursing homes have help from the
nurses in keeping up with the medication, older adults at home have a hard time adhering and
following the medication given (Spalla & Castilho, 2016). Therefore, having an initiative that
helps with medical reconciliation for older adults in homes would help in improving patient
outcomes and medication adherence.
Significance of Quality Improvement
Older adults have to deal with multiple illnesses that occur due to the many changes in
their immune system with age. Since medication is the most applied medical intervention, older
adults are in various drugs at one time. Missing specific medication is the leading cause of many
emergency department visits for older adults (Rappaport et al., 2017). Some of the patients report
that they forgot to take the medication or thought they had. These issues have led to adverse
effects leading to increased hospitalizations ...

henryprofessor (72723)
University of Virginia

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