Engaging a few clinicians to use the form for a few days on their patients.One team of physicians or one service, such as hospitalists.One medicine unit and one surgical unit.There are many potential settings for pilot testing. What are the quality measures to determine impact on patient safety?.What are the process measures (i.e., quantity, adherence to process) to determine compliance during the pilot?.Are the stakeholders engaged, and have roadblocks been identified and removed prior to piloting in those practice settings?.What roles can the leadership team play in the pilot?.What structure will be put in place to support staff during the pilot period?.What mechanism will be in place to give and receive feedback from frontline staff during the pilot?.Are the areas chosen for the pilot already engaged and bought into the process?.Where would you like to pilot test the process?.Before instituting the pilot, you should consider the following questions: While this process may seem like it will delay improvement overall, it can actually ensure success when you implement facility-wide. Any weaknesses in the process can be addressed before implementation facility-wide.
At this point, resist the urge to implement the redesigned process facility-wide and instead, pilot test the solution.Ī pilot test provides an opportunity to implement a new process on a small scale and receive input. If you have applied all of the steps and guiding principles outlined in Chapters 1-3 to your own work, you should have designed or redesigned medication reconciliation process that addresses gaps identified in the flowchart and assessment of your existing process, while helping to maintain current work flow.
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