How do physicians conduct medication reviews?

Derjung M. Tarn; Debora A. Paterniti; Richard L. Kravitz; Stephanie Fein; Neil Wenger

Study

How do physicians conduct medication reviews?

December 16, 2009

Tarn DM, Paterniti DA, Kravitz RL, et al. J Gen Intern Med. 2009;24(12):1296-302.

View more articles from the same authors.

This study analyzed audiotaped discussions of primary care clinic visits to analyze how physicians discuss medications with their patients. Physicians were able to comprehensively review each medication with patients only rarely, with most discussions focusing on the efficacy of the medications. Comprehensive medication review by pharmacists has been shown to decrease medication errors at the time of hospital discharge.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Physician communication when prescribing new medications.

October 11, 2006

The many faces of error disclosure: a common set of elements and a definition.

April 4, 2007

Internal medicine work hours: trends, associations, and implications for the future.

February 13, 2008

Enteral feeding misconnections: a consortium position statement.

May 7, 2008

Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes.

September 30, 2015

Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment.

March 17, 2010

Sedation and patient safety.

September 14, 2005

Determinants of patient–oncologist prognostic discordance in advanced cancer.

August 3, 2016

The nurse's role in the causation of compensable injury.

October 12, 2011

An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events.

April 13, 2022

Surgeon agreement at the time of handover, a prospective cohort study.

April 27, 2016

Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.

January 30, 2005

Online medication error graphic reports: a pilot in North Carolina nursing homes.

June 15, 2011

Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm.

August 7, 2013

Tolerating uncertainty—the next medical revolution?

November 9, 2016

A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting.

May 23, 2007

Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.

January 25, 2006

The quality of pharmacologic care for vulnerable older patients.

March 6, 2005

Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).

September 15, 2021

Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS.

April 17, 2024

Enteral feeding misconnections: an update.

June 17, 2009

February 1, 2012

Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience.

May 6, 2020

Tubing misconnections: normalization of deviance.

June 29, 2011

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.

December 15, 2010

Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic.

March 1, 2017

Repeat medication errors in nursing homes: contributing factors and their association with patient harm.

July 28, 2010

Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system.

August 29, 2007

Costly issues of an uncommunicative OR.

May 3, 2006

A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes.

June 18, 2014

Addressing patient safety in rapid response activations for nonhospitalized persons.

July 2, 2014

MRSA Infections.

November 7, 2007

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

February 1, 2012

Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report.

April 3, 2019

The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study.

October 9, 2013

Safety culture in the operating room: variability among perioperative healthcare workers.

September 13, 2017

Patient safety in genomic medicine: an exploratory study.

April 13, 2016

Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults.

September 2, 2015

Description and yield of current quality and safety review in selected US academic emergency departments.

August 30, 2017

Attending work hour restrictions: is it time?

January 28, 2009

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

November 25, 2009

September 19, 2012

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.

August 29, 2012

Wide variation and overprescription of opioids after elective surgery.

October 11, 2017

Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience.

May 30, 2018

A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.

November 17, 2010

Challenges in posthospital care: nurses as coaches for medication management.

August 24, 2011

Association of a web-based handoff tool with rates of medical errors.

August 17, 2016

Complementary telephone strategies to improve postdischarge communication.

September 14, 2011

Prevalence of adverse drug events in ambulatory care: a systematic review.

July 27, 2011

Impact of resident workload and handoff training on patient outcomes.

April 4, 2012

Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.

May 25, 2011

Hospital readmission and parent perceptions of their child's hospital discharge.

September 4, 2013

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

Strategies for developing and recognizing faculty working in quality improvement and patient safety.

June 1, 2016

Electronic medication reconciliation and medication errors.

September 2, 2015

Influences observed on incidence and reporting of medication errors in anesthesia.

May 9, 2012

Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services.

March 16, 2016

The pros and cons of electronic prescribing for children.

July 27, 2011

Tracking intraoperative complications.

November 28, 2012

Effect of communication errors during calls to an antimicrobial stewardship program.

March 26, 2008

Regional surveillance of emergency-department visits for outpatient adverse drug events.

April 22, 2009

Can social media be used as a hospital quality improvement tool?

October 21, 2015

Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.

November 19, 2014

Does applying technology throughout the medication use process improve patient safety with antineoplastics?

February 5, 2014

How residents think and make medical decisions: implications for education and patient safety.

August 15, 2007

Overcoming diagnostic errors in medical practice.

May 24, 2017

Role of pharmacist counseling in preventing adverse drug events after hospitalization.

March 22, 2006

Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.

December 2, 2015

Improving medication-related clinical decision support.

March 7, 2018

Trends and patterns in reporting of patient safety situations in transplantation.

February 10, 2016

Assessment of patient safety research from an organizational ergonomics and structural perspective.

August 8, 2007

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative.

September 2, 2020

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

July 14, 2010

Critical phase distractions in anaesthesia and the sterile cockpit concept.

March 30, 2011

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department.

June 5, 2013

Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs.

August 9, 2017

Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review.

December 11, 2019

Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings.

July 12, 2017

Hospital-based medication reconciliation practices: a systematic review.

July 11, 2012

The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics.

October 29, 2008

Is there evidence of a July effect among patients undergoing hysterectomy surgery?

October 10, 2018

Physicians-in-training attitudes on patient safety: 2003 to 2008.

September 7, 2011

From research to practice: factors affecting implementation of prospective targeted injury-detection systems.

June 8, 2011

Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study.

May 24, 2023

Medication reconciliation in ambulatory care: attempts at improvement.

October 28, 2009

Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals.

April 2, 2008

Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.

September 9, 2009

A report of information technology and health deficiencies in U.S. nursing homes.

September 8, 2021

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

June 8, 2005

Pharmacist work stress and learning from quality related events.

November 9, 2016

Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery.

September 5, 2018

Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study.

November 17, 2021

Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room.

April 11, 2007

Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation.

November 21, 2007

Medication errors in the outpatient setting: classification and root cause analysis.

March 21, 2007

Board quality scorecards: measuring improvement.

August 10, 2011

Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare.

September 5, 2018

When the misdiagnosis is child abuse.

September 2, 2020

Patient harm from cardiovascular medications.

August 25, 2021

Related Resources

Using morbidity and mortality conferences to drive quality improvement and reduce errors.

May 17, 2023

Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study.

May 11, 2022

Medical Office Survey on Patient Safety Culture.

September 1, 2021

AHRQ Health Literacy Universal Precautions Toolkit. 2nd edition.

July 1, 2015

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.

March 5, 2014

Doing right by our patients when things go wrong in the ambulatory setting.

February 12, 2014

Primary care physician communication at hospital discharge reduces medication discrepancies.

December 18, 2013

Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners.

November 6, 2013

Patient Safety Toolkits.

October 30, 2013

Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.

September 11, 2013

What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.

August 14, 2013

Impact of individual and team features of patient safety climate: a survey in family practices.

August 14, 2013

Safety climate and its association with office type and team involvement in primary care.

May 29, 2013

Engaging Patients in Improving Ambulatory Care.

April 3, 2013

Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.

March 27, 2013

The relationship of self-report of quality to practice size and health information technology.

October 10, 2012

Are health professionals' perceptions of patient safety related to figures on safety incidents?

September 19, 2012

Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities.

September 12, 2012

Medical errors reported by French general practitioners in training: results of a survey and individual interviews.

April 4, 2012

Medication reconciliation campaign in a clinic for homeless patients.

April 4, 2012

Identifying discrepancies in electronic medical records through pharmacist medication reconciliation.

March 21, 2012

Emotional impact of patient safety incidents on family physicians and their office staff.

March 21, 2012

Measuring perceptions of safety climate in primary care: a cross-sectional study.

February 29, 2012

Miscoding, misclassification and misdiagnosis of diabetes in primary care.

February 22, 2012

Better medical office safety culture is not associated with better scores on quality measures.

January 11, 2012

Implementing medication reconciliation in outpatient pediatrics.

December 14, 2011

Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.

December 14, 2011

Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study.

November 16, 2011

Electronic health record-based surveillance of diagnostic errors in primary care.

November 2, 2011

'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety.

September 28, 2011

See More About The Topic

Ambulatory Clinic or Office

Health Care Providers

Facility and Group Administrators

Family Medicine

Primary Care

How do physicians conduct medication reviews?

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

How do physicians conduct medication reviews?

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site