Towards a more patient-centered approach to medication safety.

Joy L Lee; Sydney M Dy; Ayse P Gurses; Julia M Kim; Catalina Suarez-Cuervo; Zackary D Berger; Rachel Brown; Yan Xiao

Review

Towards a more patient-centered approach to medication safety.

December 13, 2017

Lee JL, Dy SM, Gurses AP, et al. J Patient Exp. 2018;5(2):83-87.

View more articles from the same authors.

Patient perspectives can identify previously undetected adverse events. This commentary discusses the value of seeking patient insights as an approach to measure medication safety and how such evaluation could affect implementation of meditation safety initiatives. The authors suggest adapting system-oriented approaches to reflect patient-centered concerns.

PubMed citation

Free full text

Related Resources From the Same Author(s)

A systematic review of the literature on multidisciplinary rounds to design information technology.

March 15, 2006

Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review.

February 5, 2014

Engineering a foundation for partnership to improve medication safety during care transitions.

February 6, 2019

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

Challenges and strategies for patient safety in primary care: a qualitative study.

September 28, 2022

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals.

July 20, 2022

Overcoming COVID-19: what can human factors and ergonomics offer?

May 6, 2020

Ambulatory medication safety in primary care: a systematic review.

July 6, 2022

Exploring performance obstacles of intensive care nurses.

November 19, 2008

A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units.

October 12, 2005

Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach.

February 13, 2019

Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.

March 15, 2017

Team-training in healthcare: a narrative synthesis of the literature.

March 12, 2014

Time to accelerate integration of human factors and ergonomics in patient safety.

January 11, 2012

Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life.

April 1, 2009

Resident to resident handoffs in the emergency department: an observational study.

October 22, 2014

Human factors systems approach to healthcare quality and patient safety.

August 14, 2013

SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients.

October 3, 2013

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Emergent CSCW systems: the resolution and bandwidth of workplaces.

August 2, 2006

Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre.

May 30, 2007

Roles and Role Ambiguity in Patient- and Caregiver-Performed Outpatient Parenteral Antimicrobial Therapy.

November 20, 2019

Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study.

May 23, 2012

Rapid response systems as a patient safety strategy: a systematic review.

March 20, 2013

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

February 2, 2011

Clinical review: Checklists—translating evidence into practice.

January 27, 2010

Promoting a culture of safety as a patient safety strategy: a systematic review.

March 13, 2013

Patient centred diagnosis: sharing diagnostic decisions with patients in clinical practice.

November 15, 2017

Medication errors associated with code situations in U.S. hospitals: direct and collateral damage.

January 16, 2008

Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis.

May 18, 2016

What context features might be important determinants of the effectiveness of patient safety practice interventions?

June 29, 2011

The role of theory in research to develop and evaluate the implementation of patient safety practices.

January 30, 2005

Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety.

February 22, 2023

How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research.

May 4, 2011

What whiteboards in a trauma center operating suite can teach us about emergency department communication.

May 30, 2007

Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study.

September 19, 2018

A framework for classifying patient safety practices: results from an expert consensus process.

January 30, 2005

Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration.

May 22, 2019

Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.

February 26, 2020

Patient perceptions of safety in primary care: a qualitative study to inform care.

October 13, 2021

Implementing SBAR across a large multihospital health system.

May 30, 2012

Incidence and types of non-ideal care events in an emergency department.

September 29, 2010

Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.

April 23, 2014

Video technology to advance safety in the operating room and perioperative environment.

May 2, 2007

Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care.

May 19, 2021

Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care.

April 29, 2015

Cardiac surgery errors: results from the UK National Reporting and Learning System.

February 16, 2011

Does health care role and experience influence perception of safety culture related to preventing infections?

July 17, 2013

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.

March 11, 2020

Safety culture in cardiac surgical teams: data from five programs and national surgical comparison.

September 23, 2015

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.

June 22, 2022

The effect of multidisciplinary care teams on intensive care unit mortality.

March 3, 2010

Toward improving patient safety through voluntary peer-to-peer assessment.

January 25, 2012

Care transition of trauma patients: processes with articulation work before and after handoff.

February 16, 2022

Trauma resuscitation errors and computer-assisted decision support.

March 2, 2011

Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit.

December 9, 2015

Implementation of patient safety structures and processes in the patient-centered medical home.

June 30, 2021

Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training.

April 16, 2014

Work system design for patient safety: the SEIPS model.

October 12, 2011

Patient safety measurement tools used in nursing homes: a systematic literature review.

December 7, 2022

The top patient safety strategies that can be encouraged for adoption now.

March 13, 2013

Using root cause analysis to reduce falls with injury in community settings.

August 1, 2012

Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States.

January 20, 2016

Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures.

November 30, 2016

Advancing the science of patient safety.

May 25, 2011

Communication patterns in a UK emergency department.

October 10, 2007

Predictive combinations of monitor alarms preceding in-hospital code blue events.

January 9, 2013

"Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care.

February 19, 2020

Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data.

December 7, 2016

Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader study.

March 4, 2020

Using patient safety reporting systems to understand the clinical learning environment: a content analysis.

January 9, 2019

Interventions to engage patients and families in patient safety: a systematic review.

January 20, 2021

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers.

April 17, 2019

Missed breast cancers at US-guided core needle biopsy: how to reduce them.

March 7, 2007

Root cause analysis of serious adverse events among older patients in the Veterans Health Administration.

May 28, 2014

Findings of a naloxone database and its utilization to improve safety and education in a tertiary care medical center.

February 1, 2017

Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study.

May 25, 2022

Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research.

November 4, 2015

A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective.

October 23, 2013

Nurses: the patient's first—and perhaps last—line of defense.

June 24, 2009

Balancing just culture with regulatory standards.

October 22, 2008

Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities.

September 19, 2007

Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS).

April 18, 2018

Association between implementation of a medical team training program and surgical morbidity.

January 4, 2012

Association between implementation of a medical team training program and surgical mortality.

October 20, 2010

Bullying: a hidden threat to patient safety.

May 28, 2014

The pharmacist-physician relationship in the detection of ambulatory medication errors.

January 31, 2006

Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system.

May 12, 2021

Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology.

December 8, 2021

Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool.

April 23, 2014

Mask shortage straps pharmacists who need them to keep medicines pure.

April 1, 2020

The development of a patient safety program across the continuum of care.

November 16, 2005

Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service.

May 29, 2019

Risk factors of missed colorectal lesions after colonoscopy.

September 6, 2017

ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems.

August 8, 2018

Information flow during pediatric trauma care transitions: things falling through the cracks.

September 11, 2019

The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation.

August 12, 2015

Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.

March 6, 2013

Transfer of accountability: transforming shift handover to enhance patient safety.

November 22, 2006

Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review.

October 5, 2016

Related Resources

Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis.

March 8, 2023

Advancing diagnostic equity through clinician engagement, community partnerships, and connected care.

February 22, 2023

Providers' and patients' perspectives on diagnostic errors in the acute care setting.

February 15, 2023

Structural racism and adverse maternal health outcomes: a systematic review.

December 21, 2022

Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis.

October 5, 2022

Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review.

October 5, 2022

Prevention of adverse drug events in hospitals.

August 19, 2022

Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis.

May 11, 2022

Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis.

November 24, 2021

Patient Safety Primers

Deprescribing as a Patient Safety Strategy

October 27, 2021

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.

September 15, 2021

WebM&M Cases

The Impact of Communication on Medication Errors

March 15, 2021

Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources.

March 3, 2021

Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis.

February 17, 2021

Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.

February 10, 2021

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.

November 25, 2020

FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder.

August 5, 2020

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.

July 8, 2020

The patient died: what about involvement in the investigation process?

June 24, 2020

Communicating uncertainty: a narrative review and framework for future research.

September 4, 2019

Partnering with families and patient advocates: another line of defense in adverse event surveillance.

August 14, 2019

Family involvement in managing medications of older patients across transitions of care: a systematic review.

June 26, 2019

Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety.

June 5, 2019

Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework.

May 8, 2019

A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.

April 24, 2019

A systematic review of falls in hospital for patients with communication disability: highlighting an invisible population.

April 10, 2019

Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement in safety.

March 27, 2019

Association of emotional intelligence with malpractice claims: a review.

February 13, 2019

Direct oral anticoagulants: a review of common medication errors.

November 21, 2018

Engaging patients to improve quality of care: a systematic review.

November 7, 2018

See More About The Topic

Hospitals

Health Care Providers

Medicine

Medication Errors/Preventable Adverse Drug Events

Epidemiology of Errors and Adverse Events

Towards a more patient-centered approach to medication safety.

Deprescribing as a Patient Safety Strategy

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Towards a more patient-centered approach to medication safety.

Deprescribing as a Patient Safety Strategy

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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