Medication errors and other adverse events are thought to occur in 10% of home care patients. This Delphi study identified 27 high-risk medications (e.g., oral chemotherapy, anticoagulants) in home care nursing that require a specific procedure and an additional 28 that warrant additional monitoring. Home care agencies and researchers should focus on developing and evaluating policies to improve safety of high-risk medications.

Clinical decision support systems (CDSS) can help identify potential drug-drug interactions (DDI), but they can lead to alert fatigue and threaten patient safety. Based on an analysis of DDI alerts and survey data regarding physician experience using the DDI module in the CDSS, researchers identified barriers (i.e., lack of patient-specific characteristics and DDI-specific screening intervals) that contribute to false-positive alerts and alert fatigue.