What medications does your patient take? Enhancing medication safety in the outpatient setting.

Commentary

What medications does your patient take? Enhancing medication safety in the outpatient setting.

April 4, 2007

Institute for Healthcare Improvement; IHI

This article discusses the importance of medication reconciliation in the ambulatory environment and describes a tool developed for this purpose.

Free full text

Related Resources From the Same Author(s)

Introduction to Trigger Tools for Identifying Adverse Events.

December 6, 2006

5 Million Lives Campaign.

December 13, 2006

July 2011 Author in the Room Teleconference.

January 30, 2005

IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition.

May 9, 2009

Framework for Effective Board Governance of Health System Quality.

January 9, 2019

How-to Guide: Prevent Obstetrical Adverse Events.

October 24, 2012

No Place Like Home: Advancing the Safety of Care in the Home.

July 18, 2018

Patient Safety Essentials Toolkit.

May 29, 2019

Advancing the Safety of Acute Pain Management.

March 27, 2019

Hospital Preparedness for a COVID-19 Surge: Assessment Tool.

November 25, 2020

Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.

December 13, 2017

Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance.

July 12, 2017

How-to Guide: Multidisciplinary Rounds.

March 10, 2010

How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.

August 8, 2012

Moving Measurement into Action: Global Principles for Measuring Patient Safety.

January 8, 2020

Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report.

March 18, 2020

Declaration to Advance Patient Safety.

May 25, 2022

Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.

September 28, 2005

Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition.

June 1, 2005

IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events.

January 27, 2016

Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults.

February 15, 2023

Respectful Management of Serious Clinical Adverse Events. Second Edition.

October 27, 2010

Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.

March 23, 2011

Sustaining Improvement.

July 20, 2016

IHI Framework for Improving Joy in Work.

August 9, 2017

Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities.

September 6, 2017

Improving the Reliability of Health Care.

February 8, 2006

Reducing Adverse Drug Events.

March 6, 2005

Addressing the Opioid Crisis in the United States.

November 2, 2016

Patient Safety Toolkits.

October 30, 2013

The Essential Guide for Patient Safety Officers, Second Edition.

September 22, 2010

IHI Open School Patient Safety Curriculum

February 22, 2012

The IHI Open School.

April 29, 2009

Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management.

April 4, 2022

Patient Safety Awareness Week.

March 10, 2024 - March 16, 2024

IHI Lucian Leape Institute.

December 5, 2007

IHI Fellowship Program.

August 30, 2023

Accuracy at every step: the challenge of medication reconciliation.

April 5, 2006

National Steering Committee for Patient Safety.

June 27, 2018

STate Action on Avoidable Rehospitalizations.

August 3, 2011

DAISY Award for Extraordinary Nurses in Patient Safety.

September 18, 2023

Fixing Healthcare Delivery.

August 13, 2014

Principles for Improving Patient Safety Measurement Webinar

March 4, 2020

The PROMISES Project.

February 5, 2014

What Do You Do If You Think You Have Been Harmed By Your Healthcare.

February 28, 2024

Creating Workforce Joy and Wellbeing.

March 6, 2024 - May 20, 2024

Rise to Health Coalition.

December 14, 2022

Safer Together: A National Action Plan to Advance Patient Safety.

September 16, 2020

Safer Together Survey: Advancing Patient and Workforce Safety

January 18, 2023

COVID-19 Special Series

May 12, 2020

Redesigning Event Review with RCA2.

March 12, 2024 - April 23, 2024

Americans' Experiences With Medical Errors and Views on Patient Safety.

October 11, 2017

What Happened to Patient Safety.

June 14, 2023

IHI Patient Safety Congress.

May 14, 2024 - May 16, 2024

Certified Professional in Patient Safety Review Course.

June 5, 2024 - June 6, 2024

Patient Safety Executive Development Program.

September 10, 2024 - October 22, 2024

Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care.

March 2, 2022

Diagnostic Excellence: a Patient Safety Awareness Week Webinar.

March 14, 2024 - March 14, 2024

A Framework for Safe, Reliable, and Effective Care.

February 15, 2017

The International Forum on Quality and Safety in Healthcare.

April 10, 2024 - April 12, 2024

Safe Site Invasive Procedure—Non-Operating Room.

October 6, 2010

How a simple checklist can dramatically reduce medical errors.

December 3, 2008

HTSI Webinar Series on Alarm Systems Management.

September 18, 2013

Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.

September 9, 2009

Institute for Healthcare Improvement.

March 27, 2005

Strategies for Successful CLABSI Prevention: Insights from Our Journey to Zero.

March 28, 2024 - March 28, 2024

Leading a Culture of Safety: a Blueprint for Success.

May 24, 2017

AHRQ Safety Program for Improving Antibiotic Use.

July 26, 2017

Second opinions improve healthcare outcomes and reduce costs.

June 24, 2020

Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings.

September 11, 2013

Resident Projects for Improvement.

June 19, 2013

Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.

February 27, 2008

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

February 27, 2008

Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis.

September 25, 2013

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.

December 10, 2008

Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety.

August 4, 2021

Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research.

May 9, 2018

2012 ISMP International Medication Safety Self Assessment for Oncology.

April 18, 2012

Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?

December 7, 2022

Embracing multiple aims in healthcare improvement and innovation.

March 23, 2022

Using clinical simulation to study how to improve quality and safety in healthcare.

September 29, 2018

Canada continues to lag behind other OECD countries on measures of patient safety

December 4, 2019

ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps.

March 4, 2020

ECRI Guidelines Trust.

March 6, 2008

Scottish Patient Safety Programme.

July 23, 2008

Identifying and Preventing Medication Errors.

March 6, 2005

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement.

June 1, 2022

Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care.

June 22, 2011

Fellowship in Diagnostic Excellence.

January 30, 2024

ACT for Better Diagnosis.

September 19, 2018

Assessment of Reasoning Tool.

November 1, 2017

Mark Graber Diagnostic Quality & Safety Award.

August 30, 2023

ImproveDX.

March 26, 2014

Diagnostic Quality Improvement Repository.

January 10, 2024

Society to Improve Diagnosis in Medicine. DxQI Seed Grant Program.

December 7, 2021

Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review.

January 12, 2022

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

October 3, 2013

Improving self-reported empathy and communication skills through harm in healthcare response training.

January 26, 2022

Informed Patient Institute.

March 16, 2011

Institute for Safe Medication Practices International Mentorship Program.

February 1, 2022 - March 8, 2022

Related Resources

Guardians of grafts: reducing medication errors in transplant recipients.

April 17, 2024

Annual Perspective

Equity in Patient Safety

March 27, 2024

Annual Perspective

Communication During Transitions of Care

March 27, 2024

Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023.

October 4, 2023

WebM&M Cases

Hospital-Acquired Diabetic Ketoacidosis.

February 1, 2023

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

Patient Safety Primers

Deprescribing as a Patient Safety Strategy

October 27, 2021

Geriatric medication reconciliation in the home setting.

July 21, 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

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

WebM&M Cases

A Mistaken Dose of Naloxone 

December 18, 2019

WebM&M Cases

Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation

November 27, 2019

Medication errors: the year in review.

October 23, 2019

How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions.

July 10, 2019

Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).

May 15, 2019

Saving without compromising: teaching trainees to safely provide high value care.

April 17, 2019

March 27, 2019

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3.

December 19, 2018

A prescription for enhancing electronic prescribing safety.

December 12, 2018

How to prevent the top 4 medication errors.

October 17, 2018

The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials.

July 11, 2018

Economic evaluation of pharmacist-led medication reviews in residential aged care facilities.

December 13, 2017

The power of regret.

October 25, 2017

Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.

August 16, 2017

Lost in translation: medication labeling for immigrant families.

December 21, 2016

Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge.

November 2, 2016

"Use as directed" can cause confusion for both patients and practitioners.

September 14, 2016

Patient and family empowerment as agents of ambulatory care safety and quality.

September 7, 2016

The problem with medication reconciliation.

August 31, 2016

See More About The Topic