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- Communication Improvement
- Education and Training 9
- Error Reporting and Analysis 5
- Human Factors Engineering 1
- Logistical Approaches 2
- Quality Improvement Strategies 10
- Specialization of Care 7
- Teamwork 3
- Clinical Information Systems 9
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 23
- Delirium 1
- Medication Safety 35
- Internal Medicine 21
- Nursing 1
- Pharmacy 13
- Family Members and Caregivers 1
- Health Care Executives and Administrators 23
Health Care Providers
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- Non-Health Care Professionals 5
- Patients 11
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Tools/Toolkit > Toolkit
Massachusetts Coalition for the Prevention of Medical Errors, Betsy Lehman Center for Patient Safety and Medical Error Reduction, Massachusetts Medical Society.
This form can help patients document their prescriptions and other health information prior to visits with health care providers.
Journal Article > Study
Coleman EA, Smith JD, Raha D, Min S. Arch Intern Med. 2005;165:1842-1847.
This study suggests that nearly 15% of patients discharged after hospitalization experience a medication discrepancy. Using data from 375 adults, investigators also discovered that the contributing factors to these discrepancies were split among patient- and system-related issues. The five most common medication classes implicated were anticoagulants, diuretics, angiotensin-converting enzyme inhibitors, lipid-lowering agents, and proton pump inhibitors. The authors conclude that use of a medication discrepancy tool can identify problems leading to medical errors, poor quality of care for chronic conditions, and unsafe transitions across care settings.
Young D. Am J Health Syst Pharm. 2005;62:1340-1342.
This article summarizes comments made at the second meeting of the Committee on Identifying and Preventing Medication Errors. Topics covered include teamwork, engaging patients, medication reconciliation, access to information, and hospital design.
Journal Article > Study
Porter SC, Kohane IS, Goldmann DA. J Am Med Inform Assoc. 2005;12:299-305.
This study examined the utility of a multimedia kiosk to capture parents' knowledge of their children's asthma medication history. Investigators compared the parental information with that documented by emergency department providers. Results suggested greatest accuracy in medication name followed by route of delivery, form of medication, and dose. The authors conclude that patient-derived data can be effective in improving current deficits in medication documentation during emergency department visits.