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Journal Article > Study
Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting.
Lesselroth B, Adams S, Felder R, et al. Jt Comm J Qual Patient Saf. 2009;35:264-271.
This study used an innovative approach to involving patients in safety efforts by using an interactive kiosk paired with the medication list from the electronic health record. When patients presented for a clinic visit, the kiosk presented their presumed medication list along with pill pictures, and patients had to indicate if they were taking the medication. This method successfully identified medication discrepancies and reduced the time spent by staff in reviewing medications. Ensuring medication reconciliation in ambulatory care has been particularly problematic for patients with low health literacy. This novel strategy may represent an effective, patient-centered approach to this problem.
Journal Article > Study
Weingart SN, Saadeh MG, Simchowitz B, et al. J Gen Intern Med. 2009;24:702-709.
Diagnostic errors have been described as the next frontier in patient safety, with past studies discussing their epidemiology and the contributing role of physician overconfidence. This retrospective chart review analyzed cases of recently diagnosed breast cancer to identify patient- and provider-related process of care failures. Investigators targeted those cases where a delay of at least 90 days occurred between symptom onset and diagnosis and found a high rate of process failures. These were attributed to both providers for failing to perform adequate physical exams and patients for failing to undergo recommended tests, as two examples. Missed or delayed cancer diagnoses are a frequent cause of malpractice lawsuits, and errors in cancer diagnosis are also a noted challenge. The authors advocate for the importance of educating and empowering patients as an additional strategy to improve the quality of care.
Tools/Toolkit > Fact Sheet/FAQs
Fairfax, VA: The American Society for Radiation Oncology; March 9, 2010.
This Web site offers information to help patients understand both safety issues and risks involved in radiation therapy.
Olsen D. State Journal-Register. June 26, 2011.
This newspaper article discusses a case of diagnostic error, explores the complexity of the diagnostic process, and provides tips to help patients avoid such errors.