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- Communication Improvement
- Education and Training 4
- Human Factors Engineering 3
- Legal and Policy Approaches 1
- Quality Improvement Strategies
- Technologic Approaches 3
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- Ambulatory Care
- Health Literacy Improvement
- Medication Errors/Preventable Adverse Drug Events
- Patient Self-Management
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.
Cases & Commentaries
- Web M&M
Dean Schillinger, MD; March 2004
A misunderstanding of instructions on how to administer medication leads to an infant choking on a syringe cap.
Cases & Commentaries
- Spotlight Case
- Web M&M
Ted Eytan, MD, MS, MPH; October 2008
An elderly, non–English-speaking man with diabetes was admitted to the hospital twice in 8 days due to hypoglycemia. At discharge, the patient was instructed not to take any antidiabetic medications. In between hospitalizations, he saw his primary care physician, who restarted an antidiabetic medication.
Perspectives on Safety > Perspective
with commentary by Michael S. Wolf, PhD, MPH; Stacy Cooper Bailey, MPH, Health Literacy and Safety, February-March 2009
Clear health communication is increasingly recognized as essential for promoting patient safety. Yet according to a recent Joint Commission report, What Did the Doctor Say? Improving Health Literacy to Protect Patient Safety, communication problems among health care providers, patients, and families are common and a leading root cause of adverse outcomes. Addressing health literacy—the capacity of individuals to obtain, process, and understand basic health information and services needed to make appropriate health decisions—has become a primary objective for many health systems in order to protect patients from harm.
Perspectives on Safety > Interview
Health Literacy and Safety, February-March 2009
Dean Schillinger, MD, is a Professor of Medicine at University of California, San Francisco, Director of the UCSF Center for Vulnerable Populations, and Chief of the California Diabetes Prevention and Control Program. His role as a practicing clinician at a safety net hospital (San Francisco General Hospital) has put him in a unique position to pursue influential and relevant research related to health literacy and improving care for vulnerable populations.