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Journal Article > Study
Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes.
Bell SK, Folcarelli P, Fossa A, et al. J Patient Saf. 2018 Apr 27; [Epub ahead of print].
Safety issues are common in the ambulatory care setting, but they can be difficult to detect because patients may spend months between contacts with the health care system. Engaging patients in their care is a recommended strategy to improve ambulatory safety and is the focus of a recent AHRQ toolkit. The OpenNotes initiative—in which patients have the opportunity to review and edit their medical records contemporaneously—aims to improve patient engagement and patient safety through promoting transparency. In this study, patients and caregivers with OpenNotes access were surveyed regarding the perceived effect of accessing notes on their understanding of their medical conditions and the patient–clinician relationship. Overall, most participants felt that accessing OpenNotes facilitated their understanding of the rationale for tests and referrals and improved their relationship with primary care providers. Although hindered by a low response rate, this study provides some support for the proposition that increased transparency can enhance patient engagement.
Journal Article > Commentary
Hong K, Hong YD, Cooke CE. Res Social Adm Pharm. 2019;15:823-826.
Medication errors are common in inpatient and ambulatory environments. This commentary summarizes the research exploring the current status of medication safety incident reporting and reduction efforts in community pharmacies. The authors call for community pharmacy corporations to encourage the discussion and data sharing needed to increase transparency around incidents in this care setting. A recent PSNet interview discussed challenges to safety in the retail pharmacy environment.