Narrow Results Clear All
- Communication Improvement
- Error Reporting and Analysis 1
- Quality Improvement Strategies 1
- Specialization of Care 1
- Technologic Approaches 1
Search results for "North America"
Journal Article > Study
Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error?
Lovig KO, Horwitz L, Lipska K, Kosiborod M, Krumholz HM, Inzucchi SE. Jt Comm J Qual Patient Saf. 2012;38:403-407.
A retrospective chart review revealed that approximately 1 in 8 patients with diabetes was discharged without any antihyperglycemic therapy following acute myocardial infarction. Almost 90% of these omissions lacked justification, suggesting widespread errors in medication reconciliation.
Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association.
Michaels AD, Spinler SA, Leeper B, et al; American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology, Council on Quality of Care and Outcomes Research, Council on Cardiopulmonary, Critical Care, Perioperative, and Resuscitation, Council on Cardiovascular Nursing, Stroke Council. Circulation. 2010;121:1664-1682.
Patients hospitalized with acute coronary syndromes or strokes are particularly vulnerable to medication errors, as many of these patients are elderly, have complex medication regimens, or are administered high-risk medications such as anticoagulants. This position paper from the American Heart Association reviews the specific types of medication errors in these patients, including dosing errors, administration of contraindicated medications, and errors of omission (failure to prescribe recommended therapies). The authors make specific, evidence-based recommendations for preventing medication errors in this patient population, including integrating pharmacists into inpatient teams and using computerized provider order entry and medication reconciliation to detect and prevent errors. A medication error in an acute coronary syndrome patient is illustrated in this AHRQ WebM&M commentary.
Journal Article > Study
Persell SD, Bailey SC, Tang J, Davis TC, Wolf MS. Am J Med. 2010;123:182.e9-182.e15.
Medication reconciliation discrepancies—differences between the medical record and patient self-report of their antihypertensive medications—occurred in 75% of patients in this study. These discrepancies were associated with a higher likelihood of uncontrolled hypertension. Prior research has addressed the difficult question of medication reconciliation in ambulatory care.