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Search results for "Primary Care"
Journal Article > Study
What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.
Serper M, McCarthy DM, Patzer RE, et al. Patient Educ Couns. 2013;93:306-311.
Medication errors are likely the most common patient safety threat in ambulatory care, and this survey of primary care patients revealed many issues that are putting patients at risk for adverse drug events. Patients assumed that their primary care doctor was aware of all their medications, including those prescribed by other physicians, despite evidence documenting poor information sharing between community physicians. Although prior studies show that pharmacist counseling may reduce medication error rates in outpatients, only a minority of patients receiving new prescriptions reported receiving counseling (from a physician or pharmacist) regarding potential adverse effects. The discordance between patient assumptions and physician knowledge about medication regimens points to a need for greater patient engagement in medication reconciliation efforts.
London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.
This report analyzed how medication information is shared among UK practices and patients after a hospital stay and found that 81% of general practices thought that patient information given to them from hospitals was incomplete or inaccurate.
Friedley NJ. Med Econ. October 17, 2008;85:34-38.
This continuing education activity includes an article discussing medication errors in the context of ambulatory care and provides a medication safety plan for primary care practices.
Journal Article > Study
Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.
The Joint Commission mandates that all hospitals implement a system for medication reconciliation, although many practitioners remain frustrated with local efforts. Current reports of best practices stem from the inpatient setting. This pilot study targeted patients from a single ambulatory clinic and administered a multifaceted intervention to reduce prescribing errors. Patients received mailed reminders to bring their medications into appointments and then actively participated in correcting mistakes within their medical record. The interventions led to significant reductions in prescribing errors and medication discrepancies. Similar to a past study, the authors advocate for greater patient involvement in ensuring accurate medication records.