Medication errors

Innovations

Multidisciplinary Team-Generated Interventions Improve Medication Reconciliation and Patient Safety 02/11/08

Multidisciplinary teams implemented a comprehensive medication reconciliation program for patient admissions, transfers, and discharge to significantly improve the reconciliation process.

Emergency Department–Based Clinical Pharmacist Improves Quality of Care 02/11/08

The University of Rochester Medical Center placed a clinical pharmacist in the emergency department to serve as an integral member of the health care team, leading to an increase in quality care.

Checklists With Medication Vest or Sash Reduce Distractions During Medication Administration 02/05/08

Based on airline safety principles, five simple and inexpensive interventions significantly reduced the number of distractions experienced by nurses during medication administration.

Automated Pharmacy Alerts Followed by Pharmacist-Physician Collaboration Reduce Inappropriate Prescriptions Among Elderly Outpatients 01/28/08

Kaiser Permanente Colorado developed a computerized alert system to notify pharmacists when elderly patients are prescribed potentially inappropriate medications; alerted pharmacists consult with the physicians to discuss the prescription, leading to a reduction in inappropriate prescribing.

Unit-Based Safety Program Improves Safety Culture, Reduces Medication Errors and Length of Stay 01/25/08

The Comprehensive Unit-Based Safety Program (CUSP) improves patient safety awareness and quality of care by empowering staff to take charge, create partnerships between units, improve organizational culture, and obtain resources for unit efforts.

Community Collaborative Improves Accuracy of Medication Lists for Elderly Patients in Outpatient Clinic Setting 01/24/08

Aurora Health Care spearheaded a community-wide medication reconciliation initiative, involving health care consumers, providers, pharmacists, and community stakeholders, to improve the accuracy of elderly patients' medication lists.

Patient Education and Staff Training Significantly Improves Medication Reconciliation in Outpatient Clinics 01/23/08

Mayo Clinic researchers developed a medication reconciliation intervention program for outpatient primary care settings that improved the accuracy of medication lists in the practice's electronic medical records.

Paramedics' Adoption of Established Tool to Measure a Child's Weight Enhances Accuracy of Drug Dosing for Resuscitations 01/07/08

Emergency management services workers who use an established tool to measure a child's weight administer more accurate doses of emergency medications to pediatric patients.

Medication Reconciliation Process Results in Anecdotal Reports of Improved Safety in Inpatient Setting 12/28/07

A hospital implemented a medication reconciliation process, the cornerstone of which is a one-page structured form that nurses, physicians, and pharmacists use to list all medications taken by the patient at home, confirm the continuation of existing medications, order newly prescribed medications, and facilitate medication reconciliation during patient transfers and at discharge.

Pharmacist-Led, Grocery Store–Based Medication Review Reduces Falls and Enhances Compliance for Medicare Managed Care Members 12/20/07

A plan-sponsored, pharmacist-led prescription and over-the-counter medicine review program at a local supermarket chain helps identify potentially harmful medication interactions, reduces falls, and enhances medication compliance among Medicare beneficiaries.

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