Medication errors

Innovations

Primary Care Physician Communication With Patients at or Soon After Discharge Significantly Reduces Medication Discrepancies 03/17/14

Hospitalists at Northwestern Memorial Hospital contact the primary care physicians of patients with complex medication regimens who are about to be discharged from the hospital to their homes to...

Statewide Health Information Exchange Generates High Levels of Participation and Many Reports of Improved Quality and Efficiency 02/26/13

The Delaware Health Information Network is the country's first operational statewide health information exchange. Facilitated by State legislation and overseen by a board and committee structure,...

Nurse Case Managers Offer Low-Resource Transitional Care Services, Reducing Readmissions for At-Risk, Community-Dwelling Veterans in Remote Areas 01/25/13

Nurse case managers at a Veterans Affairs hospital use defined protocols to provide inhospital counseling and advocacy and post-discharge, telephone-based support to at-risk, community-dwelling...

Multidisciplinary Hospital Team Proactively Meets With Patients and/or Families, Allowing Them to Better Deal With Unexpected Deaths and Other Negative Events 02/06/12

The St. Joseph Mercy Hospital emergency department operates the Next Step Program, which supports patients and family members after an unexpected death or other unexpected, negative event. A team...

Electronic Alerts Related to Black Box Warnings Do Not Affect Overall Physician Prescribing Habits in Outpatient Clinics 03/28/11

Partners HealthCare System developed and integrated electronic alerts based on black box warnings (developed by the U.S. Food and Drug Administration) into an existing, internally developed...

QualityTools

Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) Toolkit 12/16/13

The goal of MARQUIS (Multi-Center Medication Reconciliation Quality Improvement Study) is to develop better ways for medications to be prescribed, documented, and reconciled accurately and safely at times of care transitions when patients enter...

Medication Safety Tools 11/19/13

These three online resources funded by the Agency for Healthcare Research and Quality (AHRQ) and developed by the Institute for Safe Medication Practices (ISMP) can help community pharmacies and outpatient settings improve medication safety and...

ADOPT Toolkit 12/11/12

This Web site, for health care providers, offers “how to” resources on using technology to assist care coordination and improve the independence of older adults. The guides range from planning and development to implementation and evaluation in...

The Patient-Centered Medical Home: A Resource Guide for Integrating Comprehensive Medication Management to Optimize Patient Outcomes (Second Edition) 03/13/12

This guide for payers, plans, provider groups, patient advocacy groups, and all medication therapy management service providers discusses the rationale for including comprehensive medication management services in integrated patient-centered care...

Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation 12/07/11

This toolkit provides a step-by-step guide to improving the medication reconciliation process. It promotes a successful approach to medication management and reconciliation that emphasizes standardization of the process for doctors, nurses, and...

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