Preventing medication errors in transitions of care: A patient case approach

Journal of the American Pharmacists Association : JAPhA
Ashley JohnsonYasmin Grace

Abstract

To discuss common causes of medication errors occurring upon transitions of care and review key interventions that should be implemented to ensure effective communication and accurate completion of medication reconciliation. MEDLINE (1946 to November 2014) using MeSH terms medication errors, medication reconciliation, and nursing homes in addition to conventional text words, including transitions of care and medication safety; Agency for Healthcare Research and Quality Patient Safety Network using search terms transitions of care, medication errors, and medication reconciliation; and relevant websites of national organizations pertaining to transitions of care and medication reconciliation. Limited to English-language journals with no limitation set on the year of publication for clinical trials, meta-analyses, and reviews. At the authors' discretion, preference was given to references focusing on pharmacists' role in transitions of care and medication reconciliation. Most medication errors stem from a lack of effective communication between health care providers during transitions of care. Part of successful communication and correct patient hand-off is completing accurate medication reconciliation. A patient case highlights a...Continue Reading

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Citations

Mar 9, 2017·Applied Clinical Informatics·Khoa A NguyenAlan J Zillich
Nov 9, 2018·Scandinavian Journal of Caring Sciences·Elizabeth Åhsberg
Nov 28, 2018·Journal of the American Geriatrics Society·Linda V DeCherrieAlbert Siu
Feb 2, 2019·Southern Medical Journal·Kelly C RogersShannon W Finks
Mar 30, 2020·International Journal of Clinical Pharmacy·Qian GuoJinju Duan
Jun 22, 2020·Medical Education·Natasja LoomanNynke Scherpbier-de Haan
Jan 14, 2021·International Journal of Clinical Pharmacy·Tina JosephCynthia Moreau
Feb 5, 2021·Journal of the American Pharmacists Association : JAPhA·Jeanna SewellChiahung Chou
Feb 11, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·David S Kushner, Dale C Strasser
Dec 31, 2021·Public Health Nursing·Sara DionisiNoemi Giannetta

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