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MEDICATION
ERRORS - THE LEADING CAUSE OF INJURY TO HOSPITAL PATIENTS
Medication
errors are one of the leading causes of injury to hospital patients,
and chart reviews reveal that over half of all hospital medication errors occur
at the point when patients enter, or move from area to area, within the organization.
Experience from hundreds of organizations has shown that poor communication
of medical information at such changeover points is responsible for as many
as 50% of all medication errors in the hospital and up to 20% of adverse drug
events (ADEs). An up-to-date and accurate medication list is essential to ensure
safe prescribing in any setting.
Medication reconciliation is defined as a formal process of obtaining a complete
and accurate list of each patient’s current home medications—including
name, dosage, frequency, and route—and comparing the physician’s
admission, transfer, and/or discharge orders to that list. Discrepancies are
brought to the attention of the physician and, if appropriate, changes are made
to the orders. Any resulting changes in orders are documented. The reconciling
process has been demonstrated to be a powerful strategy to reduce medication
errors as patients move from one level of care to another.
Medication reconciliation is a team effort and the team must include the patient.
Patients play a vital role in medication reconciliation when they carry a current
list of the medications they are taking. Having this information quickly available
can help make the reconciliation process more efficient and effective. Many organizations,
such as Cumberland Medical Center, are distributing medication cards that can
easily be used by clinicians and patients. For a copy of the medication
card go to www.cmcheatlhcare.org.
Patients are reminded to bag their medication bottles or bring an accurate medication
list for every healthcare visit. For additional information contact Jinger Loggins,
Vice President of Quality and Patient Safety at Cumberland Medical Center 931-459-7170.
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For additional
information contact Jinger Loggins, Vice President of Quality and
Patient Safety at Cumberland Medical Center 931-459-7170. |
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