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. 2017 Feb 10:2016:1959-1966.
eCollection 2016.

Medication Harmony: A Framework to Save Time, Improve Accuracy and Increase Patient Activation

Frank Pandolfe  1 , Bradley H Crotty  1 , Charles Safran  1
Affiliations

Medication Harmony: A Framework to Save Time, Improve Accuracy and Increase Patient Activation

Frank Pandolfe et al. AMIA Annu Symp Proc. .

Abstract

Incompletely reconciled medication lists contribute to prescribing errors and adverse drug events. Providers expend time and effort at every point of patient contact attempting to curate a best possible medication list, and yet often the list is incomplete or inaccurate. We propose a framework that builds upon the existing infrastructure of a health information exchange (HIE), centralizes data and encourages patient activation. The solution is a constantly accessible, singular, patient-adjudicated medication list that incorporates useful information and features into the list itself. We aim to decrease medication errors across transitions of care, increase awareness of potential drug-drug interactions, improve patient knowledge and self-efficacy regarding medications, decrease polypharmacy, improve prescribing safety and ultimately decrease cost to the health-care system.

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Figures

Figure 1.
Figure 1.
Current structure of the outpatient medication list
Figure 2.
Figure 2.
Centralized Medication Manager
Figure 3.
Figure 3.
List federation and reconciliation
Figure 4.
Figure 4.
Patient view of current medications
See this image and copyright information in PMC

References

    1. Crico. Malpractice risks in communication failures: 2015 annual benchmarking report, 2015 [Internet] 2015. Available from: http://www.rmfstrategies.com/cbsreport.
    1. Bates D. The costs of adverse drug events in hospitalized patients. JAMA. 1997;277(4):307. - PubMed
    1. Powers B, Chaguturu S. ACOs and high-cost patients. New England Journal of Medicine. 2016;374(3):203–205. - PubMed
    1. Hug B. The costs of adverse drug events in community hospitals. Joint Commission Journal on Quality and Patient Safety. 2012;38(3):120–126. - PubMed
    1. Johnson J. Drug-related morbidity and mortality. A cost-of-illness model. Archives of Internal Medicine. 1995;155(18):1949–1956. - PubMed

MeSH terms