J Med Syst - Mitigating error vulnerability at the transition of care through the use of health IT applications.

Tópicos

{ patient(2837) hospit(1953) medic(668) }
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{ activ(1452) weight(1219) physic(1104) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Adverse drug events are largely considered to be errors in which the severity of effects could be lessened or even prevented through more effective medication reconciliation practices. Transitions of care, particularly at the time of discharge from the hospital, represent a time of heightened error vulnerability that contributes to medication discrepancy occurrences. The observed vulnerability can be attributed to communication and care continuity gaps across health care settings and can often lead to preventable errors. Health IT tools developed through research can identify factors which increase the risk of medication discrepancies. Additionally, the implementations of optimized clinical workflow processes to form effective transitions of care are approaches to decreasing medication discrepancies which may lead to adverse drug events. While federal policies and certifying organizations have implemented quality initiatives to increase focus on medication reconciliation practices in the hospital and primary care settings, the same practices must be implemented after a patient is discharged to their homes or another health care facility in order to mitigate error vulnerabilities that occur at the transition of care. This paper provides an overview of health IT system capabilities and their applications within and across health care delivery settings to facilitate care coordination to ensure continuity of care.

Resumo Limpo

advers drug event larg consid error sever effect lessen even prevent effect medic reconcili practic transit care particular time discharg hospit repres time heighten error vulner contribut medic discrep occurr observ vulner can attribut communic care continu gap across health care set can often lead prevent error health tool develop research can identifi factor increas risk medic discrep addit implement optim clinic workflow process form effect transit care approach decreas medic discrep may lead advers drug event feder polici certifi organ implement qualiti initi increas focus medic reconcili practic hospit primari care set practic must implement patient discharg home anoth health care facil order mitig error vulner occur transit care paper provid overview health system capabl applic within across health care deliveri set facilit care coordin ensur continu care

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