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Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach.


In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors.


Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug.
Advances in Patient Safety.


Objective: The objective of this project was to evaluate the efficacy of patient-centered strategies implemented in a community-based setting to improve the accuracy of the medication list in the outpatient setting. Methods: We conducted a quasi-experimental trial using two waves of cross-sectional data from patients aged 55 years or older conducted in five Aurora Health Care clinics in Walworth County, WI. Interventions included education, personal medication lists, and medication bags. The primary outcome measure was the rate of accurate medication lists in the intervention clinics compared with a group of 68 control clinics. Results: After disseminating over 16,600 medication lists and 7,800 medication bags at over 80 educational programs, the rate of accurate medication lists significantly increased from 55 percent to 72 percent (P <0.001). This increase was significantly better than changes seen in the comparison group (P <0.001). Conclusion: A community-based initiative providing tools and resources for patient engagement can improve the accuracy of the outpatient medication list.

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