Am J Med Qual. 2013 Jan-Feb;28(1):16-24. doi: 10.1177/1062860612445070. Epub 2012 Jun 7.
Medication Safety in Primary Care Practice: results from a PPRNet quality improvement intervention.
SourceDepartment of Family Medicine, Medical University of South Carolina, Charleston, SC 29425, USA. Wessell@musc.edu
Reducing medication errors is a fundamental patient safety goal; however, few improvement interventions have been evaluated in primary care settings. The Medication Safety in Primary Care Practice project was designed to test the impact of a multimethod quality improvement intervention on 5 categories of preventable prescribing and monitoring errors in 20 Practice Partner Research Network (PPRNet) practices. PPRNet is a primary care practice-based research network among users of a common electronic health record (EHR). The intervention was associated with significant improvements in avoidance of potentially inappropriate therapy, potential drug-disease interactions, and monitoring of potential adverse events over 2 years. Avoidance of potentially inappropriate dosages and drug-drug interactions did not change over time. Practices implemented a variety of medication safety strategies that may be relevant to other primary care audiences, including use of EHR-based audit and feedback reports, medication reconciliation, decision-support tools, and refill protocols.
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