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    Medication Errors Affect Half of Heart Patients

    Even With Pharmacists' Help, Errors Common, Researchers Find
    By
    WebMD Health News
    Reviewed by Louise Chang, MD

    July 2, 2012 -- After leaving the hospital, many heart patients experience medication errors, even if they have extra help from pharmacists, according to new research.

    Although previous studies have found that about 20% of patients have some problem with their prescription medicine after discharge, the new study found errors more widespread.

    "We found that approximately 50% of patients had either a potentially avoidable adverse drug event or some other problem with their medicine that had the potential to cause harm if left uncorrected," says researcher Sunil Kripalani, MD, associate professor of medicine at Vanderbilt University School of Medicine in Nashville.

    Most errors were mild, he tells WebMD. Some were life-threatening, but no deaths were linked to the medication errors in the study.

    The errors occurred even in patients who got extra counseling from a pharmacist, Kripalani says. However, certain people, such as those who had difficulty understanding health information, did tend to benefit from having that extra help, he says.

    The study is published in the Annals of Internal Medicine.

    Medication errors harm at least 1.5 million people a year in the U.S., according to the Institute of Medicine of the National Academies.

    Medication Errors: Study Details

    The researchers looked at how extra help from pharmacists might help reduce medication errors.

    The 851 patients studied had been hospitalized with heart problems such as heart failure or heart attack. They were on average about 60 years old.

    They were discharged from Vanderbilt University Hospital or Brigham and Women's Hospital in Boston.

    The researchers assigned about half of the patients to get extra pharmacist help. They compared them to the other half, who got standard care.

    In the extra-help group, pharmacists:

    • Counseled patients in one or two sessions about how to reduce medication errors
    • Evaluated how well the patient understood the medication instructions
    • Asked about the patient's social support
    • Provided pill boxes and illustrated medication schedules
    • Called the patients one to four days after discharge to ask about any medication issues

    Patients in the comparison group got information about medication from their doctor and hospital nurses when they were discharged.

    The researchers tracked medication errors for a month after discharge.

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