Medication Errors Affect Half of Heart Patients
Even With Pharmacists' Help, Errors Common, Researchers Find
Medication Errors: Discussion
Although the extra pharmacist help didn't reduce the overall medication errors, Kripalani says it seemed to help some.
"What our subgroup analysis hinted at is that patients with more complex medication regimens, those with low health literacy, patients who tend to have more trouble understanding and managing their health, and those who had cognitive problems, tended to benefit more," he says.
Kripalani is a consultant, too, and holds equity in PictureRx, which produces patient education materials. It had no role in the study.
The National Heart, Lung, and Blood Institute was the primary funding source.
Medication Errors: Pharmacists Weigh In
The 50% finding is surprising, says Allen Vaida, PharmD, executive vice president of the Institute for Safe Medication Practices. He reviewed the findings for WebMD.
The errors occurred, he points out, at hospitals with excellent programs to minimize medication errors.
"That should be a wakeup call," he says, reminding people that errors can happen even at top hospitals.
The study suggests that talking to patients about medicines only at the time of hospital discharge is not ideal, says Cynthia Reilly, a spokeswoman for the American Society of Health-System Pharmacists.
A growing trend among hospital pharmacists, she says, is to telephone patients after discharge, as those in the study did, to check up on medications.
"There is definitely that critical time frame -- say, the first 10 days after a patient is discharged -- when medication error is more likely," she tells WebMD.
Medication Errors: Tips for Patients
Although some of the errors could have been avoided with closer monitoring by health care professionals, patients can take steps, too, Kripalani says. He tells patients:
- Get your questions about medicines answered before leaving the hospital.
- Have a "lifeline" person to contact once you are home.
- Pay extra attention to medicines right after leaving the hospital. "We studied the first month [after discharge], but I would say the first week or two is the most vulnerable time," he says.
- Go to one pharmacy so a list of your medications are in one place.
- Develop a relationship with your pharmacist.
- Ask someone to be your advocate to help you.