23.08.2015 Views

Project RED The ReEngineed Discharge

Download (PDF, 8.23 MB) - Health Care Improvement Foundation

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ErrorPatientMedication Issues Identifiedat 2-Day Post-dc Calldid not fillmoney/financial barrierintentional non-adherencenon-intentional non-adherencedid not fill, insurance issueSystem ProblemRx given w/ known allergiesconflicting info from different sourcesd/c instructions incomplete/inaccurateduplicationincorrect dosageincorrect quantitypt needed to fill at special pharmacypt does not know how to useno Rx given at d/cFrequency,number (%)n=19716 (3.5)19 (4.1)170 (36.7)57 (12.3)18 (3.9)3 (0.6)111 (24.0)13 (2.8)14 (3.0)8 (1.7)2 (0.4)1 (0.2)2 (0.4)28 (6.0)Total errors 463 (100.0)

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