Complete knowledge of a patients medications, including over-the-counter and alternative medicines, is essential to the healthcare professional in providing quality care. In addition to the multiple steps from prescribing, dispensing to administering of a drug medication, there are several factors that increase an individuals risk for an adverse event and approaches to reduce medication errors. The movement of healthcare systems to an electronic medical record provides the potential of building a better health care system. This retrospective study compares five sources of medication, medical record chart, specialist, electronic medical record, pharmacy, insurance provider and patient, to determine what is the most accurate source of documentation, and what factors leading to better knowledge and documentation of all of a patients medications. This study also identifies additional risk factors, specifically drug affordability and the influence it has on a patients behavior, and discusses some considerations for reducing medication errors. The prevention and reduction of adverse events is of public health significance as there is both a health and financial cost to treating these adverse events.
| Identifer | oai:union.ndltd.org:PITT/oai:PITTETD:etd-12042009-212244 |
| Date | 27 January 2010 |
| Creators | Mah-Fraser, Tammy Sue |
| Contributors | John H. Marx, Kenneth J. Jaros, Ravi K. Sharma, Edmund M. Ricci |
| Publisher | University of Pittsburgh |
| Source Sets | University of Pittsburgh |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.pitt.edu/ETD/available/etd-12042009-212244/ |
| Rights | restricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Pittsburgh or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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