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Research ArticleOriginal Research

Improving the Effectiveness of Medication Review: Guidance from the Health Literacy Universal Precautions Toolkit

Barry D. Weiss, Angela G. Brega, William G. LeBlanc, Natabhona M. Mabachi, Juliana Barnard, Karen Albright, Maribel Cifuentes, Cindy Brach and David R. West
The Journal of the American Board of Family Medicine January 2016, 29 (1) 18-23; DOI: https://doi.org/10.3122/jabfm.2016.01.150163
Barry D. Weiss
From the Department of Family and Community Medicine, University of Arizona, Tucson (BDW); the Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (AGB, KA); the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora (AGB, WGL, MC, DRW); the American Academy of Family Physicians, Kansas City, KS (NMM); the Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus, Aurora (JB, KA, DRW); and the Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, MD (CB).
MD
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Angela G. Brega
From the Department of Family and Community Medicine, University of Arizona, Tucson (BDW); the Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (AGB, KA); the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora (AGB, WGL, MC, DRW); the American Academy of Family Physicians, Kansas City, KS (NMM); the Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus, Aurora (JB, KA, DRW); and the Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, MD (CB).
PhD
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William G. LeBlanc
From the Department of Family and Community Medicine, University of Arizona, Tucson (BDW); the Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (AGB, KA); the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora (AGB, WGL, MC, DRW); the American Academy of Family Physicians, Kansas City, KS (NMM); the Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus, Aurora (JB, KA, DRW); and the Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, MD (CB).
PhD
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Natabhona M. Mabachi
From the Department of Family and Community Medicine, University of Arizona, Tucson (BDW); the Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (AGB, KA); the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora (AGB, WGL, MC, DRW); the American Academy of Family Physicians, Kansas City, KS (NMM); the Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus, Aurora (JB, KA, DRW); and the Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, MD (CB).
MPH, PhD
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Juliana Barnard
From the Department of Family and Community Medicine, University of Arizona, Tucson (BDW); the Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (AGB, KA); the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora (AGB, WGL, MC, DRW); the American Academy of Family Physicians, Kansas City, KS (NMM); the Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus, Aurora (JB, KA, DRW); and the Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, MD (CB).
MA
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Karen Albright
From the Department of Family and Community Medicine, University of Arizona, Tucson (BDW); the Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (AGB, KA); the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora (AGB, WGL, MC, DRW); the American Academy of Family Physicians, Kansas City, KS (NMM); the Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus, Aurora (JB, KA, DRW); and the Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, MD (CB).
PhD
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Maribel Cifuentes
From the Department of Family and Community Medicine, University of Arizona, Tucson (BDW); the Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (AGB, KA); the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora (AGB, WGL, MC, DRW); the American Academy of Family Physicians, Kansas City, KS (NMM); the Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus, Aurora (JB, KA, DRW); and the Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, MD (CB).
RN
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Cindy Brach
From the Department of Family and Community Medicine, University of Arizona, Tucson (BDW); the Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (AGB, KA); the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora (AGB, WGL, MC, DRW); the American Academy of Family Physicians, Kansas City, KS (NMM); the Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus, Aurora (JB, KA, DRW); and the Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, MD (CB).
MPP
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David R. West
From the Department of Family and Community Medicine, University of Arizona, Tucson (BDW); the Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (AGB, KA); the Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora (AGB, WGL, MC, DRW); the American Academy of Family Physicians, Kansas City, KS (NMM); the Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus, Aurora (JB, KA, DRW); and the Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, MD (CB).
PhD
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  • Article
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References

  1. 1.↵
    Prescribing errors are the most common medication errors in primary care practices: Research activities, February 2009, no. 374. Rockville, MD: Agency for Healthcare Research and Quality. Available from: http://archive.ahrq.gov/news/newsletters/research-activities/feb09/0209RA5.html. Accessed November 11, 2015.
  2. 2.↵
    1. Kuo GM,
    2. Phillips RL,
    3. Graham D,
    4. Hickner JM
    . Medication errors reported by US family physicians and their office staff. Qual Saf Health Care 2008;17:289–90.
    OpenUrl
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    1. Johnell K,
    2. Klarin I
    . The relationship between number of drugs and potential drug-drug interactions in the elderly: a study of over 600,000 elderly patients from the Swedish Prescribed Drug Register. Drug Saf 2007;30:911–8.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.↵
    American Geriatrics Society 2012 Beers Criteria Update Expert Panel. American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc 2012;60:616–31.
    OpenUrlCrossRefPubMed
  5. 5.↵
    1. Gallagher P,
    2. O'Mahony D
    . STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers' criteria. Age Ageing 2008;37:673–9.
    OpenUrlAbstract/FREE Full Text
  6. 6.↵
    1. Wolff CM,
    2. Nowacki AS,
    3. Yeh JY,
    4. Hickner JM
    . A randomized controlled trial of two interventions to improve medication reconciliation. J Am Board Fam Med 2014;27:347–55.
    OpenUrlAbstract/FREE Full Text
  7. 7.↵
    1. Varkey P,
    2. Cunningham J,
    3. Bisping DS
    . Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf 2007;33:286–92.
    OpenUrlPubMed
  8. 8.↵
    1. Nathan A,
    2. Goodyer L,
    3. Lovejoy A,
    4. Rashid A
    . “Brown bag” medication reviews as a means of optimizing patients' use of medication and of identifying potential clinical problems. Fam Pract 1999;16:278–82.
    OpenUrlAbstract/FREE Full Text
  9. 9.↵
    1. Sarzynski EM,
    2. Luz CC,
    3. Zhou S,
    4. Rios-Bedoya CF
    . Medication reconciliation in an outpatient geriatrics clinic: does accuracy improve if patients “brown bag” their medications for appointments? J Am Geriatr Soc 2014;62:567–9.
    OpenUrlPubMed
  10. 10.↵
    1. Brown S
    . Overcoming the pitfalls of medication reconciliation. Nurs Manage 2012;43:15–7.
    OpenUrlPubMed
  11. 11.↵
    1. DeWalt DA,
    2. Callahan LF,
    3. Hawk VH,
    4. et al
    . Health Literacy Universal Precautions Toolkit. AHRQ publication no. 10-0046-EF. Rockville, MD: Agency for Healthcare Research and Quality; April 2010.
  12. 12.↵
    1. Cipolle RJ,
    2. Stands LM,
    3. Morley PC
    . Drug therapy problems. In: Pharmaceutical care practice: the patient centers approach to medication management services, 3rd ed. New York: McGraw-Hill Companies; 2012:141–82.
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The Journal of the American Board of Family     Medicine: 29 (1)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 1
January-February 2016
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Improving the Effectiveness of Medication Review: Guidance from the Health Literacy Universal Precautions Toolkit
Barry D. Weiss, Angela G. Brega, William G. LeBlanc, Natabhona M. Mabachi, Juliana Barnard, Karen Albright, Maribel Cifuentes, Cindy Brach, David R. West
The Journal of the American Board of Family Medicine Jan 2016, 29 (1) 18-23; DOI: 10.3122/jabfm.2016.01.150163

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Improving the Effectiveness of Medication Review: Guidance from the Health Literacy Universal Precautions Toolkit
Barry D. Weiss, Angela G. Brega, William G. LeBlanc, Natabhona M. Mabachi, Juliana Barnard, Karen Albright, Maribel Cifuentes, Cindy Brach, David R. West
The Journal of the American Board of Family Medicine Jan 2016, 29 (1) 18-23; DOI: 10.3122/jabfm.2016.01.150163
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Keywords

  • Education of Patients
  • Health Literacy
  • Medical Errors
  • Polypharmacy

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