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August 24, 2010; 75 (8) Special Article

Invited Article: Improving safety for the neurologic patient

Evaluating medications, literacy, and abuse

A. DePold Hohler, J. Doyle Lee, E.A. Schulman, J.A. Schafer, C. Flippen
First published August 23, 2010, DOI: https://doi.org/10.1212/WNL.0b013e3181eee480
A. DePold Hohler
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J. Doyle Lee
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E.A. Schulman
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J.A. Schafer
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C. Flippen
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Citation
Invited Article: Improving safety for the neurologic patient
Evaluating medications, literacy, and abuse
A. DePold Hohler, J. Doyle Lee, E.A. Schulman, J.A. Schafer, C. Flippen
Neurology Aug 2010, 75 (8) 742-746; DOI: 10.1212/WNL.0b013e3181eee480

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Patient safety came to the forefront following the Institute of Medicine's 1999 report “To Err is Human: Building a Safer Health System.” This report highlighted the need to improve our effectiveness in protecting patients from harmful errors, responsible for an estimated 44,000 to 98,000 hospital deaths each year.1 In the wake of this report, a broad array of stakeholders, including the members of the American Academy of Neurology (AAN), have joined the effort to advance patient safety research and reform. The Joint Commission (JC) has added momentum by incorporating national patient safety goals into their accreditation process.2

The AAN has helped to identify and correct patient safety concerns in neurologic practice. The Patient Safety Subcommittee (PSS) has organized the Patient Safety Colloquium (PSC) at the annual meeting where patient safety issues are presented and current safety tools are provided. PSC information includes information on screening for abuse or falls and assessing for driving safety. Other resources include information on medication interactions, complementary medications and their neurologic side effects, and Internet tools for improving medication compliance. The syllabi for all PSC since 2007 are available on the AAN Patient Safety Web site.3

The PSS collaborates with groups within and outside of the AAN. For example, work with the Practice Improvement Subcommittee integrates safety measures into practice guidelines. Coordination with the Education Committee promotes safety as a priority in educational offerings. Partnering with malpractice insurance providers helps to identify delays in diagnosis or treatment, and delayed or incomplete communication. By using these proactive strategies such as education and system safeguards we can improve patient care.4

This article focuses on medication errors, health literacy, and abuse and neglect, which are 3 of the main focus areas for the PSS. To facilitate practice improvement, tools and tips are provided. Additional …

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Letters: Rapid online correspondence

  • Invited Article: Improving safety for the neurologic patient: Evaluating medications, literacy, and
    • Seemant Chaturvedi, Wayne State University, 8C-UHC, 4201 St. Antoine, Detroit, MI 48201SChaturv@med.wayne.edu
    • Aniel Majjhoo MD, Sandra Narayanan MD
    Submitted January 03, 2011
  • Reply from the authors
    • Anna D. Hohler, Boston University School of Medicine, 720 Harrison Ave, Suite 707, Boston, MA 02118hohlera@hotmail.com
    • Jessica Doyle Lee (Dallas, TX; Jessica.Lee@UTSouthwestern.edu)
    Submitted January 03, 2011
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