Preventing Medication Errors During Care Transitions in Minnesota

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Preventing Medication Errors During Care Transitions in Minnesota

Over 40% of medication discrepancies during hospital-to-home transitions can cause serious or significant adverse drug events.

Minnesota’s healthcare system ranks among the best, yet fixable gaps in medication management remain a leading cause of costly readmissions and patient harm.

Where Medication Errors Happen

Errors typically stem from communication breakdowns. Minnesota's adverse health event reports show record highs in recent years, with the majority occurring during prescribing (59%) and administration (35%).

High-Risk Medications to Watch:

  • Anticoagulants: (Blood thinners) The leading cause of ED visits for adverse events.
  • Diabetes Medications: Including Insulin, requiring precise dosing.
  • Blood Pressure Drugs & Antibiotics: Frequently altered during hospital stays.

The Safety Net: Medication Reconciliation

This is the formal process of creating the Best Possible Medication History (BPMH) by comparing hospital orders against what you actually take at home. Minnesota law requires licensed professionals to perform this check during medication management.

Teach-Back Method

Instead of asking "Do you understand?", nurses ask you to explain your medication schedule in your own words. If you can't explain it, you don't understand it yet.

Management Tools

  • Pill Organizers: For a week-at-a-glance view.
  • Digital Apps: To track refills and reminders.
  • Written Schedules: Listing dose, time, and purpose.

Patient Checklist: Questions to Ask Before Discharge

Focus Area Key Question
New Meds What are the names, doses, and purposes of all my new medications?
Old Meds Which of my previous medications should I stop taking immediately?
Side Effects What are the potential side effects, and what do I do if they occur?
Support What number do I call if I have medication questions at 2:00 AM?

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