Safe Use of Medications in Primary Care Practices

用药差错是医疗差错的一种常见类型，给社会带来了巨大的负担。估计 每年有770，000美国人经历导致伤害或死亡的药物不良事件，总成本为 二十亿美元这些统计数据使减少用药错误成为国家的优先事项。因为 门诊处方药的数量，因为大多数关于用药错误的数据 来自住院设置，医学研究所呼吁更多的研究用药错误 在门诊部。此K 08应用程序概述了一个五年计划，以支持候选人谁是已经 有助于门诊用药安全的临床研究。候选人是临床药剂师， 10年的基层护理工作经验和专业培训，以及她的学术支持 部门此外，她还拥有丰富的药物治疗教学和实践经验- 基于药物安全性的研究。职业发展计划提供了一系列仔细的 选定的培训和指导经验，包括博士级卫生服务研究课程， 指导研究导致合作研究和出版物，以及专业网络，这将 让她的研究成果更上一层楼她提出的研究计划，安全使用 初级保健实践中的药物，有三个具体目标：1）确定示范方法， 用于药物调节的范例（即，捕获和解决药物中的差异 （二）评估是否可行， 用于服用多种药物的初级护理患者的药物调节的示例性方法;以及3） 传播研究成果，并在开展成果试验的建议中扩大这项工作的范围。

Medication error, a common type of medical error, carries a tremendous social burden. An estimated 770,000 Americans each year experience adverse drug events that result in injury or death at a total cost of $2 billion. These statistics have made the reduction of medication errors a national priority. Because of the number of medications prescribed in the outpatient setting and because most data on medication errors come from the inpatient setting, the Institute of Medicine has called for more research on medication errors in the outpatient setting. This K08 application outlines a five-year plan to support a candidate who is already contributing to clinical research on outpatient medication safety. The candidate is a clinical pharmacist with 10 years of working experience and specialty training in primary care and strong support from her academic department. In addition, she has substantial experience teaching pharmacotherapy and conducting practice- based research on medication safety. The career development plan provides a sequence of carefully selected training and mentoring experiences, including doctoral-level health services researchcoursework, mentored research leading to collaborative studies and publications, and professional networking, that will catapult her to the next level of research achievement. Her proposed research program, Safe Use of Medications in Primary Care Practices, has three specific aims: 1) to identify exemplary methods and exemplars for medication reconciliation (i.e., capturing and resolving discrepancies in the medications actually being taken and those recorded in patients' medical records); 2) to evaluate the feasibility of exemplary methods for medication reconciliation on primary care patients taking multiple medications; and 3) to disseminate study results and to extend the scope of this work in proposals to conduct outcomes trials.