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Slide Presentation of the 2007 Annual Meeting of AHRQ

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The Safety Problem: Flowchart

Text Description is below the image.

Flowchart describing the factors involved in patients not receiving adequate medication education before leaving the hospital.

Factors include:

Health Care Team

  • Staffing shortages
  • Inconsistent knowledge of resources


  • Inconsistent availability of teaching tools
  • Generic teaching documentation forms


  • Patient education left to day of discharge
  • Little collaboration among disciplines
  • Variability in the degree/amount of education


  • Hard to predict LOS
  • High patient acuity and number of medications
  • High census and patient turnover

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