The Safe Use Initiative and Health Literacy Workshop Summary (2010) / Chapter Skim
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4 Initiatives to Advance Patient-Centered Drug Safety
4 Initiatives to Advance Patient-Centered Drug Safety
Pages 19-32
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Health Literacy and Prescription Container Labeling Advisory Panel was launched after the Institute of Medicine's (IOM's) Report on Standardizing Medication Labels (IOM, 2008)
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BOX 4-1 Recommendations of the U.S. Pharmacopeia Health Literacy and Prescription Container Labeling Advisory Panel Recommendations Organize the Prescription Label in a Patient-Centered Manner Patient-directed information must be organized in a way that best reflects how most patients seek out and understand medication instructions.
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Critical informa tion should never be truncated. The following several general rules can improve readability: • Optimize typography • Optimize white space (use adequate space between lines of text; use wide let ter spacing; and use white space to distinguish sections on the label such as directions for use vs.
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Include Supplemental Information Auxiliary information on the prescription container should be minimized and should be limited to evidence-based critical information regarding safe. The information should be presented in a standardized manner and should be necessary for patient understanding.
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is a patient safety coalition formed in 1982 to stimulate and improve communication of information on safe and appropriate medicine use to consumers and health care professionals. The NCPIE is a membership organization including a wide range of stakeholder groups; the FDA and AHRQ have nonvoting seats on the board of directors.
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• Balanced patient medication counseling when high-risk drugs are prescribed • Language–appropriate medicine counseling reinforced with useful written information CDC INITIATIVE Daniel Budnitz, M.D., M.P.H. Centers for Disease Control and Prevention Dr.
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The CDC policy was most influenced by the Government Accounting Office (GAO) report Adverse Drug events: The Magnitude of Health Risk is Uncertain Because of Limited Incidence Data (GAO, 2000)
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National surveillance of emergency department visits for outpatient adverse drug events.
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standardization of the volume metrics for liquid medications. Four workgroups were formed to facilitate packaging innovations, standardize dosing abbreviations, identify key messages for a national education campaign, and generate more data for key questions.
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But gaps in patient and consumer awareness in OTC and prescription medicines con tribute to medication errors, lead to overdose, and in some cases to acute liver failure. Patients may not recognize that acetaminophen is the active ingredient in their medicines, or that it is common in many OTC and pre scription medicines (Figure 4-4)
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along with expert advisors developed an acetaminophen ingredient icon to help patients and consumers recognize acetaminophen in multiple products and help minimize simultaneous use. They developed several graphical and design approaches for the icon and qualitatively tested them with patients in the health care setting and with consumers.
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Because very few drug benefit plans cover nonprescription products, those products are not routinely tracked via pharmacy claims data, including Part D Medicare, noted Lee Rucker from the AARP Public Policy Institute. This leads to difficulties tracking drug-related problems caused by interactions between prescription and nonprescription drugs.
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One participant asked whether patients are involved in product and standard development. Bullman used the example of the NCPIE-devel oped program called "Maximizing Your Role as a Teen Influencer: What You Can Do To Help Teens Prevent Prescription Drug Abuse." The content was derived from data from the Substance Abuse and Mental Health Services Administration (SAMHSA)
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