This week: The MARQUIS study of interventions to reduce medication errors in hospital, super-utilizer patients, and the potential of community health workers for population health and medical education.
Amol and Shail want you to understand the following:
1. Medication errors are an important problem in hospital and a multi-faceted intervention can be effective in addressing this issue.
2. There are various phenotypes of super-utilizer patients, who consume disproportionate amounts of health resources, and this has implications for targeted interventions.
3. Community health workers can be “demographic mirrors” of the population they serve and can help improve medical education about social determinants of health.
Continuing Medical Education
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The papers
MARQUIS Study and Medication Reconciliation Toolkit
S Kangovi et al. Patient-Centered Community Health Worker Intervention to Improve Posthospital Outcomes. JAMA Intern Med. 2014 Apr;174(4):535-43. (PubMed).
SB Hong et al. 5 Phenotypes of High Cost Patients [Abstract]. SGIM. 2015.
The Hot Spotters. Atul Gawande. The New Yorker. 24 Jan 2011.
Good Stuff
M Green, R Rieck. Missed It. Ann Intern Med. 5 Mar 2013.
