RXVIP Cares@ is Our Direct to Consumer Cost Saving and Life Saving Suite of Services
RXVIP works with physician practices to improve the quality of patient care. Our clinically trained pharmacists provide both cost-saving and life-saving solutions for our patients. Unfortunately, not all people have a primary care physician. Most chronic disease goes untreated until a patient has some type of significant event such as a heart attack, stroke, fall, fainting spell or other overt manifestation of an underlying disease.
The vast majority of patients under care take powerful prescription medications
Medication issues are responsible for over100,000 DEATHS AND HUNDREDS OF BILLIONS OF DOLLARS each year in unnecessary health care costs
Medication Misadventures Cost millions of hospital Visits each year and Billions of dollars. The text below copied verbatim from a 2016 article demonstrates the increasing risk to patients by powerful and dangerous medication regimens that are not monitored appropriately.
The alarming reality of medication error: a patient case and review of Pennsylvania and National data
Statistics and reports often focus on certain areas and special populations including transitions of care, at-risk groups, hospitalization, and economic impacts. Below the (P) represents State of Pennsylvania, while (N) represents national data.
Transitions of care
- The emergency department is the third most common source of medication errors (14) (P).
- Surveillance data indicate ADEs account for more than 3.5 million physician office visits, one million emergency department visits, and 125,000 hospital admissions yearly (3) (N).
- The emergency department is the third most common source of medication errors including wrong doses and overdoses (14) (P).
Special populations may be more likely affected and have adverse outcomes
- The elderly and those with limited access to health care services, low health literacy, low socioeconomic status, and language barriers may be more often affected (15) (N)
- Elderly patients are two to three times more likely to visit a physician office or emergency department, and seven times more likely to require hospitalization, due to ADEs (3) (N).
- In the elderly: 1 in 30 hospital admissions are due to an ADE (16) (N).
- ADEs total one-third of total hospital adverse events (3) (N).
- The average hospitalized patient experiences at least one medication error each day (17) (N).
- In 2008, one in seven Medicare beneficiaries experienced an adverse event during their hospital stay. Forty-two percent of temporary harm events were related to medications, and 50% of all medication events were deemed preventable (18) (N).
- Common high-risk medications include anticoagulants, opioids, insulin, and anti-diabetic agents (19) (P).
- Upon hospital discharge, 30% of patients have at least one medication discrepancy (15) (N).
- Twenty-four to thirty-three percent of post-discharge ADEs were deemed preventable (3) (N).
Economic impact (United States)
- Medication errors harm an estimated 1.5 million people every year, costing at least $3.5 billion annually (20) (N).
- It is estimated that ADEs affect approximately 2 million hospital stays annually and prolong the length of stay by 1.7–4.6 days (3) (N).
- In 2006, at least 1.5 million preventable ADEs occurred totaling more than $7 billion.
- Preventable medication errors impact more than 7 million patients and cost almost $21 billion annually across all care settings (20) (N).
With a growing population and longer life expectancy, the frequent occurrences of ADEs, medication errors, as well as polypharmacy will likely increase. Efforts must be made to improve overall physician communication and transition of care. Important steps include clear patient instructions with indications for use on every prescription, utilization of EHR medication import (when available) to review outpatient prescription history, and creating a culture within the medical field of error discussion.
Possibilities include medication teams who review admission and discharge reconciliations, team rounding with a pharmacist, encouraging postgraduate trainees and faculty to question indications and utility of medications, and distribution of national and institution data regarding errors, and adverse events. Mandatory training should occur for those providers who fail to document and reconcile medications properly. Unfortunately, there is no true way to monitor or enforce the critical thinking that is required for medication reconciliation.
When poor treatment response occurs or unusual symptoms develop, it is imperative that a review of medications and pill bottle review be part of the initial evaluation. We must implement and use multilevel safeguards, starting with error recognition. Medical error was recently described as the third leading cause of death; the emotional, professional, and economic impacts of errors and ADEs must be recognized. Only by creating a culture of humility, communication, and teamwork can we learn from our mistakes and hope to decrease preventable errors.
There is only one viable professionally Sound solution to all these problem. You need to partner with a clinically trained pharmacist to help prevent drug errors. Our RXVIP Cares Service offers you a direct method to engage with one of our pharmacist to get the care and attention you need to mitigate the risks to your health posed by your medication regimen. Our combination of cost-saving and life-saving interventions can literally save your life.
Reference: by Brianna A. da Silva, MD* and Mahesh Krishnamurthy, MD, FACP, SFHM Reference: J Community Hosp Intern Med Perspect. 2016; 6(4): 10.3402/jchimp.v6.31758. Published online 2016 Sep 7. doi: 10.3402/jchimp.v6.31758