Journal of general internal medicine
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Multicenter Study
Teaching motivational interviewing to primary care staff in the Veterans Health Administration.
The Veterans Health Administration (VHA) is implementing the patient-centered medical home (PCMH) model of primary care which emphasizes patient-centered care and the promotion of healthy lifestyle changes. Motivational Interviewing (MI) is effective for promoting various health behaviors, thus a training protocol for primary care staff was implemented in a VHA health care setting. ⋯ Training primary care staff in MI is likely to become increasingly common as health care systems transition to the PCMH model of care. Therefore, it is important for health care systems to have low-cost methods for evaluating the effectiveness of such trainings. This study is a first step in developing a brief written assessment with the potential of measuring change in a range of behaviors and skills consistent with MI.
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Randomized Controlled Trial Multicenter Study
Effect of patient- and medication-related factors on inpatient medication reconciliation errors.
Little research has examined the incidence, clinical relevance, and predictors of medication reconciliation errors at hospital admission and discharge. ⋯ Medication reconciliation errors are common at hospital admission and discharge. Errors in preadmission medication histories are associated with older age and number of medications and lead to more discharge reconciliation errors. A recent medication list in the EMR is protective against medication reconciliation errors.