Errors and omissions: Incomplete or incorrect documentation on admission to inpatient rehabilitation

High rates of documentation errors predominantly involving medications were noted during both study periods, which expose patients to the risk of physical harm, jeopardize hospital quality metrics, and expose institutions and providers to medicolegal risk. The presence of such errors requires heightened clinician vigilance to identify and remedy, which may lead to higher levels of provider stress and burnout. Collaboration with acute care hospitals is necessary to further reduce documented rates of errors in discharge paperwork in this systems-level challenge.

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Publication Details

Journal
PM&R
Published
2025-05-19
DOI
https://doi.org/10.1002/pmrj.13366
Primary Topic
Patient Safety and Medication Errors
Type
article
Field-Weighted Citation Impact
0.00
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article

Errors and omissions: Incomplete or incorrect documentation on admission to inpatient rehabilitation

Greg White, Marjorie A. Getz, Adam G. Lamm, John P. Rizik
PM&R
Patient Safety and Medication Errors
article

Errors and omissions: Incomplete or incorrect documentation on admission to inpatient rehabilitation

Greg White, Marjorie A. Getz, Adam G. Lamm, John P. Rizik
article en

Abstract

High rates of documentation errors predominantly involving medications were noted during both study periods, which expose patients to the risk of physical harm, jeopardize hospital quality metrics, and expose institutions and providers to medicolegal risk. The presence of such errors requires heightened clinician vigilance to identify and remedy, which may lead to higher levels of provider stress and burnout. Collaboration with acute care hospitals is necessary to further reduce documented rates of errors in discharge paperwork in this systems-level challenge.

PM&RVol. 17(8)
Grand Rapids Community College (US), Mary Free Bed Rehabilitation Hospital (US), The Ohio State University (US), Michigan State University (US)
Openalex Percentile: Top 82%
Patient Safety and Medication Errors
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