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.
Authors
- Greg White (ORCID: https://orcid.org/0000-0002-0388-1064)
- Marjorie A. Getz
- Adam G. Lamm (ORCID: https://orcid.org/0000-0002-8247-2049)
- John P. Rizik
Institutions
- Grand Rapids Community College (US)
- Mary Free Bed Rehabilitation Hospital (US)
- The Ohio State University (US)
- Michigan State University (US)
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