# Patient Engagement in Reporting Medication Events during Transitions of Care

> **NIH AHRQ R01** · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2022 · $395,579

## Abstract

Abstract:
 Transitions of care (TOC) for patients with cancer are complex situations that increase risks for poor patient
outcomes and adverse events. Our proposal is built on the Chronic Care Model evidence that informed, activated
patients could provide meaningful feedback on their experiences and perceptions of safety in the context of care
transitions, promoting productive interactions through timely responses and support toward improved outcomes.
To leverage self-management via the support of information technology systems, we propose a consumer-
oriented patient safety event (PSE) platform to engage patients with cancer and their families to report medication
adverse events during TOC and improve the understanding of the nature and causes of PSE. Despite the
feasibility of consumer-oriented PSE reporting has been established, it remains largely unknown how to engage
patients and families in using the reporting systems, especially how to mitigate the identified barriers such as
patient factors, insufficient system design features, and mismatch between technology platform and objectives
for patients and families to involve in PSE reporting during TOC. We chose the priority population who are under
the treatment of oral anticancer agents (OAA) at home since they face specific medication safety and self-
management challenges, including complex regimens and life-threatening toxicities, as well as high potentials
for drug-drug and drug-food interactions.
 Application of the PSE reporting system is innovative in the OAA management process, which will improve
care transitions by enhancing patient communication and care coordination, thereby reducing and mitigating
adverse events. The platform built upon the AHRQ common formats is expected to defragment information and
utilize community resources regarding OAA adverse events and self-management, interoperable with prevailing
event reporting systems, and compatible with federal data sources in aggregating, trending events via patient
safety organizations. Our approach based on rigorous theoretical frameworks for improving patient engagement
is scalable to other chronic conditions during transitions of care. This proposal is focused on supporting patient
self-management activities during care transitions back home, responding to the AHRQ priority of matching the
technology platform to improve the quality of care and patient outcomes.

## Key facts

- **NIH application ID:** 10434714
- **Project number:** 5R01HS027846-02
- **Recipient organization:** UNIVERSITY OF MICHIGAN AT ANN ARBOR
- **Principal Investigator:** Yang Gong
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** AHRQ
- **Fiscal year:** 2022
- **Award amount:** $395,579
- **Award type:** 5
- **Project period:** 2021-07-01 → 2026-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10434714

## Citation

> US National Institutes of Health, RePORTER application 10434714, Patient Engagement in Reporting Medication Events during Transitions of Care (5R01HS027846-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10434714. Licensed CC0.

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