How to Be an Advocate

The best way you can help to prevent errors is to be an active member of your healthcare team. That means taking part in every decision about your healthcare. Research shows that patients who are more involved with their care tend to get better results.


Make sure that all of your healthcare providers know about every medicine you are taking.
This includes prescription and over-the-counter medicines and dietary supplements, such as vitamins and herbs.

Bring all of your medicines and supplements to your doctor visits.
"Brown bagging" your medicines can help you and your doctor talk about them and find out if there are any problems. It can also help your doctor keep your records up to date and help you get better quality care.

Make sure your healthcare provider knows about any allergies and adverse reactions you have had to medicines.
This can help you to avoid getting a medicine that could harm you.

When your healthcare provider writes a prescription for you, make sure you can read it.
If you cannot read your healthcare provider's handwriting, your pharmacist might not be able to either.

Ask for information about your medicines in terms you can understand—both when your medicines are prescribed and when you get them:

What is the medicine for?

How am I supposed to take it and for how long?

What side effects are likely? What do I do if they occur?

Is this medicine safe to take with other medicines or dietary supplements I am taking?

What food, drink, or activities should I avoid while taking this medicine?

When you pick up your medicine from the pharmacy, ask: Is this the medicine that my healthcare provider prescribed?

If you have any questions about the directions on your medicine labels, ask.
Medicine labels can be hard to understand. For example, ask if "four times daily" means taking a dose every 6 hours around the clock or just during regular waking hours.

Ask your pharmacist for the best device to measure your liquid medicine.
For example, many people use household teaspoons, which often do not hold a true teaspoon of liquid. Special devices, like marked syringes, help people measure the right dose.

Ask for written information about the side effects your medicine could cause.
If you know what might happen, you will be better prepared if it does or if something unexpected happens.

Hospital Stays

If you are in a hospital, consider asking all healthcare workers who will touch you whether they have washed their hands.
Handwashing can prevent the spread of infections in hospitals.

When you are being discharged from the hospital, ask your doctor to explain the treatment plan you will follow at home.
This includes learning about your new medicines, making sure you know when to schedule follow-up appointments, and finding out when you can get back to your regular activities.

It is important to know whether or not you should keep taking the medicines you were taking before your hospital stay. Getting clear instructions may help prevent an unexpected return trip to the hospital.


If you are having surgery, make sure that you, your healthcare providers, and your surgeon all agree on exactly what will be done.
Having surgery at the wrong site (for example, operating on the left knee instead of the right) is rare. But even once is too often. The good news is that wrong-site surgery is 100% preventable. Surgeons are expected to sign their initials directly on the site to be operated on before the surgery.

If you have a choice, choose a hospital where many patients have had the procedure or surgery you need.
Research shows that patients tend to have better results when they are treated in hospitals that have a great deal of experience with their condition.

Other Steps

Speak up if you have questions or concerns.
You have a right to question anyone who is involved with your care.

Make sure that someone, such as your primary care doctor, coordinates your care.
This is especially important if you have many health problems or are in the hospital.

Make sure that all your healthcare providers have your important health information.
Do not assume that everyone has all the information they need.

Ask a family member or friend to go to appointments with you.
Even if you do not need help now, you might need it later.

Know that "more" is not always better.
It is a good idea to find out why a test or treatment is needed and how it can help you. You could be better off without it.

If you have a test, do not assume that no news is good news.
Ask how and when you will get the results.

Learn about your condition and treatments by asking your healthcare providers and by using other reliable sources.
For example, treatment options based on the latest scientific evidence are available from the Effective Health Care Web site. Ask your doctor if your treatment is based on the latest evidence.

Source: Agency for Healthcare Research and Quality []