Advancing Pharmacy Health Literacy Practices Through Quality Improvement


The following resources can be used as background reading for faculty or as reading assignments for students/residents. This section may be used as a reference point and resource for further exploration of health literacy quality improvement in pharmacy.

Agency for Healthcare Research and Quality (AHRQ) Health Literacy Tools

Communication Tools

Tools for Developing or Assessing Materials

Medication List Tools

Health Literacy Skill Assessment Tools

Assessment Tools for Pharmacies

Other Tools

Health Literacy Resource Web Sites

Quality Improvement Resources and Tools



  • Health Literacy Interventions and Outcomes: An Updated Systematic Review, March 2011. Agency for Healthcare Research and Quality, Rockville, MD.
  • Andrus MR, Roth MT. Health literacy: A review. Pharmacotherapy 2002;22(3):282-302.
  • Barnett CW. Patient health literacy in the community pharmacy setting. America's Pharmacist 2006; December:63-71.
  • Brown L. Low health literacy: What pharmacists can do to help. J Am Pharm Assoc 2006;46(1): 4-6.
  • Davis TC, Wolf MS, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med 2006;145(12):887-894.
  • Hardin LR. Counseling patients with low health literacy. Frontline pharmacist. Am J Health-Sys Pharm 2005;62(4):364-365.
  • Kirk JK, Krick S, Futrell D, et al. Connecting pharmacy and literacy: the North Carolina Medication Information Literacy Project. Am J Pharm Educ 2000;64:277-83.
  • Kripalani S, Jacobson KL, Brown S, et al. Development and implementation of a health literacy training program for medical residents. Med Educ Online. 2006;11(13).
  • Kripalani S, Robertson R, et al. Development of an illustrated medication schedule as a low-literacy patient education tool. Patient Educ Couns 2007;66(3):368-377.
  • Ngoh LN. Health literacy: A barrier to pharmacist-patient communication and medication adherence. J Am Pharm Assoc 2009;15(8):45-57.
  • Osborn CY, Weiss BD, Davis TC, Skripkauskas S, Rodrigue C, Bass PF, Wolf MS. Measuring adult literacy in health care: performance of the newest vital sign. American Journal of Health Behavior. 2007 Sep-Oct; 31 Suppl 1:S36-46.
  • Praska JL, Kripalani S, Seright AL, et al. Identifying and assisting low-literacy patients with medication use: a survey of community pharmacies. Ann Pharmacother 2005;39(9):1441-1445.
  • Tkacz VL, Metzger A, Pruchnicki MC. Health literacy in pharmacy. Am J Health Syst Pharm 2008;65(10): 974-981.
  • Warner A, Menachemi N, Brooks RG. Health literacy, medication errors, and health outcomes: Is there a relationship? Hospital Pharmacist. 2006;41:542-551.
  • Warholak TL. Ensuring quality in pharmacy operations. In: Desselle S and Zgarrick D, eds. Pharmacy Management. 2nd ed. New York:McGraw Hill; 2008:125-149.
  • Warholak TL, Nau DP. (2010). Quality and safety in pharmacy practice. McGraw-Hill; New York, NY.
  • Warholak TL, Scott V. What is quality improvement? In: Warholak TL, Nau D (Eds). Pharmacy Quality: Improving the Safety and Effectiveness of Pharmacy Services. McGraw Hill Companies, Inc.
  • Wolf MS, Davis TC, Tilson H, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm 2006;63(11):1048-1055.
  • Wolf MS, Williams MV, Parker RM, Parikh NS, Nowlan AW, Baker DW. Patients' shame and attitudes toward discussing the results of literacy screening. Journal of Health Communications. 2007 Dec;12(8):721-732.
  • Youmans SL, Schillinger D. Functional health literacy and medication use: the pharmacist's role. Ann Pharmacother 2003;37:1726-1729.

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Page last reviewed March 2017
Page originally created December 2011
Internet Citation: Resources. Content last reviewed March 2017. Agency for Healthcare Research and Quality, Rockville, MD.