title: A small group of committed people.
abstract: This article recounts the author's personal experience with a flawed medication reconciliation system that was improved through her initiative and persistence. The history, function, and value of the nurse navigator role in identifying barriers to care are described. The author advocates for expanding our horizons beyond navigation to address and eliminate the identified barriers to provide high-quality patient and family care.
authors.affiliation: University of Pennsylvania Graduate School of Nursing, Pennsylvania, USA. lrpiper@comcast.net
authors.forename: Letty R
authors.initials: LR
authors.lastname: Piper
mesh_terms: D003266:Continuity of Patient Care; D011307:Drug Prescriptions; D004511:Education, Nursing, Graduate / Q000379:methods*; D006297:Health Services Accessibility; D006801:Humans; D062526:Patient Navigation / Q000379:methods*; D013598:Systems Theory