medication errors

Summary

Summary: Errors in prescribing, dispensing, or administering medication with the result that the patient fails to receive the correct drug or the indicated proper drug dosage.

Top Publications

  1. ncbi Medication errors observed in 36 health care facilities
    Kenneth N Barker
    Center for Research on Pharmacy Operations and Designs, School of Pharmacy, Auburn University, 128 Miller Hall, Auburn, AL 36849 5506, USA
    Arch Intern Med 162:1897-903. 2002
  2. ncbi Relationship between medication errors and adverse drug events
    D W Bates
    Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA
    J Gen Intern Med 10:199-205. 1995
  3. ncbi Updating the Beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts
    Donna M Fick
    Department of Medicine, Center for Health Care Improvement, Medical College of Georgia, Augusta 30912, USA
    Arch Intern Med 163:2716-24. 2003
  4. ncbi Adverse drug events in ambulatory care
    Tejal K Gandhi
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    N Engl J Med 348:1556-64. 2003
  5. pmc Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial
    Sunil Kripalani
    Department of Medicine, Vanderbilt University, 1215 21st Avenue South, Suite 6000 Medical Center East, Nashville, TN 37232, USA
    Ann Intern Med 157:1-10. 2012
  6. ncbi Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review
    Rainu Kaushal
    Division of General Internal Medicine, Brigham and Women s Hospital, Partners HealthCare System, Boston, Mass, USA
    Arch Intern Med 163:1409-16. 2003
  7. ncbi Improving safety with information technology
    David W Bates
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    N Engl J Med 348:2526-34. 2003
  8. ncbi A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis
    Anthony J Avery
    Division of Primary Care, University of Nottingham Medical School, Queen s Medical Centre, Nottingham, UK
    Lancet 379:1310-9. 2012
  9. pmc The impact of computerized physician order entry on medication error prevention
    D W Bates
    Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
    J Am Med Inform Assoc 6:313-21. 1999
  10. pmc Overriding of drug safety alerts in computerized physician order entry
    Heleen van der Sijs
    Department of Hospital Pharmacy, Erasmus University Medical Center, PO Box 2040, 3000 CA Rotterdam, The Netherlands
    J Am Med Inform Assoc 13:138-47. 2006

Detail Information

Publications344 found, 100 shown here

  1. ncbi Medication errors observed in 36 health care facilities
    Kenneth N Barker
    Center for Research on Pharmacy Operations and Designs, School of Pharmacy, Auburn University, 128 Miller Hall, Auburn, AL 36849 5506, USA
    Arch Intern Med 162:1897-903. 2002
    b>Medication errors are a national concern.
  2. ncbi Relationship between medication errors and adverse drug events
    D W Bates
    Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA
    J Gen Intern Med 10:199-205. 1995
    OBJECTIVE: To evaluate the frequency of medication errors using a multidisciplinary approach, to classify these errors by type, and to determine how often medication errors are associated with adverse drug events (ADEs) and potential ..
  3. ncbi Updating the Beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts
    Donna M Fick
    Department of Medicine, Center for Health Care Improvement, Medical College of Georgia, Augusta 30912, USA
    Arch Intern Med 163:2716-24. 2003
    ..The purpose of this initiative was to revise and update the Beers criteria for potentially inappropriate medication use in adults 65 years and older in the United States...
  4. ncbi Adverse drug events in ambulatory care
    Tejal K Gandhi
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    N Engl J Med 348:1556-64. 2003
    ..However, few data are available on adverse drug events among outpatients. We conducted a study to determine the rates, types, severity, and preventability of such events among outpatients and to identify preventive strategies...
  5. pmc Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial
    Sunil Kripalani
    Department of Medicine, Vanderbilt University, 1215 21st Avenue South, Suite 6000 Medical Center East, Nashville, TN 37232, USA
    Ann Intern Med 157:1-10. 2012
    Clinically important medication errors are common after hospital discharge...
  6. ncbi Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review
    Rainu Kaushal
    Division of General Internal Medicine, Brigham and Women s Hospital, Partners HealthCare System, Boston, Mass, USA
    Arch Intern Med 163:1409-16. 2003
    ..Iatrogenic injuries related to medications are common, costly, and clinically significant. Computerized physician order entry (CPOE) and clinical decision support systems (CDSSs) may reduce medication error rates...
  7. ncbi Improving safety with information technology
    David W Bates
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    N Engl J Med 348:2526-34. 2003
  8. ncbi A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis
    Anthony J Avery
    Division of Primary Care, University of Nottingham Medical School, Queen s Medical Centre, Nottingham, UK
    Lancet 379:1310-9. 2012
    b>Medication errors are common in primary care and are associated with considerable risk of patient harm...
  9. pmc The impact of computerized physician order entry on medication error prevention
    D W Bates
    Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
    J Am Med Inform Assoc 6:313-21. 1999
    b>Medication errors are common, and while most such errors have little potential for harm they cause substantial extra work in hospitals...
  10. pmc Overriding of drug safety alerts in computerized physician order entry
    Heleen van der Sijs
    Department of Hospital Pharmacy, Erasmus University Medical Center, PO Box 2040, 3000 CA Rotterdam, The Netherlands
    J Am Med Inform Assoc 13:138-47. 2006
    ..Studies on cognitive processes playing a role in overriding drug safety alerts are lacking...
  11. ncbi Association of interruptions with an increased risk and severity of medication administration errors
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe 1825, NSW, Australia
    Arch Intern Med 170:683-90. 2010
    ..Interruptions have been implicated as a cause of clinical errors, yet, to our knowledge, no empirical studies of this relationship exist. We tested the hypothesis that interruptions during medication administration increase errors...
  12. ncbi Potentially inappropriate medication use among elderly home care patients in Europe
    Daniela Fialova
    Department of Geriatrics and Gerontology, 1st Medical Faculty, Charles University, Prague, Czech Republic
    JAMA 293:1348-58. 2005
    ..In contrast, in Europe little information is available about potentially inappropriate medication use and is based on small studies with uncertain generalizability...
  13. ncbi Physicians' decisions to override computerized drug alerts in primary care
    Saul N Weingart
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Rose 112, 330 Brookline Avenue, Boston, MA 02215, USA
    Arch Intern Med 163:2625-31. 2003
    Although computerized physician order entry reduces medication errors among inpatients, little is known about the use of this system in primary care.
  14. pmc The effect of electronic prescribing on medication errors and adverse drug events: a systematic review
    Elske Ammenwerth
    UMIT University for Health Sciences, Medical Informatics and Technology Tyrol, Institute for Health Information Systems, Tyrol, Austria
    J Am Med Inform Assoc 15:585-600. 2008
    ..Concluding, it seems that electronic prescribing can reduce the risk for medication errors and ADE. However, studies differ substantially in their setting, design, quality, and results...
  15. pmc Adverse drug event trigger tool: a practical methodology for measuring medication related harm
    J D Rozich
    Luther Midelfort, Mayo Health System, Eau Claire, WI 54703, USA
    Qual Saf Health Care 12:194-200. 2003
    ..The adapted technique appears to increase the rate of ADE detection approximately 50-fold over traditional reporting methodologies...
  16. pmc Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review
    Margaret H Reckmann
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe 1825, Sydney, Australia
    J Am Med Inform Assoc 16:613-23. 2009
    Previous reviews have examined evidence of the impact of CPOE on medication errors, but have used highly variable definitions of "error"...
  17. pmc Medication-related clinical decision support in computerized provider order entry systems: a review
    Gilad J Kuperman
    Quality Informatics, NewYork Presbyterian Hospital, 525 E 68 Street, Box 298, New York, NY 10021, USA
    J Am Med Inform Assoc 14:29-40. 2007
    ..medications can improve patients' health, the process of prescribing them is complex and error prone, and medication errors cause many preventable injuries...
  18. ncbi Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents
    Denys T Lau
    Buehler Center on Aging, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    Arch Intern Med 165:68-74. 2005
    ..This study examines the association of potentially inappropriate medication prescribing (PIRx) with hospitalization and death among elderly long-stay nursing home residents...
  19. ncbi Medication errors and adverse drug events in pediatric inpatients
    R Kaushal
    Children's Hospital, Enders 609, Longwood Avenue, Boston, MA 02115, USA
    JAMA 285:2114-20. 2001
    CONTEXT: Iatrogenic injuries, including medication errors, are an important problem in all hospitalized populations. However, few epidemiological data are available regarding medication errors in the pediatric inpatient setting...
  20. ncbi Unintended medication discrepancies at the time of hospital admission
    Patricia L Cornish
    Department of Pharmacy, Sunnybrook and Women s College Health Sciences Centre, Toronto, Ontario, Canada
    Arch Intern Med 165:424-9. 2005
    ..These errors are particularly worthy of attention because they are not likely to be detected by computerized physician order entry systems...
  21. pmc Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis
    S Royal
    Division of Primary Care, University of Nottingham Medical School, Queen s Medical Centre, Nottingham NG7 2UH, UK
    Qual Saf Health Care 15:23-31. 2006
    ..To identify and evaluate studies of interventions in primary care aimed at reducing medication related adverse events that result in morbidity, hospital admission, and/or mortality...
  22. pmc Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review
    Vincent C Tam
    Faculty of Medicine, University of Ottawa, Ottawa, Ont
    CMAJ 173:510-5. 2005
    ..We undertook a systematic review of studies describing the frequency, type and clinical importance of medication history errors at hospital admission...
  23. ncbi Systematic review of medication safety assessment methods
    Carla Meyer-Massetti
    Swiss Patient Safety Foundation, Zurich, Switzerland
    Am J Health Syst Pharm 68:227-40. 2011
    ..The accuracy, efficiency, and efficacy of four commonly recommended medication safety assessment methodologies were systematically reviewed...
  24. ncbi Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit
    James A Taylor
    Department of Pediatrics, University of Washington, Box 354920, Seattle, WA 98195, USA
    Pediatrics 121:123-8. 2008
    ..The goal was to determine whether implementation of a computerized physician order entry system was associated with a decrease in medication administration variances in a NICU...
  25. ncbi Clarification of terminology in medication errors: definitions and classification
    Robin E Ferner
    West Midlands Centre for Adverse Drug Reactions, City Hospital, Birmingham, UK
    Drug Saf 29:1011-22. 2006
    ..Here we discuss and define terms that are used in the field of medication errors, particularly terms that are sometimes misunderstood or misused...
  26. ncbi Improved quality in the hospital discharge summary reduces medication errors--LIMM: Landskrona Integrated Medicines Management
    Anna Bergkvist
    Hospital Pharmacy, University Hospital MAS, 205 02 Malmo, Sweden
    Eur J Clin Pharmacol 65:1037-46. 2009
    ..In this study, we focus on improving the quality of the discharge summary including the medication report to reduce medication errors in the transition from hospital to primary and community care.
  27. pmc Errors associated with outpatient computerized prescribing systems
    Karen C Nanji
    Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    J Am Med Inform Assoc 18:767-73. 2011
    ..To report the frequency, types, and causes of errors associated with outpatient computer-generated prescriptions, and to develop a framework to classify these errors to determine which strategies have greatest potential for preventing them...
  28. ncbi Impact of the Lund Integrated Medicines Management (LIMM) model on medication appropriateness and drug-related hospital revisits
    Lina M Hellström
    eHealth Institute and School of Natural Sciences, Linnaeus University, 391 82, Kalmar, Sweden
    Eur J Clin Pharmacol 67:741-52. 2011
    ....
  29. pmc Prevention of medication errors: detection and audit
    Germana Montesi
    Internal Medicine, University Hospital, Verona, Italy
    Br J Clin Pharmacol 67:651-5. 2009
    1. Medication errors have important implications for patient safety, and their identification is a main target in improving clinical practice errors, in order to prevent adverse events. 2. Error detection is the first crucial step...
  30. pmc Medication errors: definitions and classification
    Jeffrey K Aronson
    Department of Primary Health Care, Oxford, UK
    Br J Clin Pharmacol 67:599-604. 2009
    1. To understand medication errors and to identify preventive strategies, we need to classify them and define the terms that describe them. 2...
  31. ncbi The impact of hospitalwide computerized physician order entry on medical errors in a pediatric hospital
    Jeffrey S Upperman
    Division of Pediatric Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
    J Pediatr Surg 40:57-9. 2005
    b>Medication errors contribute significantly to the morbidity and costs of pediatric health care...
  32. ncbi Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study
    Raja R Benkirane
    Moroccan Pharmacovigilance Centre, Rabat, Marocco
    J Patient Saf 5:16-22. 2009
    ....
  33. pmc Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people
    N D Barber
    Department of Practice and Policy, School of Pharmacy, Tavistock House, Tavistock Square, London WC1H 9JP, UK
    Qual Saf Health Care 18:341-6. 2009
    Care home residents are at particular risk from medication errors, and our objective was to determine the prevalence and potential harm of prescribing, monitoring, dispensing and administration errors in UK care homes, and to identify ..
  34. ncbi Prevalence, incidence and nature of prescribing errors in hospital inpatients: a systematic review
    Penny J Lewis
    School of Pharmacy and Pharmaceutical Sciences, University of Manchester, Manchester, UK
    Drug Saf 32:379-89. 2009
    ..Future research should address the wide disparity of data-collection methods and definitions that bedevils comparison of error rates or meta-analysis of different studies...
  35. ncbi Effects of computerized physician order entry on prescribing practices
    J M Teich
    Department of Emergency Medicine, Brigham and Women s Hospital, 75 Francis St, Boston, MA 02115
    Arch Intern Med 160:2741-7. 2000
    ..This study assesses the impact of an inpatient computerized physician order entry system on prescribing practices...
  36. ncbi Drug-related problems in hospitals: a review of the recent literature
    Anita Krähenbühl-Melcher
    Hospital Pharmacy, Regionalspital Emmental, Burgdorf, Switzerland
    Drug Saf 30:379-407. 2007
    Problems associated with pharmacotherapy (in particular, medication errors and adverse drug events) are frequent and are associated with increased costs for treatment...
  37. pmc Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place
    Sisse Olsen
    Clinical Safety Research Unit, Department of Bio surgery and Technology, Imperial College, St Mary s Hospital, London, UK
    Qual Saf Health Care 16:40-4. 2007
    ..In this paper the authors describe the use of incident reporting, pharmacist surveillance and local real-time record review for the recognition of clinical risks associated with hospital inpatient care...
  38. pmc Does pharmacist-led medication review help to reduce hospital admissions and deaths in older people? A systematic review and meta-analysis
    Richard Holland
    School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, UK
    Br J Clin Pharmacol 65:303-16. 2008
    ..Such interventions may improve drug knowledge and adherence, but there are insufficient data to know whether quality of life is improved...
  39. ncbi Role of pharmacist counseling in preventing adverse drug events after hospitalization
    Jeffrey L Schnipper
    Brigham and Women s Faulkner Hospitalist Program, Division of General Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02120 1613, USA
    Arch Intern Med 166:565-71. 2006
    ..Our objectives were to identify drug-related problems during and after hospitalization and to determine the effect of patient counseling and follow-up by pharmacists on preventable ADEs...
  40. ncbi The causes of and factors associated with prescribing errors in hospital inpatients: a systematic review
    Mary P Tully
    School of Pharmacy and Pharmaceutical Sciences, University of Manchester, Manchester, UK
    Drug Saf 32:819-36. 2009
    ..Further rigorous study, seeking potential ways of reducing error, needs to be conducted. Multifactorial interventions across many parts of the system are likely to be required...
  41. ncbi Errors in preparation and administration of intravenous medications in the intensive care unit of a teaching hospital: an observational study
    Fanak Fahimi
    Clinical Pharmacy Department, School of Pharmacy, Shahid Beheshti University, M C, Tehran, Iran
    Aust Crit Care 21:110-6. 2008
    To determine the frequency of medication errors that occurred during the preparation and administration of IV drugs in an intensive care unit.
  42. ncbi Observational study of potential risk factors of medication administration errors
    Edgar Tissot
    Pharmacy Department, Besancon University Hospital, Boulevard Fleming, 25030 Besancon, France
    Pharm World Sci 25:264-8. 2003
    Medication administration errors (MAEs) are the second most frequent type of medication errors, as has been shown in different studies in the literature...
  43. pmc Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations
    Marlene R Miller
    Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA
    Qual Saf Health Care 16:116-26. 2007
    Although children are at the greatest risk for medication errors, little is known about the overall epidemiology of these errors, where the gaps are in our knowledge, and to what extent national medication error reduction strategies ..
  44. pmc Prevalence of medication administration errors in two medical units with automated prescription and dispensing
    Carmen Guadalupe Rodriguez-Gonzalez
    Department of Pharmacy, Hospital General Universitario Gregorio Maranon, Madrid, Spain
    J Am Med Inform Assoc 19:72-8. 2012
    ..To identify the frequency of medication administration errors and their potential risk factors in units using a computerized prescription order entry program and profiled automated dispensing cabinets...
  45. pmc Rates of medication errors among depressed and burnt out residents: prospective cohort study
    Amy M Fahrenkopf
    Harvard Medical School, Department of Medicine, Children s Hospital Boston, Boston, MA 02115, USA
    BMJ 336:488-91. 2008
    To determine the prevalence of depression and burnout among residents in paediatrics and to establish if a relation exists between these disorders and medication errors.
  46. ncbi Methodological variations and their effects on reported medication administration error rates
    Monsey Chan McLeod
    Centre for Medication Safety and Service Quality, Pharmacy Department, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London W6 8RF, UK
    BMJ Qual Saf 22:278-89. 2013
    ..Using the UK as a case-study, we systematically summarised methodological variations in MAE studies, and their effects on reported MAE rates...
  47. ncbi Adverse drug events resulting from patient errors in older adults
    Terry S Field
    Meyers Primary Care Institute, Worcester, Massachusetts 01605, USA
    J Am Geriatr Soc 55:271-6. 2007
    ..To characterize the types of patient-related errors that lead to adverse drug events (ADEs) and identify patients at high risk of such errors...
  48. ncbi Pharmacist-acquired medication histories in a university hospital emergency department
    Melinda K Carter
    Department of Pharmacy, Saint Luke s Hospital, Kansas City, KS, USA
    Am J Health Syst Pharm 63:2500-3. 2006
    ..A study was conducted to identify discrepancies between medication histories taken by emergency department (ED) providers (physicians, nurses, and medical students) and medication histories taken by clinical pharmacists...
  49. ncbi Medication errors in hospitals: computerized unit dose drug dispensing system versus ward stock distribution system
    Jean Eudes Fontan
    Pharmacie et Laboratoire de Toxico pharmacologie, Hôpital Robert Debré AP HP, 48 Bd Serurier 75019 Paris, France
    Pharm World Sci 25:112-7. 2003
    ....
  50. ncbi Mixed results in the safety performance of computerized physician order entry
    Jane Metzger
    CSC Healthcare in Waltham, Massachusetts, USA
    Health Aff (Millwood) 29:655-63. 2010
    ..It is important to ascertain whether actual implementations of computerized physician order entry are achieving goals such as improved patient safety...
  51. pmc Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID)
    Blake J Lesselroth
    MBI, Technology and Information Management, Department of Hospital Specialty Medicine, Mail Code P3 MED, Portland VA Medical Center, 3710 SW U S Veterans Hospital Road, Portland, Oregon 97239, USA
    J Am Med Inform Assoc 16:300-4. 2009
    ..Results from the roll-in phase indicate the device is easy for patients to use and integrates well with clinic workflow...
  52. pmc Prescribing errors in hospital inpatients: their incidence and clinical significance
    B Dean
    Department of Practice and Policy, The School of Pharmacy, University of London, London WC1N 1AX, UK
    Qual Saf Health Care 11:340-4. 2002
    It has been estimated that 1-2% of US inpatients are harmed by medication errors, the majority of which are errors in prescribing...
  53. ncbi Inappropriate prescribing in an acutely ill population of elderly patients as determined by Beers' Criteria
    Paul F Gallagher
    Geriatric Medicine, Cork University Hospital, Wilton, Cork, Ireland
    Age Ageing 37:96-101. 2008
    ..We used Beers' Criteria to determine the three-month prevalence of IP in a non-selected community-dwelling population of acutely ill older people requiring hospitalisation...
  54. ncbi Adverse events in drug administration: a literature review
    Gerry Armitage
    Children s Nursing, School of Health Studies, University of Bradford, Bradford UK
    J Nurs Manag 11:130-40. 2003
    ..In conclusion, several recommendations about the shape of future research are offered...
  55. ncbi An observational study of drug administration errors in a Malaysian hospital (study of drug administration errors)
    S S Chua
    Department of Pharmacy, Faculty of Medicine, University of Malaysia, Kuala Lumpur, Malaysia
    J Clin Pharm Ther 34:215-23. 2009
    Drug administration errors were the second most frequent type of medication errors, after prescribing errors but the latter were often intercepted hence, administration errors were more probably to reach the patients...
  56. pmc Quality and safety of medication use in primary care: consensus validation of a new set of explicit medication assessment criteria and prioritisation of topics for improvement
    Tobias Dreischulte
    Tayside Medicines Unit, NHS Tayside, Mackenzie Building, Kirsty Semple Way, Dundee, Scotland, DD2 4BF, UK
    BMC Clin Pharmacol 12:5. 2012
    ....
  57. ncbi How are medication errors defined? A systematic literature review of definitions and characteristics
    M Lisby
    Department of Clinical Pharmacology, Aarhus University Hospital, Aarhus Sygehus, Aarhus University, DK 8000 Aarhus C, Denmark
    Int J Qual Health Care 22:507-18. 2010
    ..in terminology has been suggested as a possible explanation for the variation in the prevalence of medication errors. So far, few empirical studies have challenged this assertion...
  58. pmc Adverse drug events in older patients admitted as an emergency: the role of potentially inappropriate medication in elderly people (PRISCUS)
    Harald Dormann
    Department of Emergency Medicine, Hospital Fürth, Germany
    Dtsch Arztebl Int 110:213-9. 2013
    ..In this study, we tried to determine how often adverse drug events occur in the emergency department and what role PRISCUS medications might play in these events...
  59. ncbi Prevention of prescription errors by computerized, on-line surveillance of drug order entry
    Arie Oliven
    Department of Medicine B, Bnai Zion Medical Center, Rappaport School of Medicine, Technion, Haifa, Israel
    Int J Med Inform 74:377-86. 2005
    ....
  60. ncbi Automated drug dispensing system reduces medication errors in an intensive care setting
    Claire Chapuis
    Pharmacy Department, Grenoble University Hospital, France
    Crit Care Med 38:2275-81. 2010
    We aimed to assess the impact of an automated dispensing system on the incidence of medication errors related to picking, preparation, and administration of drugs in a medical intensive care unit...
  61. pmc Interventions to reduce medication errors in adult intensive care: a systematic review
    Elizabeth Manias
    Melbourne School of Health Sciences, University of Melbourne, Parkville, Victoria, Australia
    Br J Clin Pharmacol 74:411-23. 2012
    ..this paper was to review systematically the research literature on the efficacy of interventions in reducing medication errors in intensive care...
  62. ncbi Hospital drug distribution systems in the UK and Germany--a study of medication errors
    K Taxis
    Centre for Pharmacy Practice, School of Pharmacy, London, UK
    Pharm World Sci 21:25-31. 1999
    The aim of this study was to compare the incidence of medication errors and the stages of the drug distribution system at which they occur in a United Kingdom (UK) hospital using the ward pharmacy system, a German hospital using the unit ..
  63. pmc Inappropriate prescribing in the hospitalized elderly patient: defining the problem, evaluation tools, and possible solutions
    Robert L Page
    Associate Professor of Clinical Pharmacy and Physical Medicine, Clinical Specialist, Division of Cardiology and Heart Transplantation
    Clin Interv Aging 5:75-87. 2010
    ..This article highlights critical issues surrounding PIM prescribing in the acute care setting such as risk factors, screening tools, and potential strategies to minimize this significant public health problem...
  64. ncbi Methods for assessing the preventability of adverse drug events: a systematic review
    Katja Marja Hakkarainen
    Nordic School of Public Health NHV, Gothenburg, Sweden
    Drug Saf 35:105-26. 2012
    ..However, the proportion of preventable ADEs varies considerably in different studies, even when conducted in the same setting, and methods for assessing the preventability of ADEs are diverse...
  65. pmc The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study
    Jasperien E van Doormaal
    Department of Hospital and Clinical Pharmacy, University Medical Center Groningen, P O Box 30, 001, 9, 700 RB Groningen, The Netherlands
    J Am Med Inform Assoc 16:816-25. 2009
    This study evaluated the effect of a Computerized Physician Order Entry system with basic Clinical Decision Support (CPOE/CDSS) on the incidence of medication errors (MEs) and preventable adverse drug events (pADEs).
  66. pmc Implementation of rules based computerised bedside prescribing and administration: intervention study
    P G Nightingale
    Wolfson Computer Laboratory, Department of Medicine, University of Birmingham, Queen Elizabeth Medical Centre, Birmingham B15 2TH
    BMJ 320:750-3. 2000
    ..To implement and assess a rules based computerised prescribing system with the aim of improving the safety of prescriptions and the administration of drugs...
  67. ncbi Frequency of medication errors in primary care patients with polypharmacy
    Dara Koper
    Paracelsus Medical University, Salzburg, Austria
    Fam Pract 30:313-9. 2013
    ..Prescription medication use increases with age. Depending on definition, 25-80% of elderly are exposed to polypharmacy. Polypharmacy increases the risk of hospitalization, interactions and adverse drug reactions...
  68. ncbi Influence of computerised medication charts on medication errors in a hospital
    Dieuwke G van Gijssel-Wiersma
    Hospital Pharmacy, Groene Hart Hospital, Gouda, The Netherlands
    Drug Saf 28:1119-29. 2005
    ..entry systems will not be available in the near future, there is a need to explore other ways of reducing medication errors that occur in the drug ordering and delivery system...
  69. pmc An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies
    Matvey B Palchuk
    Harvard Medical School, Boston, Massachusetts, USA
    J Am Med Inform Assoc 17:472-6. 2010
    ..Improvements in electronic medical record design are necessary to minimize the risk of discrepancies and resulting adverse events...
  70. pmc Ability of pharmacy clinical decision-support software to alert users about clinically important drug-drug interactions
    Kim R Saverno
    Department of Pharmacy Practice and Science, The University of Arizona College of Pharmacy, Tucson, Arizona 85721 0202, USA
    J Am Med Inform Assoc 18:32-7. 2011
    ..However, studies indicate these systems may miss some important interactions. The purpose of this study was to assess the performance of pharmacy CDS programs to detect clinically important DDIs...
  71. pmc Prevention of medication errors: teaching and training
    Robert Likic
    Department of Internal Medicine, Unit of Clinical Pharmacology, University of Zagreb, School of Medicine, University Hospital Rebro, Kispaticeva 12, Zagreb, Croatia
    Br J Clin Pharmacol 67:656-61. 2009
    1. Poor prescribing is probably the most common cause of preventable medication errors in hospitals, and many of these events involve junior doctors who have recently graduated...
  72. ncbi Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence
    Richard N Keers
    Centre for Pharmacoepidemiology and Drug Safety Research, School of Pharmacy and Pharmaceutical Sciences, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, England
    Ann Pharmacother 47:237-56. 2013
    ..To systematically review empirical evidence on the prevalence and nature of medication administration errors (MAEs) in health care settings...
  73. ncbi Errors in the administration of intravenous medication in Brazilian hospitals
    Maria Luiza Anselmi
    University of Sao Paulo at Ribeirao Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, Ribeirao Preto, SP, Brazil
    J Clin Nurs 16:1839-47. 2007
    ..To verify the frequency of errors in the preparation and administration of intravenous medication in three Brazilian hospitals in the State of Bahia...
  74. ncbi An evaluation of prescribing errors in primary care in Bahrain
    K A J Al Khaja
    College of Medicine and Medical Sciences, Arabian Gulf University, Kingdom of Bahrain
    Int J Clin Pharmacol Ther 43:294-301. 2005
    ..Prescribing errors are preventable and are considered an important target for improving healthcare. The aim of this study was to identify prescribing errors and their determinants in a primary care setting...
  75. pmc A cluster randomised stepped wedge trial to evaluate the effectiveness of a multifaceted information technology-based intervention in reducing high-risk prescribing of non-steroidal anti-inflammatory drugs and antiplatelets in primary medical care: the DQ
    Tobias Dreischulte
    Tayside Medicines Unit, NHS Tayside, Mackenzie Building, Kirsty Semple Way, Dundee DD2 4BF, UK
    Implement Sci 7:24. 2012
    ....
  76. ncbi Improving prescribing safety in patients with renal insufficiency in the ambulatory setting: the Drug Renal Alert Pharmacy (DRAP) program
    Bharati Bhardwaja
    Pharmacy Department, Kaiser Permanente Colorado, Denver, Colorado 80011, USA
    Pharmacotherapy 31:346-56. 2011
    To determine whether a computerized Drug Renal Alert Pharmacy (DRAP) program could decrease the rate of medication errors in drug selection or dosing for 15 target drugs in patients with renal insufficiency.
  77. pmc Attitudes and barriers to incident reporting: a collaborative hospital study
    S M Evans
    Department of Medicine, University of Adelaide, South Australia
    Qual Saf Health Care 15:39-43. 2006
    ..To assess awareness and use of the current incident reporting system and to identify factors inhibiting reporting of incidents in hospitals...
  78. ncbi Reporting of medication errors by pediatric nurses
    Karen M Stratton
    School of Nursing, University of Colorado Health Sciences Center, Denver, CO, USA
    J Pediatr Nurs 19:385-92. 2004
    ..Children are particularly vulnerable to medication errors because of their unique physiology and developmental needs...
  79. ncbi Overrides of medication alerts in ambulatory care
    Thomas Isaac
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
    Arch Intern Med 169:305-11. 2009
    ..Electronic prescribing systems with decision support may improve patient safety in ambulatory care by offering drug allergy and drug interaction alerts. However, preliminary studies show that clinicians override most of these alerts...
  80. pmc Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention
    Balthasar L Hug
    Division of General Internal Medicine, Brigham and Women s Hospital, Brigham Circle, 1620 Tremont St, 3rd Floor, Boston, MA, 02120 1613, USA
    J Gen Intern Med 25:31-8. 2010
    ..Medications represent a major cause of harm and are costly for hospitalized patients, but more is known about these issues in large academic hospitals than in smaller hospitals...
  81. ncbi Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial
    Jeffrey L Schnipper
    Harvard Medical School, Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120 1613, USA
    Arch Intern Med 169:771-80. 2009
    ..We sought to measure the impact of an information technology-based medication reconciliation intervention on medication discrepancies with potential for harm (potential adverse drug events [PADEs])...
  82. ncbi Systematic review of medication errors in pediatric patients
    Maisoon Abdullah Ghaleb
    Centre for Paediatric Pharmacy Research, The School of Pharmacy, University of London, London, England
    Ann Pharmacother 40:1766-76. 2006
    To systematically locate and review studies that have investigated the incidence of medication errors (MEs) in pediatric inpatients and identify common errors.
  83. pmc Classifying and predicting errors of inpatient medication reconciliation
    Jennifer R Pippins
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120 1613, USA
    J Gen Intern Med 23:1414-22. 2008
    ..Failure to reconcile medications across transitions in care is an important source of potential harm to patients. Little is known about the predictors of unintentional medication discrepancies and how, when, and where they occur...
  84. ncbi Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care
    Linda Aagaard Thomsen
    Section for Social Pharmacy, Faculty of Pharmaceutical Sciences, University of Copenhagen, Copenhagen, Denmark
    Ann Pharmacother 41:1411-26. 2007
    ..To estimate the incidence and describe characteristics of preventable adverse drug events (pADEs) in ambulatory care...
  85. ncbi Interventions that can reduce inappropriate prescribing in the elderly: a systematic review
    Sukhpreet Kaur
    Therapeutics Research Unit, School of Medicine, University of Queensland, Woolloongabba, Queensland, Australia
    Drugs Aging 26:1013-28. 2009
    ..Different strategies may be useful in reducing inappropriate prescribing in the elderly. It is not clear whether combined strategies undertaken simultaneously have a synergistic effect...
  86. ncbi An observational study of intravenous medication errors in the United Kingdom and in Germany
    Veronika Wirtz
    Department of Practice and Policy, School of Pharmacy, University of London, UK
    Pharm World Sci 25:104-11. 2003
    ..To investigate the incidence and the severity of intravenous (i.v.) drug preparation and administration errors in two countries and three pharmacy services...
  87. ncbi Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients
    Hilary Hamilton
    Department of Medicine, School of Medicine, University College Cork, Ireland
    Arch Intern Med 171:1013-9. 2011
    ..This study aimed to assess whether PIMs defined by new STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions) criteria are significantly associated with ADEs in older people with acute illness...
  88. ncbi Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units
    Suzan N Kucukarslan
    Department of Pharmacy Services, Henry Ford Hospital, Detroit, MI 48202, USA
    Arch Intern Med 163:2014-8. 2003
    Previous studies found that medication errors result from lack of sufficient information during the prescribing step...
  89. ncbi Effect of bar-code technology on the safety of medication administration
    Eric G Poon
    Division of General Medicine Primary Care, Brigham and Women s Hospital, 3 F, 1620 Tremont St, Boston, MA 02120, USA
    N Engl J Med 362:1698-707. 2010
    Serious medication errors are common in hospitals and often occur during order transcription or administration of medication...
  90. pmc Prescribers' responses to alerts during medication ordering in the long term care setting
    James Judge
    Meyers Primary Care Institute, 630 Plantation Street, Worcester, MA 01605, USA
    J Am Med Inform Assoc 13:385-90. 2006
    ....
  91. ncbi Literacy and misunderstanding prescription drug labels
    Terry C Davis
    Department of Medicine Pediatrics, Louisiana State University Health Science Center, Shreveport, Louisiana 71104, USA
    Ann Intern Med 145:887-94. 2006
    Health literacy has increasingly been viewed as a patient safety issue and may contribute to medication errors.
  92. ncbi Adverse drug events in general practice patients in Australia
    Graeme C Miller
    Australian General Practice Statistics and Classification Centre, University of Sydney, Sydney, NSW, Australia
    Med J Aust 184:321-4. 2006
    ..To investigate the frequency, cause, and severity of adverse drug events (ADEs) among general practice patients...
  93. pmc Clinical review: medication errors in critical care
    Eric Moyen
    Department of Critical Care Medicine, University of Calgary, Foothills Medical Centre, EG23A, 1403 29 Street NW, Calgary, AB, Canada
    Crit Care 12:208. 2008
    b>Medication errors in critical care are frequent, serious, and predictable...
  94. ncbi Retrospective analysis of mortalities associated with medication errors
    J Phillips
    Office of Post Marketing Drug Risk Assessment, Center for Drug Evaluation and Research, Food and Drug Administration, Rockville, MD 20857, USA
    Am J Health Syst Pharm 58:1835-41. 2001
    The types, causes, contributing factors, and patient demographics of fatal medication errors were reviewed...
  95. ncbi An observational study of medication administration errors in old-age psychiatric inpatients
    Camilla Haw
    St Andrew s Hospital, Billing Road, Northampton, NN1 5DG, United Kingdom
    Int J Qual Health Care 19:210-6. 2007
    ..Relatively little is known about medication administration errors in mental health settings...
  96. pmc Medication errors: prevention using information technology systems
    Abha Agrawal
    Department of Clinical Medicine and Medical Informatics, State University of New York Downstate, Brooklyn, NY 11203, USA
    Br J Clin Pharmacol 67:681-6. 2009
    1. Given the high frequency of medication errors with resultant patient harm and cost, their prevention is a worldwide priority for health systems. 2...
  97. pmc Computerized physician order entry: helpful or harmful?
    Robert G Berger
    University of North Carolina School of Medicine, UNC Health Care System, CB 7280, Chapel Hill, NC 27599, USA
    J Am Med Inform Assoc 11:100-3. 2004
    ..Installation of such systems could actually increase the number of adverse drug events and result in higher overall medical costs, particularly in the first few years of their adoption...
  98. ncbi Rate, causes and reporting of medication errors in Jordan: nurses' perspectives
    Majd T Mrayyan
    Faculty of Nursing, The Hashemite University, Zarqa, Jordan
    J Nurs Manag 15:659-70. 2007
    The aim of the study was to describe Jordanian nurses' perceptions about various issues related to medication errors.
  99. ncbi Nursing student medication errors: a retrospective review
    Lorill Harding
    BSN Program, Selkirk College, 301 Frank Beinder Way, Castlegar, British Columbia, Canada V1N 3J1
    J Nurs Educ 47:43-7. 2008
    This article presents the findings of a retrospective review of medication errors made and reported by nursing students in a 4-year baccalaureate program...
  100. pmc Technology implementation and workarounds in the nursing home
    Amy A Vogelsmeier
    Sinclair School of Nursing, University of Missouri, Columbia, MO 65211, USA
    J Am Med Inform Assoc 15:114-9. 2008
    ..This study sought to explore the relationship of workarounds related to the implementation of an electronic medication administration record and medication safety practices in five Midwestern nursing homes...
  101. ncbi Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service
    Mónica Climente-Martí
    Pharmacy Department, Hospital Universitario Doctor Peset, Valencia, Spain
    Ann Pharmacother 44:1747-54. 2010
    ..Medication discrepancies, defined as unexplained variations among drug regimens at care transitions, are common. Some are unintended and cause reconciliation errors that are potentially detrimental for patients...

Research Grants65

  1. Health Information Technology in the Nursing Home
    Jerry Gurwitz; Fiscal Year: 2006
    ..In our previous research, we have determined that medication errors resulting in adverse drug events occur most often at the ordering and monitoring stages of pharmaceutical ..
  2. DECISION SUPPORT SYSTEM TO GUIDE PEDIATRIC PHARMACOTHERAPY
    JEFFREY SCOTT BARRETT; Fiscal Year: 2010
    ..and forecasting routines are transparent to the end-user;emphasis on clinical outcomes including reduced medication errors and length of hospital stay will be used to demonstrate the ROI for individual dashboards...
  3. Does underrecognition of kidney disease affect patient safety?
    Jeffrey C Fink; Fiscal Year: 2013
    ..Outcomes: a) [CKD-PSIs (process measures) expected to] include medication errors (e.g., NSAIDs, improperly dosed meds), toxic exposures (e.g., contrast agents, etc), and medical events (e.g...
  4. Training Leaders to Improve Healthcare Quality in Emergency Settings for Children
    Charles Macias; Fiscal Year: 2009
    ..emerging PEM quality experts in the following categories: pain/sedation, throughput, respiratory illnesses, medication errors, safety/safety culture, and improvement through health information technology...
  5. Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation
    Michael R Cohen; Fiscal Year: 2010
    ..associated with these drugs, thus saving lives and limiting costs associated with the treatment of harmful medication errors. The study also will facilitate successful adoption of bar-coding technology in community pharmacies, as ..
  6. Fractal Identification System for Medication
    ADAM HANINA; Fiscal Year: 2012
    ..As a result, the twin problems of counterfeit medication and medication errors - both of which depend upon pill identification - are very difficult to stem...
  7. Do Patient Safety Events Account for Adverse Outcomes in CKD?
    Jeffrey C Fink; Fiscal Year: 2013
    ..Specific aims: 1a) Determine the frequency of medication errors (one set of CKD-PSI) in a CKD cohort...
  8. Reduction in medication administration and charting errors in nursing facilities
    ALAN J JACOBS; Fiscal Year: 2013
    DESCRIPTION (provided by applicant): Medication errors are one of the most prevalent patient safety issues in long term care facility quality...
  9. Implementing Computerized Clinical Assessment of HIV Patient Adherence
    Allen L Gifford; Fiscal Year: 2011
    ..They may also help providers recognize factors that may contribute to poor adherence, such as medication errors, unrecognized depression, and illicit drug use...
  10. PillStream: Agile High-Throughput Assembly of Custom Multi-Medication Packaging
    EDWARD ACWORTH; Fiscal Year: 2012
    ..the "right medications needed for the right patient at the right time", has the potential to reduce risk of medication errors and LTCF staff time required for medication assembly as well as prescription drug waste...
  11. Promoting Safe Use of Pediatric Liquid Medications: A Health Literacy Approach
    Hsiang Shonna Yin; Fiscal Year: 2013
    ..provided by applicant): Variable and poor-quality drug labeling has been cited as a leading cause of medication errors and adverse drug events...
  12. Transitional Care Medication Safety and Medical Liability: Closing the Chasm
    CINDY LOU CORBETT; Fiscal Year: 2010
    ..b>Medication errors are the most prevalent adverse event following hospital discharge (Greenwald, Denham, &Jack, 2007);..
  13. Computer Assisted Medication and Patient Information Interface (CAMPII)
    David C Ziemer; Fiscal Year: 2010
    ..Time will be assessed by program timers and direct observation. Utility will be assessed by measuring patient medication self-efficacy, adherence and medication errors in a small randomized controlled trial of CAMPII vs. controls.
  14. Designing for Patient Safety: Developing methods to integrate patient safety conc
    Anjali Joseph; Fiscal Year: 2011
    ..healthcare built environments contribute to adverse events such as healthcare associated infections, medication errors and patient falls...
  15. Promoting Safe Use of Medications by Providing Medication Education to Seniors Re
    KRISTINA E contact WARD-BRUCE; Fiscal Year: 2011
    ..b>Medication errors are estimated to cause one of every 131 deaths in the outpatient setting...
  16. Improving Patient Safety by Reducing Medication Errors
    BRIAN STROM; Fiscal Year: 2005
    DESCRIPTION: (PROVIDED BY APPLICANT) Medication errors are among the most common and potentially preventable types of medical errors, accounting for more deaths than motor vehicle accidents, breast cancer, or HIV, and an annual cost of $..
  17. Exploring the impact of care network structure on medication safety and errors
    James E Gray; Fiscal Year: 2013
    ..The relationship between team characteristics and medication errors will be explored. Medication safety events will be identified using three existing data sources...
  18. The Effectiveness of an HIT-based Care Transition Information Transfer System to
    Elizabeth L Ciemins; Fiscal Year: 2010
    ..care remains fragmented and poorly coordinated across treatment settings, often resulting in preventable medication errors, unnecessary hospitalizations and emergent care visits, avoidable adverse health events and dissatisfied ..
  19. Communication to Prevent and Respond to Medical Injuries: WA State Collaborative
    THOMAS HENRY GALLAGHER; Fiscal Year: 2010
    ..within the Surgical Clinical Outcomes Assessment program (SCOAP) that will measure CSEs (NQF Never Events, Medication Errors, Checklist Failures)...
  20. A Statewide Pediatric Safety Collaboration to Standardize Compounded Oral Liquids
    JAMES GLENN STEVENSON; Fiscal Year: 2013
    Abstract Medication errors, defined as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer...
  21. Engineering Microparticles for Taste-Masking and Controlled Release of Pediatric
    Milind Singh; Fiscal Year: 2012
    ..effective treatment of diseases in children due to poor compliance, ad hoc formulations, and dangerous medication errors. At the foundation of the problem are palatability, accurate dosing, and age-appropriate dosage format ..
  22. A New Verification Process to Reduce Dispensing Error Rate in Community Pharmacie
    JENNA LEE; Fiscal Year: 2010
    ..Each year, medical errors cause more than one million injuries and 44,000 deaths in USA alone. Among them, medication errors are responsible for over 7,000 deaths...
  23. Improving Medication Management in Ambulatory Care
    Wilson D Pace; Fiscal Year: 2010
    ..Errors that lead to patient harm are well documented to occur in the ambulatory setting with medication errors having he highest risk for harm...
  24. Workload, Workforce, and Quality of Care in Pediatric Hospitals
    EVAN SCOTT FIELDSTON; Fiscal Year: 2013
    ..g., length of stay derivatives, medication errors, safety events, and readmissions)...
  25. Automated Dynamic Lists for Efficient Electronic Health Record Management
    STEPHANE MICHAEL MEYSTRE; Fiscal Year: 2013
    ..Computerized physician order-entry systems with decision support have been proposed to reduce this risk of medication errors, but these systems rely on structured and coded information in the electronic health record (EHR)...
  26. Evaluating e-Prescribing in a Community-based, Integrated Health System
    Emily Beth Devine; Fiscal Year: 2010
    ..Devine began by collecting data that characterizes the epidemiology of medication errors both pre- and post-implementation of an ACPOE system in an integrated health system...
  27. HIT for Medication Safety in Critical Access Hospitals
    Abraham Hartzema; Fiscal Year: 2004
    Up to 98,000 deaths occur annually in the United States because of medical errors, with medication errors contributing as many as 7,000 deaths...
  28. Using Information Technology to Provide Measurement Based Care for Chronic Illnes
    Madhukar Trivedi; Fiscal Year: 2009
    ..IT system will also provide decision support during each medication treatment phase as well as help prevent medication errors. This project is a collaboration between the University of Texas Southwestern Medical Center and the ..
  29. Comparing the Effectiveness of Medication Use Systems in Small Rural Hospitals
    GARY LOWELL COCHRAN; Fiscal Year: 2013
    ..More than 400,000 harmful medication errors occur each year...
  30. Enabling Electronic Prescribing and Enhanced Management of Controlled Medications
    Grant Carrow; Fiscal Year: 2009
    ..management and coordination of care, decision support, clinician workflow improvement, prevention of medication errors and reductions in non-medical use and abuse of federally controlled pharmaceuticals...
  31. Personal digital assistant devices and medication error
    Kimberly Galt; Fiscal Year: 2003
    ..is to determine the impact of the use of personal digital assistants (PDAs) by prescribers on potential medication errors in primary care physicians office-based practices...
  32. Statewide Implementation of Electronic Health Records
    David Bates; Fiscal Year: 2006
    ..of EHRs as compared with the "natural" rate of adoption? 2) To what extent will adoption of EHRs reduce medication errors and improve the quality of ambulatory health care? 3) What are the correlates of physician receptivity and ..
  33. Accountability and Health Safety A Statewide Approach
    Kenneth Thorpe; Fiscal Year: 2004
    ..In addition, the research plan incorporates a strategy to develop new information on the risk of medication errors in non-hospital settings by testing safety interventions to improve and compensate for visual and cognitive ..
  34. Ambulatory Patient Safety of Clients in Treatment for Substance Abuse
    Bentson McFarland; Fiscal Year: 2007
    ..Multiple medications aimed at these disorders may be prescribed by assorted providers. Medication errors can easily occur when prescriptions are written by multiple providers acting with limited or no data in ..
  35. Embracing the PBRN Model to Improve the Medication Use Process
    Earlene Lipowski; Fiscal Year: 2007
    ..The new IOM report, Preventing Medication Errors, documents what is known about the problem of drug-related morbidity and lays out a national agenda to ..
  36. Rural Iowa Redesign of Care Delivery with EHR Functions
    Donald Crandall; Fiscal Year: 2006
    ..Evaluation measurements will include: a) reported medical errors (including medication errors) and near misses; b) CMS/JCAHO quality measures; c) physician/clinician use of standard evidence-based ..
  37. Generating, Evaluating, and Implementing Evidence for Drug-Drug Interactions in H
    Daniel Malone; Fiscal Year: 2009
    ..the DDI evidence base and how it is utilized to ultimately decrease the occurrence of these preventable medication errors. At this conference, current problems with the DDI evidence base and clinical decision support will be ..
  38. A Systems Engineering Approach: Improving Medication Safety with Clinician Use of
    Gurdev Singh; Fiscal Year: 2009
    b>Medication errors, especially those that may be preventable, are among the most serious medication use concerns in older persons cared for in ambulatory care settings...
  39. Electronic Prescribing--Medication Errors in Pediatrics
    Kevin Johnson; Fiscal Year: 2003
    ..from the Applicant?s Abstract The Institute of Medicine?s report entitled "To Err is Human" identifies medication errors as an alarming and often preventable cause of patient morbidity and mortality...
  40. Improving Drug Safety: Linking Lab and Pharmacy Data
    David Magid; Fiscal Year: 2004
    ..is a pressing need for research on the implementation and evaluation of interventions designed to reduce medication errors in "real world" ambulatory care settings...
  41. Trial to Reduce Antimicrobial Prophylaxis Errors
    Stephen Kritchevsky; Fiscal Year: 2005
    ..Our specific aims over the four-year project period are: 1) Determine the incidence of medication errors related to antimicrobial prophylaxis for cardiovascular surgery, joint replacement surgery, and hysterectomy ..
  42. Sharing Patient Record Access in Rural Health Settings
    MICHAEL DELUCA; Fiscal Year: 2004
    ..practice settings; 2) use computerized physician order entry and clinical decision support systems to reduce medication errors and increase patient safety; and 3) provide a method to utilize the EMR for data collection, analysis, and ..
  43. Improving Laboratory Monitoring in Community Practices: A Randomized Trial
    Steven Simon; Fiscal Year: 2009
    DESCRIPTION (provided by the applicant): Medication errors and preventable adverse drug events occur commonly among patients in the ambulatory setting and constitute an important target for patient safety and quality improvement...
  44. Electronic Medication Management
    DAVID VAWDREY; Fiscal Year: 2009
    ..As patients transfer among community-based and hospital providers, there are numerous opportunities for medication errors. The Institute of Medicine reported that inaccurate medication lists in ambulatory clinics caused a larger ..
  45. Ensuring Medication Safety in Pediatric Emergencies
    Mary Denise Dowd; Fiscal Year: 2011
    Abstract Children are uniquely susceptible to medication errors because of the need to individualize pediatric doses based on body weight. Consequently, dosing errors represent the most common type of medication error in children...
  46. Pediatric Medication Errors and Computerized Orders
    Howard Bauchner; Fiscal Year: 2004
    ..CPOES reduce inpatient medication errors by 55%. Three more than half of the nation's hospitals are planning to implement CPOES in the future...
  47. Bar Coding Technology and Patient and Employee Safety
    Ben Tzion Karsh; Fiscal Year: 2006
    ..entry (CPOE) are two technologies that have beer heralded as having the potential to substantially curb medication errors (AHRQ 2001)...
  48. Evaluating the Impact of an ACPOE/CDS System on Outcomes
    Sean Sullivan; Fiscal Year: 2006
    ..internally, on organizational processes and human factors; and externally, on patient safety as measured by medication errors and adverse drug events. This three-year project has two specific aims...
  49. IT Systems for Rural Indian Clinic Health Care
    LINDA ARANAYDO; Fiscal Year: 2006
    ..hospitalizations that are preventable through improvement in quality of care and reduction in medical and medication errors. CRIHB is partnering with three of its rural THP who have implemented electronic practice management to now ..
  50. Technology to Improve Medication Safety in Nursing Homes
    Jill Scott Cawiezell; Fiscal Year: 2004
    ..Research suggests that medication errors average 10 percent or more of administered doses, excluding wrong time errors (Allan and Barker, 1990; ..
  51. Training for Administering Meds to Schoolchildren
    Margaret McCarthy; Fiscal Year: 2003
    ..among parents, school districts and school administrators, and among school nurses, as well as among the UAPs to whom this task is often delegated and may eventually have a database management component for tracking medication errors.
  52. Patient Safety for Vulnerable Populations
    Larry Culpepper; Fiscal Year: 2003
    ..identified three areas of initial interest for studying patient safety issues within ambulatory settings: medication errors, procedure-related errors and treatment errors related to management of chronic conditions...
  53. Reducing Errors in the Diagnosis of Melanoma using an Intelligent Tutoring System
    DANA GRZYBICKI; Fiscal Year: 2007
    ..unreadable] [unreadable] [unreadable] [unreadable]..
  54. Telemedicine for Children in Rural Emergency Departments
    James Marcin; Fiscal Year: 2006
    ..telemedicine consultations to rural, under served emergency departments will reduce the frequency of medication errors; enhance the quality of care as measured by implicit review; and decrease unnecessary patient transports...
  55. The Effect of EMR on Medication Safety: A SPUR-Net Study
    Grace Kuo; Fiscal Year: 2004
    ..Data on medication errors are collected predominantly in hospitals, where it is easier to monitor such errors and to identify patients ..
  56. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists
    Rainu Kaushal; Fiscal Year: 2009
    DESCRIPTION (provided by the applicant): Medication errors in the ambulatory setting are common, occurring in approximately 8-21% of prescriptions...
  57. Real-Time Assessment of Risk Factors-Medication Errors
    Timothy Dresselhaus; Fiscal Year: 2003
    DESCRIPTION: (Provided by the Applicant) Preventable adverse drug events (PADE), a consequence of some medication errors, are common in the inpatient medical and pediatric settings...
  58. Tulare District Hospital Rural Health EMR Consortium
    ROD DAVISON; Fiscal Year: 2006
    ..project is to reduce medical errors and improve overall patient safety by decreasing the actual number medication errors, and by implementing electronic access to "real time" patient data...
  59. Show Your Work: Do Prescripition Annotations Impact Near Miss Medication Errors?
    Kevin Johnson; Fiscal Year: 2006
    ..This study also will provide valuable baseline data to determine the impact of additional modifications to the electronic prescription. [unreadable] [unreadable] [unreadable]..
  60. Midcoast Maine Patient Safety and IT Integration
    MAUREEN BUCKLEY; Fiscal Year: 2004
    ..in the acute care readmission rate; a decrease in the length of stay; a reduction in adverse events and medication errors; an increased implementation of evidence based practice; increased patient medication compliance; and ..
  61. Addressing Preventable Medication Use Variance in Missi*
    C Brown; Fiscal Year: 2003
    ..Ten sites throughout Mississippi, all of which share the same system for reporting of medication errors and, for several academic and administrative functions, report to UMMC's Vice Chancellor for Health Affairs, ..
  62. Medication Management at Home: Patient Identified Processes and Risk Assessment
    MARY MINNITI; Fiscal Year: 2007
    ..of medication management risks encountered outside the traditional healthcare setting, thereby reducing medication errors and involving the patient in the management of their health, specifically with regard to managing their own ..
  63. Decreasing ADEs in Montana Frontier CAHs through HIT
    KIPMAN SMITH; Fiscal Year: 2004
    ..Technology Planning Grant funding in order to assess opportunities to decrease adverse drug events and medication errors in frontier Montana Critical Access Hospitals...
  64. Medication Safety in Primary Care Practice - Translating Research into Practice (
    Steven Ornstein; Fiscal Year: 2009
    b>Medication errors in primary care practice are an important cause of morbidity but the extent of these errors is largely unknown and effective interventions for reducing these errors need to be developed and tested...
  65. Improving Medication Safety Across Clinical Settings
    David Bates; Fiscal Year: 2005
    ..errors by moving from local to system-wide error reporting; 2) expand the epidemiological knowledge of medication errors in vulnerable patient groups, including the ambulatory pediatric and inpatient psychiatric settings; 3) ..