Medication errors' causes analysis in home care setting: A systematic review

2021 ◽  
Author(s):  
Sara Dionisi ◽  
Emanuele Di Simone ◽  
Gloria Liquori ◽  
Aurora De Leo ◽  
Marco Di Muzio ◽  
...  
Keyword(s):  
Systematic Review ◽  
Home Care ◽  
Medication Errors ◽  
Care Setting

scholarly journals How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis

2020 ◽  
Author(s):  
Peter J Gates ◽  
Rae-Anne Hardie ◽  
Magdalena Z Raban ◽  
Ling Li ◽  
Johanna I Westbrook
Keyword(s):  
Systematic Review ◽  
Medication Error ◽  
Medication Errors ◽  
Meta Analysis ◽  
Error Rates ◽  
Prescribing Error ◽  
Before And After ◽  
Actual Harm ◽  
Computer Based ◽  
Wide Scale

Abstract Objective To conduct a systematic review and meta-analysis to assess: 1) changes in medication error rates and associated patient harm following electronic medication system (EMS) implementation; and 2) evidence of system-related medication errors facilitated by the use of an EMS. Materials and Methods We searched Medline, Scopus, Embase, and CINAHL for studies published between January 2005 and March 2019, comparing medication errors rates with or without assessments of related harm (actual or potential) before and after EMS implementation. EMS was defined as a computer-based system enabling the prescribing, supply, and/or administration of medicines. Study quality was assessed. Results There was substantial heterogeneity in outcomes of the 18 included studies. Only 2 were strong quality. Meta-analysis of 5 studies reporting change in actual harm post-EMS showed no reduced risk (RR: 1.22, 95% CI: 0.18–8.38, P = .8) and meta-analysis of 3 studies reporting change in administration errors found a significant reduction in error rates (RR: 0.77, 95% CI: 0.72–0.83, P = .004). Of 10 studies of prescribing error rates, 9 reported a reduction but variable denominators precluded meta-analysis. Twelve studies provided specific examples of system-related medication errors; 5 quantified their occurrence. Discussion and Conclusion Despite the wide-scale adoption of EMS in hospitals around the world, the quality of evidence about their effectiveness in medication error and associated harm reduction is variable. Some confidence can be placed in the ability of systems to reduce prescribing error rates. However, much is still unknown about mechanisms which may be most effective in improving medication safety and design features which facilitate new error risks.

scholarly journals Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations

2007 ◽  
Vol 16 (2) ◽  
pp. 116-126 ◽  
Author(s):  
M. R Miller ◽  
K. A Robinson ◽  
L. H Lubomski ◽  
M. L Rinke ◽  
P. J Pronovost
Keyword(s):  
Systematic Review ◽  
Medication Errors ◽  
Reduction Strategy ◽  
Paediatric Care ◽  
Evaluation Of Evidence

Symptom Experiences: Perceptual Accuracy Between Advanced-Stage Cancer Patients and Family Caregivers in the Home Care Setting

2002 ◽  
Vol 20 (16) ◽  
pp. 3495-3507 ◽  
Author(s):  
Michelle M. Lobchuk ◽  
Lesley F. Degner
Keyword(s):  
Home Care ◽  
Cancer Patients ◽  
Family Caregivers ◽  
Care Setting ◽  
Physical Symptoms ◽  
Absolute Difference ◽  
Advanced Stage ◽  
Convenience Sample ◽  
Symptom Experiences ◽  
Advanced Stage Cancer

PURPOSE: This study used a comparative descriptive design to compare family caregivers’ and advanced-stage cancer patients’ perceptions of patients’ multidimensional symptom experiences on presence, frequency, severity, and distress. PATIENTS AND METHODS: A convenience sample of 98 dyads, composed of advanced-stage heterogeneous cancer patients and their caregivers, completed the Memorial Symptom Assessment Scale in the home care setting on a one-time basis. This scale is a 32-item Likert-type scale for assessing the presence, frequency, severity, and distress arising from symptoms in cancer patients. RESULTS: There was confirmation of trends previously described in related studies where, for example, caregivers tend to overreport on symptom experiences. However, the degree of absolute difference between patient and caregiver responses was normally around 1 unit (on a theoretical range of 0 to 4 units). Levels of patient-caregiver agreement were better on more concrete questions related to symptom frequency, severity, and distress than on broad questions related to the presence of a symptom. Patients and caregivers achieved better levels of agreement on physical versus psychological symptoms. CONCLUSION: The findings indicated that family caregivers can provide reasonable proxy or complementary reports on patient symptom experiences of frequency, severity, and distress. However, family caregivers have greater difficulty in achieving high levels of accuracy on psychological versus physical symptoms.

Palliative Sedation in 2 Children with Terminal Cancer – an Effective Treatment of Last Resort in a Home Care Setting

2011 ◽  
Vol 223 (06) ◽  
pp. 374-375 ◽  
Author(s):  
M. Kuhlen ◽  
K. Schneider ◽  
U. Richter ◽  
A. Borkhardt ◽  
G. Janßen
Keyword(s):  
Home Care ◽  
Effective Treatment ◽  
Care Setting ◽  
Palliative Sedation ◽  
Terminal Cancer

Pharmacist Identification of Medication-Related Problems in the Home Care Setting

2011 ◽  
Vol 26 (7) ◽  
pp. 477-484 ◽  
Author(s):  
Jessica Vink ◽  
Detra Morton ◽  
Stefanie Ferreri
Keyword(s):  
Home Care ◽  
Care Setting

The use of subcutaneous midazolam in the home care setting

1989 ◽  
Vol 3 (4) ◽  
pp. 299-301 ◽  
Author(s):  
Bdw Amesbury ◽  
KP Dunphy
Keyword(s):  
Home Care ◽  
Care Setting
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