Faculty Opinions recommendation of Benefits and risks of using smart pumps to reduce medication error rates: a systematic review.

2015 ◽  
Author(s):  
Craig Webster
Keyword(s):  
Systematic Review ◽  
Medication Error ◽  
Error Rates ◽  
Reduce Medication Error ◽  
Smart Pumps

Benefits and Risks of Using Smart Pumps to Reduce Medication Error Rates: A Systematic Review

Drug Safety ◽  
2014 ◽  
Vol 37 (12) ◽  
pp. 1011-1020 ◽  
Author(s):  
Kumiko Ohashi ◽  
Olivia Dalleur ◽  
Patricia C. Dykes ◽  
David W. Bates
Keyword(s):  
Systematic Review ◽  
Medication Error ◽  
Error Rates ◽  
Reduce Medication Error ◽  
Smart Pumps

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 Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: A systematic review and meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253588
Author(s):  
Myriam Jaam ◽  
Lina Mohammad Naseralallah ◽  
Tarteel Ali Hussain ◽  
Shane Ashley Pawluk
Keyword(s):  
Systematic Review ◽  
Medication Error ◽  
Medication Errors ◽  
Meta Analysis ◽  
Healthcare Providers ◽  
Educational Interventions ◽  
Educational Programs ◽  
Error Rates ◽  
Audit And Feedback ◽  
Cochrane Library

Introduction Medication errors are avoidable events that can occur at any stage of the medication use process. They are widespread in healthcare systems and are linked to an increased risk of morbidity and mortality. Several strategies have been studied to reduce their occurrence including different types of pharmacy-based interventions. One of the main pharmacist-led interventions is educational programs, which seem to have promising benefits. Objective To describe and compare various pharmacist-led educational interventions delivered to healthcare providers and to evaluate their impact qualitatively and quantitatively on medication error rates. Methods A systematic review and meta-analysis was conducted through searching Cochrane Library, EBSCO, EMBASE, Medline and Google Scholar from inception to June 2020. Only interventional studies that reported medication error rate change after the intervention were included. Two independent authors worked through the data extraction and quality assessment using Crowe Critical Appraisal Tool (CCAT). Summary odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using a random-effects model for rates of medication errors. Research protocol is available in The International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42019116465. Results Twelve studies involving 115058 participants were included. The two main recipients of the educational interventions were nurses and resident physicians. Educational programs involved lectures, posters, practical teaching sessions, audit and feedback method and flash cards of high-risk abbreviations. All studies included educational sessions as part of their program, either alone or in combination with other approaches, and most studies used errors encountered before implementing the intervention to inform the content of these sessions. Educational programs led by a pharmacist were associated with significant reductions in the overall rate of medication errors occurrence (OR, 0.38; 95% CI, 0.22 to 0.65). Conclusion Pharmacist-led educational interventions directed to healthcare providers are effective at reducing medication error rates. This review supports the implementation of pharmacist-led educational intervention aimed at reducing medication errors.

scholarly journals The Impact of Pharmacist Interventions on Reducing Medication Errors in Pediatric Patients: A Systematic Review and Meta-analysis

2020 ◽  
Author(s):  
Lina Mohammad Naseralallah ◽  
Tarteel Ali Hussain ◽  
Shane Pawluk ◽  
Myriam Eljaam
Keyword(s):  
Systematic Review ◽  
Medication Error ◽  
Medication Errors ◽  
Clinical Pharmacist ◽  
Pediatric Patients ◽  
Data Extraction ◽  
Meta Analysis ◽  
Error Rates ◽  
Pharmacist Interventions ◽  
The Impact

Background: Medication errors are avoidable events that could occur at any stage of the medication use process. They are widespread in the healthcare system and are associated with increased risk of morbidity and mortality. Implementing a clinical pharmacist is one strategy that is believed to reduce medication errors in the general population including pediatric patients who are more vulnerable to medication errors due to several contributing factors including the challenges of weight-based dosing. Aim: The aim of this study is to qualitatively and quantitatively evaluate the impact of clinical pharmacist interventions on medication error rates for hospitalized pediatric patients. Methodology: PubMed, Embase, Cochrane and Google Scholar search engines were searched from database inception to February 2019. Study selection, data extraction and quality assessment was conducted by two independent reviewers. Observational and interventional studies were included. Data extraction was done manually and the Crowe Critical Appraisal Tool (CCAT) was used to critically appraise eligible articles. Summary odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using a random-effects model for rates of medication errors. Results: A total of 19 studies were systematically reviewed and 6 studies (29 291 patients) were included in the meta-analysis. Pharmacist interventions involved delivering educational sessions, reviewing prescriptions, attending rounds and implementing a unit-based clinical pharmacist. The systematic review showed that the most common trigger for pharmacist interventions was inappropriate dosing. Pharmacist involvement was associated with significant reductions in the overall rate of medication errors occurrence (OR, 0.27; 95% CI, 0.15 to 0.49). Conclusion: The most common cause for pharmacist interventions in pediatric patients at hospital settings was inappropriate dosing. Overall, pharmacist interventions are effective at reducing medication error rates.

Comparison of medication error rates and clinical effects in three medication prescription‐dispensation systems

2011 ◽  
Vol 24 (3) ◽  
pp. 238-248 ◽  
Author(s):  
Ana Belén Jiménez Muñoz ◽  
Antonio Muiño Miguez ◽  
María Paz Rodriguez Pérez ◽  
María Esther Durán Garcia ◽  
María Sanjurjo Saez
Keyword(s):  
Medication Error ◽  
Error Rates ◽  
Clinical Effects ◽  
Medication Prescription

scholarly journals GRP-053 Drug Distribution Systems: Effect on Medication Error Rates and Cost of Safety in a Geriatric Short Stay Unit

2013 ◽  
Vol 20 (Suppl 1) ◽  
pp. A19.3-A19
Author(s):  
E Cousein ◽  
J Mareville ◽  
A Pruvost ◽  
C Jost ◽  
G Gommez ◽  
...  
Keyword(s):  
Medication Error ◽  
Distribution Systems ◽  
Drug Distribution ◽  
Error Rates ◽  
Short Stay

Economic impact of medication error: a systematic review

2017 ◽  
Vol 26 (5) ◽  
pp. 481-497 ◽  
Author(s):  
Elaine K. Walsh ◽  
Christina Raae Hansen ◽  
Laura J. Sahm ◽  
Patricia M. Kearney ◽  
Edel Doherty ◽  
...  
Keyword(s):  
Systematic Review ◽  
Medication Error ◽  
Economic Impact

scholarly journals Human factors methods to reduce medication error: using task analysis in a pediatric and adult pharmacy

Work ◽  
2012 ◽  
Vol 41 ◽  
pp. 5665-5667 ◽  
Author(s):  
Nicole E. Werner ◽  
Erik T. Nelson ◽  
Deborah A. Boehm-Davis
Keyword(s):  
Human Factors ◽  
Medication Error ◽  
Task Analysis ◽  
Reduce Medication Error

Accuracy of Antiretroviral Prescribing in a Community Teaching Hospital: A Medication Use Evaluation

2019 ◽  
pp. 089719001985784
Author(s):  
Jacob Lines ◽  
Paul Lewis
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Medication Error ◽  
Medication Errors ◽  
Retrospective Chart Review ◽  
The United States ◽  
Error Rates ◽  
Transitions Of Care ◽  
Hiv Diagnosis ◽  
Increased Risk

Background: Medication errors account for nearly 250 000 deaths in the United States annually, with approximately 60% of errors occurring during transitions of care. Previous studies demonstrated that almost 80% of participants with human immunodeficiency virus (HIV) have experienced a medication error related to their antiretroviral therapy (ART). Objective: This retrospective chart review examines propensity and type of ART-related errors and further seeks to identify risk factors associated with higher error rates. Methods: Participants were identified as hospitalized adults ≥18 years old with preexisting HIV diagnosis receiving home ART from July 2015 to June 2017. Medication error categories included delays in therapy, dosing errors, scheduling conflicts, and miscellaneous errors. Logistic regression was used to examine risk factors for medication errors. Results: Mean age was 49 years, 76.5% were men, and 72.1% used hospital-supplied medication. For the primary outcome, 60.3% (41/68) of participants had at least 1 error, with 31.3% attributed to delays in therapy. Logistic regression demonstrated multiple tablet regimens (odds ratio [OR]: 3.40, 95% confidence interval [CI]: 1.22-9.48, P = .019) and serum creatinine (SCr) ≥1.5 mg/dL (OR: 8.87, 95% CI: 1.07-73.45, P = .043) were predictive for risk of medication errors. Regimens with significant drug–drug interactions (eg, cobicistat-containing regimens) were not significantly associated with increased risk of medication errors. Conclusions and Relevance: ART-related medication error rates remain prevalent and exceeded 60%. Independent risk factors for medication errors include use of multiple tablet regimens and SCr ≥1.5 mg/dL.

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