Openly accessible

Interventions to reduce medication errors in adult medical and surgical settings: a systematic review

Manias, Elizabeth, Kusljic, Snezana and Wu, Angela 2020, Interventions to reduce medication errors in adult medical and surgical settings: a systematic review, Therapeutic Advances in Drug Safety, vol. 11, pp. 1-29, doi: 10.1177/2042098620968309.

Attached Files
Name Description MIMEType Size Downloads

Title Interventions to reduce medication errors in adult medical and surgical settings: a systematic review
Author(s) Manias, ElizabethORCID iD for Manias, Elizabeth orcid.org/0000-0002-3747-0087
Kusljic, Snezana
Wu, Angela
Journal name Therapeutic Advances in Drug Safety
Volume number 11
Start page 1
End page 29
Total pages 29
Publisher Sage
Place of publication London, Eng.
Publication date 2020-01
ISSN 2042-0986
2042-0994
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Pharmacology & Pharmacy
hospitals
medication errors
medical order entry systems
medication reconciliation
medication therapy management
nurses
patient safety
pharmacists
physicians
systematic review
HOSPITAL DISCHARGE
ADMINISTRATION ERRORS
IMPACT
RECONCILIATION
SAFETY
CARE
PATIENT
STRATEGIES
Summary Background and Aims:
Medication errors occur at any point of the medication management process, and are a major cause of death and harm globally. The objective of this review was to compare the effectiveness of different interventions in reducing prescribing, dispensing and administration medication errors in acute medical and surgical settings.
Methods:
The protocol for this systematic review was registered in PROSPERO (CRD42019124587). The library databases, MEDLINE, CINAHL, EMBASE, PsycINFO, Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were searched from inception to February 2019. Studies were included if they involved testing of an intervention aimed at reducing medication errors in adult, acute medical or surgical settings. Meta-analyses were performed to examine the effectiveness of intervention types.
Results:
A total of 34 articles were included with 12 intervention types identified. Meta-analysis showed that prescribing errors were reduced by pharmacist-led medication reconciliation, computerised medication reconciliation, pharmacist partnership, prescriber education, medication reconciliation by trained mentors and computerised physician order entry (CPOE) as single interventions. Medication administration errors were reduced by CPOE and the use of an automated drug distribution system as single interventions. Combined interventions were also found to be effective in reducing prescribing or administration medication errors. No interventions were found to reduce dispensing error rates. Most studies were conducted at single-site hospitals, with chart review being the most common method for collecting medication error data. Clinical significance of interventions was examined in 21 studies. Since many studies were conducted in a pre–post format, future studies should include a concurrent control group.
Conclusion:The systematic review identified a number of single and combined intervention types that were effective in reducing medication errors, which clinicians and policymakers could consider for implementation in medical and surgical settings. New directions for future research should examine interdisciplinary collaborative approaches comprising physicians, pharmacists and nurses.
Language eng
DOI 10.1177/2042098620968309
Indigenous content off
Field of Research 1103 Clinical Sciences
1115 Pharmacology and Pharmaceutical Sciences
1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30145301

Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 3 times in TR Web of Science
Scopus Citation Count Cited 4 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 76 Abstract Views, 0 File Downloads  -  Detailed Statistics
Created: Fri, 13 Nov 2020, 07:05:54 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.