Medication events on a tertiary neurology inpatient service

Williams, Lindsy N.; Sweeney, Cynthia M.; Britton, Jeffrey W.

doi:10.1016/j.jocn.2013.04.012

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…A report of medication errors in an adult tertiary neurology centre suggested that the majority of errors (92.7%) caused no harm to patients. 19 The rate of prescribing error or omission of details within the current review was high with 12% of all prescriptions requiring intervention by a clinical pharmacist. However, we did not use a scale of potential harm, either as a risk management/improvement tool or for documentation purposes.…”

Section: Scales For Assessing Potential Harm Secondary To Prescribingmentioning

confidence: 80%

Outpatient anti-epileptic drug prescribing errors in a Children's Hospital: An audit and literature review

Murphy

Bentur

Dolan

et al. 2014

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This review highlights the importance of clinical information on prescriptions and that incomplete or poor documentation may contribute to prescribing errors. It also emphasises the importance of pharmacists in the identification and correction or resolution of potential prescribing errors. There is a need to develop a well-validated measure to assess the severity of prescribing errors that will better address their clinical significance and risk.

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Section: Scales For Assessing Potential Harm Secondary To Prescribingmentioning

confidence: 80%

Outpatient anti-epileptic drug prescribing errors in a Children's Hospital: An audit and literature review

Murphy

Bentur

Dolan

et al. 2014

Seizure

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“…2 Despite concerning global estimates, real-world data on in-hospital errors on nonsurgical services are rarely disseminated and dissected in the literature, with a few notable exceptions. 3-7 Characterizing and understanding the profile of errors that occur within a medical specialty may inform strategies on future error prevention.…”

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confidence: 99%

mentioning

confidence: 99%

Two-Year Profile of Preventable Errors in Hospital-Based Neurology

et al. 2022

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Background and Objectives:Medical errors are estimated to cause 7,000 deaths and cost 17-29 billion USD per year, but there is a lack of published real-world data on preventable errors, in particular in hospital-based neurology. We sought to characterize the profile of errors that occur on the inpatient neurology services at our institution in order to inform strategies on future error prevention.Methods:We reviewed all cases of preventable errors occurring on the inpatient neurology services from July 1, 2018 to June 30, 2020, logged in institutional error reporting systems and reviewed at departmental morbidity and mortality conferences (M&MC). Each case was characterized by primary category of error, level of harm as determined by the Agency for Healthcare Research & Quality (AHRQ) Common Format Harm Scale version 1.2, primary intervention, and recurrence within one year, with a final censoring date of June 30, 2021.Results:Of 72 cases, 43 (60%) were attributed to errors in clinical decision-making and 20 (28%) to systems or electronic health record-related errors. The majority of cases resulted in in-conference education on systems-based errors (29%) at departmental M&MCs followed by in-conference education on clinical neurology (25%). Among errors classified primarily as clinical, 28% were addressed via systems-based interventions including in-conference education on systems issues and changes in written protocol. In 23 cases (32%), a similar error recurred within one year of the presentation. In total, 7 cases (10%) resulted in a change in written protocol, none with recurrences.Discussion:Systems-based interventions may reduce both clinical and systems-based errors, and protocol changes are effective when feasible. Given the important goal of optimizing care for every patient, quality leaders should conduct continuous audits of preventable errors and quality improvement systems in their clinical areas.

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Frequency, Timing, and Types of Medication Ordering Errors Made by Residents in the Electronic Medical Records Era

Garber¹,

Nowacki²,

Chaitoff³

et al. 2019

Southern Medical Journal

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Technology, is a nationally representative mixed mode survey of office-based physicians that collects information on physician and practice characteristics, including the adoption and use of EHR systems. The NEHRS sampling design allows for both national and state-based estimates of EHR adoption. NEHRS is conducted annually as a sample survey of nonfederal office-based patient care physicians, excluding anesthesiologists, radiologists, and pathologists. The 2015 estimates are based on a sample of 10,302 physicians, which is designed to produce national and state-based estimates of office-based physicians. The 2015 NEHRS data collection took place from August through December 2015; it used a sequential mixed-mode design to collect data through web, mail, and phone.

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Medication events on a tertiary neurology inpatient service

Cited by 3 publications

References 19 publications

Outpatient anti-epileptic drug prescribing errors in a Children's Hospital: An audit and literature review

Outpatient anti-epileptic drug prescribing errors in a Children's Hospital: An audit and literature review

Two-Year Profile of Preventable Errors in Hospital-Based Neurology

Frequency, Timing, and Types of Medication Ordering Errors Made by Residents in the Electronic Medical Records Era

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