Reliability of clinical impact grading by healthcare professionals of common prescribing error and optimisation cases in critical care patients

Abstract

Representative clinical impact grades for over 100 common prescribing error and optimisation cases are reported for potential clinical practice and research application. The between professional variability highlights the importance of multidisciplinary perspectives in assessment of medication error and optimisation cases in clinical practice and research.

Omissions and Deviations From Safe Drug Administration Guidelines in 2 Medical Wards and Risk Factors: Findings From an Observational Study

“…Some studies that did perform knowledge testing 32,36 have revealed some knowledge deficits, whereas other studies have shown that there is a significant variability between risk perceptions among health care professionals. 37,38 Administration method errors have also been reported by previous studies. 2,14,39 Nonadherence to the drug administration record protocol (i.e., documentation errors) was commonly recorded, and this is in line with findings from previous studies.…”

Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study

“…Nevertheless, under-reporting of errors to patients and informal incident reporting systems (i.e., informal discussions with peers or supervisors) remains a significant problem in cancer care (Levinson, 2012;Olsen et al, 2007;Sari, Sheldon, Cracknell, & Turnbull, 2007). Variability in risk assessments and responses to errors may occur as a result of providers' subjective assessments (Bourne et al, 2017). The importance of gathering data from various sources, and the inclusion of multidisciplinary perspectives when assessing health care errors in clinical practice and research, has been emphasised in the literature (Bourne et al, 2017;Lipczak et al, 2011).…”

“…Variability in risk assessments and responses to errors may occur as a result of providers' subjective assessments (Bourne et al, 2017). The importance of gathering data from various sources, and the inclusion of multidisciplinary perspectives when assessing health care errors in clinical practice and research, has been emphasised in the literature (Bourne et al, 2017;Lipczak et al, 2011).…”

The role of the pharmacist in the intensive care unit

“…[15][16][17] Clinical impact gradings of critical care pharmacist activity in terms of error intercepts and optimisation activity have been verified by a 30-strong multi-professional panel. 18 Pharmacist's activity can generally be grouped into three broad areas. 13 First, the pharmacist's independent review occurs when reviewing charts, clinical data, performing medicines reconciliation, etc.…”

“…15–17 Clinical impact gradings of critical care pharmacist activity in terms of error intercepts and optimisation activity have been verified by a 30-strong multi-professional panel. 18…”