a summary of safe medication primary research presented at ...€¦ · a summary of safe medication...
TRANSCRIPT
A summary of safe medication primary research
presented at the
Medication Safety Monthly Webex
The Observatory
2018
National Medication Safety Network
Date presented at The Observatory
This bibliography is based on searches of Medline [PATIENT HARM/ OR PATIENT SAFETY/ and exp DRUG THERAPY/]; Embase [exp PATIENT SAFETY and (MEDICATION ERROR/ OR INAPPROPRIATE PRESCRIBING)]
NHS Evidence: Medicines Management Collection: medicines safety, patient safety, medication errors, drug errors *papers presented in detail at monthly Webex
January 2018
An admission medication reconciliation programme carried out by pharmacists: impact on surgeons' prescriptions European Journal of Hospital Pharmacy http://ejhp.bmj.com/content/early/2018/01/11/ejhpharm-2017-001392
The impact of pharmacist-led medication reconciliation during admission at tertiary care hospital. International Journal of Clinical Pharmacy https://dx.doi.org/10.1007/s11096-017-0568-6
Improvement on prescribing appropriateness after implementing an interdisciplinary pharmacotherapy quality programme in a long-term care hospital European Journal of Hospital Pharmacy http://ejhp.bmj.com/content/early/2018/01/11/ejhpharm-2017-001411
Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation International Journal of Pharmacy Practice https://www.ncbi.nlm.nih.gov/pubmed/29314430
Randomized controlled evaluation of an insulin pen storage policy American Journal of Health-System Pharmacy http://www.ajhp.org/content/74/24/2054.long?sso-checked=true
Improved drug safety through intensive pharmacovigilance in hospitalized pediatric patients BMC Pharmacology & Toxicology https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721683/
An Automated System Combining Safety Signal Detection and Prioritization from Healthcare Databases: A Pilot Study Drug Safety https://link.springer.com/article/10.1007%2Fs40264-017-0618-y
Adverse events recording in electronic health record systems in primary care BMC Medical Informatics and Decision Making https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-017-0565-7
Drug-related deaths in hospital inpatients: A retrospective cohort study British Journal of Clinical Pharmacy http://onlinelibrary.wiley.com/doi/10.1111/bcp.13471/abstract
Improving Medicines Safety In A Mental Health Trust: The Role Of The Medicines Safety Officer Pharmacy Management Volume 34 (1) Jan 2018
February 2018
Study raises questions about NHS “weekend effect” National Institute for Health Research Signal https://discover.dc.nihr.ac.uk/portal/article/4000905/study-raises-questions-about-nhs-weekend-effect
Medication reconciliation in a Swiss hospital: methods, benefits and pitfalls European Journal of Hospital Pharmacy Published Online First: 30 January 2018. doi: 10.1136/ejhpharm-2017-001358 https://ejhp.bmj.com/content/early/2018/04/29/ejhpharm-2017-001358
Pharmacist impact on Parkinson's disease-related care in the ED Hospital Pharmacy Europe http://www.hospitalpharmacyeurope.com/neurology/pharmacist-impact-parkinsons-disease-related-care-ed
Inappropriate use of medication by elderly, polymedicated, or multipathological patients with chronic diseases International Journal of Environmental Research and Public Health Feb 2018; vol. 15 (no. 2) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858379/
Effect of an In-Hospital Multifaceted Clinical Pharmacist Intervention on the Risk of Readmission A Randomized Clinical Trial JAMA Internal Medicine Published online January 29, 2018. doi:10.1001/jamainternmed.2017.8274 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2670037
Electronic medication reconciliation in hospitals: a systematic review and meta-analysis European Journal of Hospital Pharmacy Published Online First: 08 February 2018. doi: 10.1136/ejhpharm-2017-001441 https://ejhp.bmj.com/content/25/5/245
A Multi-hospital Before-After Observational Study Using a Point-Prevalence Approach with an Infusion Safety Intervention Bundle to Reduce Intravenous Medication Administration Errors Drug Safety 2018 Feb 6. doi: 10.1007/s40264-018-0637-3. [Epub ahead of print] https://link.springer.com/article/10.1007%2Fs40264-018-0637-3
Measuring the impact of medicines regulatory interventions – Systematic review and methodological considerations British Journal of Clinical Pharmacology 2018 84: 419–433. doi: 10.1111/bcp.13469 https://bpspubs.onlinelibrary.wiley.com/doi/pdf/10.1111/bcp.13469
Professional, structural and organisational interventions in primary care for reducing medication errors Cochrane Database of Systematic Reviews 2017, Issue 10. Art. No.: CD003942. DOI: 10.1002/14651858.CD003942.pub3. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003942.pub3/abstract
February 2018 continued
Moving anticoagulation initiation and monitoring services into the community: evaluation of the Brighton and Hove community pharmacy service BMC Health Services Research 2018 Feb 7;18(1):91. doi: 10.1186/s12913-018-2901-8. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-2901-8
Optimisation of intravenous fluid prescribing: framework for changing practice through education and audits Royal Liverpool and Broadgreen Teaching Hospitals NHS Trust https://www.nice.org.uk/sharedlearning/optimisation-of-intravenous-fluid-prescribing-framework-for-changing-practice-through-education-and-audits
Three in 10 pharmacies not following safety guidelines for OTC medicines such as paracetamol and ibuprofen Which? https://www.which.co.uk/news/2018/02/three-in-10-pharmacies-not-following-safety-guidelines-finds-which-investigation/
Is the provision of paediatric oral liquid unlicensed medicines safe? Archives of Disease in Childhood - Education and Practice Published Online First: Jan 2018. doi:10.1136/archdischild-2016-312132 https://ep.bmj.com/content/103/6/310
Clinical and Economic Outcomes of Interventions to Reduce Antipsychotic and Benzodiazepine Use Within Nursing Homes: A Systematic Review Drugs & Aging 2018 Jan 27. doi: 10.1007/s40266-018-0518-6. [Epub ahead of print] https://link.springer.com/article/10.1007/s40266-018-0518-6
Antihypertensive-related adverse drug reactions among older hospitalized adults International Journal of Clinical Pharmacy 2018 Feb 1. doi: 10.1007/s11096-017-0583-7. [Epub ahead of print] https://link.springer.com/article/10.1007%2Fs11096-017-0583-7
Digital Therapeutics-An Integral Component of Digital Innovation in Drug Development Clinical Pharmacology & Therapeutics 2018 Jan 29. doi: 10.1002/cpt.1036. [Epub ahead of print] https://ascpt.onlinelibrary.wiley.com/doi/abs/10.1002/cpt.1036
Introducing a primary care risk prediction tool did not reduce emergency admissions National Institute for Health Research Signal https://discover.dc.nihr.ac.uk/portal/article/4000942/introducing-a-primary-care-risk-prediction-tool-did-not-reduce-emergency-admissions
Older Patients' Compliance with Drug Storage Recommendations Drugs & Aging 2018 Feb 8. doi: 10.1007/s40266-018-0524-8. [Epub ahead of print] https://link.springer.com/article/10.1007%2Fs40266-018-0524-8
Unlicensed medicines use: a UK guideline analysis using AGREE II International Journal of Pharmacy Practice 2018 Jan 30. doi: 10.1111/ijpp.12436. [Epub ahead of print] https://onlinelibrary.wiley.com/doi/full/10.1111/ijpp.12436
March 2018
An observational feasibility study of a new anaesthesia drug storage tray Anaesthesia https://onlinelibrary.wiley.com/doi/abs/10.1111/anae.14187
Factors Associated With Barcode Medication Administration Technology That Contribute to Patient Safety: An Integrative Review Journal of Nursing Care Quality https://www.ncbi.nlm.nih.gov/pubmed/28658190
Automated Medication Error Risk Assessment System (Auto-MERAS) Journal of Nursing Care Quality https://www.ncbi.nlm.nih.gov/pubmed/?term=Automated+Medication+Error+Risk+Assessment+System+(Auto-MERAS)
New solutions to reduce wrong route medication errors Paediatric Anaesthesia https://onlinelibrary.wiley.com/doi/abs/10.1111/pan.13279
Direct Observation of Medication Errors in Critical Care Setting: A Systematic Review Critical Care Nursing Quarterly https://www.ncbi.nlm.nih.gov/pubmed/?term=al+Direct+Observation+of+Medication+Errors+in+Critical+Care+Setting%3A+A+Systematic+Review
Pediatric Medication Safety in the Emergency Department American Academy of Pediatrics http://pediatrics.aappublications.org/content/141/3/e20174066..info
Prevalence and Economic Burden of Medication Errors in The NHS in England. Rapid evidence synthesis and economic analysis of the prevalence and burden of medication error in the UK Policy Research Unit in Economic Evaluation of Health and Care Interventions http://www.eepru.org.uk/prevalence-and-economic-burden-of-medication-errors-in-the-nhs-in-england-2/
Bridging gaps in care: Implementation of a pharmacist-led transitions-of-care program American Journal Of Health-System Pharmacy https://academic.oup.com/ajhp/article/75/5_Supplement_1/S1/5102052?searchresult=1
Audit on the Use of Dangerous Abbreviations, Symbols, and Dose Designations in Paper Compared to Electronic Medication Orders: A Multicenter Study Annals of Pharmacotherapy https://www.researchgate.net/publication/320888385_Audit_on_the_Use_of_Dangerous_Abbreviations_Symbols_and_Dose_Designations_in_Paper_Compared_to_Electronic_Medication_Orders_A_Multicenter_Study
Patterns of regional variation of opioid prescribing in primary care in England: a retrospective observational study The British Journal Of General Practice http://bjgp.org/content/68/668/e225.long
March 2018 continued
Does Patient Reporting lead to Earlier Detection of Drug Safety Signals? A Retrospective Comparison of Time to Reporting Between Patients and Healthcare Professionals in a Global Database British Journal of Clinical Pharmacology https://bpspubs.onlinelibrary.wiley.com/doi/abs/10.1111/bcp.13576
Strategies to Reduce Patient Harm From Infusion-Associated Medication Errors: A Scoping Review Journal of Infusion Nursing https://www.ncbi.nlm.nih.gov/pubmed/29293199
April 2018
Chemotherapy medication errors The Lancet Oncology Apr 2018; vol. 19 (no. 4) https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(18)30094-9/fulltext
STOMP - time to make more noise - Editorial Drug and Therapeutics Bulletin 2018;56:37 https://dtb.bmj.com/content/56/4/37
Drug induced liver injury with analysis of alternative causes as confounding variables British Journal of Clinical Pharmacology April 2018 https://doi.org/10.1111/bcp.13593
Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre-post study BMJ Quality & Safety 2018 Mar 23. pii: bmjqs-2017-007135. doi: 10.1136/bmjqs-2017-007135. [Epub ahead of print] https://qualitysafety.bmj.com/content/27/9/725.long
Safer dispensing labels for prescription medicines Australian Prescriber 2018;41:46-93 Apr 2018 DOI: 10.18733/austprescr.2018.009 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895471/
G190 Patient safety incidents in neonatology: a 10-year descriptive analysis of reports from nhs england and wales Archives of Disease in Childhood 2018;103:A78 https://adc.bmj.com/content/103/Suppl_1/A78.1
April 2018 continued
Pediatric Medication Safety in the Emergency Department Pediatrics March 2018, VOLUME 141 / ISSUE 3 https://pediatrics.aappublications.org/content/141/3/e20174066
Direct Observation of Medication Errors in Critical Care Setting: A Systematic Review Critical Care Nursing Quarterly January/March 2018; Vol 41(1): 76–92 https://insights.ovid.com/pubmed?pmid=29210769
An observational feasibility study of a new anaesthesia drug storage tray Anaesthesia Volume73, Issue3; March 2018: Pages 356-364 https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14187
Dispensing errors from look-alike drug trade names European Journal of Hospital Pharmacy 2018;25:96-99 https://ejhp.bmj.com/content/25/2/96
Deprescribing one year on: challenging the first iatrogenic epidemic - editorial European Journal of Hospital Pharmacy 2018;25:63-64 https://ejhp.bmj.com/content/25/2/63
*Large differences in neonatal drug use between NICUs are common practice: time for consensus? British Journal of Clinical Pharmacology Early view. First published: 17 April 2018 https://doi.org/10.1111/bcp.13563
*A review of the growing risk of vitamin D toxicity from inappropriate practice British Journal of Clinical Pharmacology Early view. First published: 16 April 2018 https://doi.org/10.1111/bcp.13573
May 2018
Clinical pharmacist intervention reduces mortality in patients with acute myocardial infarction: a propensity score matched analysis European Journal of Hospital Pharmacy https://ejhp.bmj.com/content/early/2018/04/29/ejhpharm-2017-001344
Severe harm and death associated with errors and drug interactions involving low-dose methotrexate Pharmacy and Therapeutics 2018;43 (4):191-248 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871236/
Evaluation of clinical pharmacist interventions in surgical patients European Journal of Hospital Pharmacy 2018;25 https://ejhp.bmj.com/content/25/Suppl_1/A152.2
Strategies to Reduce Patient Harm From Infusion-Associated Medication Errors: A Scoping Review Journal of Infusion Nursing 2018;36 (1):58-65 https://psnet.ahrq.gov/resources/resource/31783/Strategies-to-reduce-patient-harm-from-infusion-associated-medication-errors-a-scoping-review
Avoiding errors when administering injectable phenytoin to a child in status epilepticus Nursing Children & Young People 2018;30(1):35-38 https://journals.rcni.com/nursing-children-and-young-people/avoiding-errors-when-administering-injectable-phenytoin-to-a-child-in-status-epilepticus-ncyp.2018.e965
Impact of Medicines Helplines on patient satisfaction, patient outcomes and medicines safety for hospital patients: the development of a rating scale and an evaluation of patients’ opinions European Journal of Hospital Pharmacy 2018 https://ejhp.bmj.com/content/early/2018/05/02/ejhpharm-2017-001459
Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study BMJ Quality & Safety https://qualitysafety.bmj.com/content/27/11/892
Strategies to prevent medication errors between acute and primary care Medicine Today 2018;19(3):37-40 https://medicinetoday.com.au/2018/march/feature-article/strategies-prevent-medication-errors-between-acute-and-primary-care
June 2018
Characteristics of drugs safety signals that predict safety related product information update Pharmacoepidemiology and Drug Safety 2018 May 24. doi: 10.1002/pds.4446. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055643/
A UK hospital survey to explore healthcare professional views and attitudes to patients incorrectly labelled as penicillin allergic: an antibiotic stewardship patient safety project European Journal of Hospital Pharmacy Published Online First: 24 May 2018. https://ejhp.bmj.com/content/early/2018/05/24/ejhpharm-2017-001451
Frequency and nature of potentially harmful preventable problems in primary care from the patient’s perspective with clinician review: a population-level survey in Great Britain BMJ Open 2018;8:e020952. doi: 10.1136/bmjopen-2017-020952 https://bmjopen.bmj.com/content/8/6/e020952
What dose of paracetamol for older people? Drug and Therapeutic Bulletin 2018;56:69-72 https://dtb.bmj.com/content/56/6/69
Long term adverse effects of paracetamol British Journal of Clinical Pharmacology Doi:10.1111/bcp.13656 https://bpspubs.onlinelibrary.wiley.com/doi/10.1111/bcp.13656
Evaluation of medication dose omissions amongst inpatients in a hospital using an electronic Medication Management System Journal of Evaluation in Clinical Practice 2018 May 22. doi 10.1111/jep.12944 [Epub ahead of print] https://onlinelibrary.wiley.com/doi/abs/10.1111/jep.12944
July 2018
Comparison of pharmacy technicians’ and doctors’ medication transcribing errors at hospital discharge European Journal of Hospital Pharmacy 2018 doi: 10.1136/ejhpharm-2018-001538 https://ejhp.bmj.com/content/early/2018/07/07/ejhpharm-2018-001538
Role of personality traits in reporting the development of adverse drug reactions: a prospective cohort study of the Estonia general population BMJ Open 2018; 8: e022428 http://dx.doi.org/10.1136/bmjopen-2018-022428
Drug packaging in 2017: quality is improving, but many dangers remain Rev Prescrire 2018; 38 (414): 294 – 299 http://english.prescrire.org/en/DB05364C9EE6C52286E305A7911B73B4/Download.aspx
Exploring factors contributing to medication errors with opioids in Australian specialist palliative care inpatient services: A multi-incident analysis Journal of Palliative Medicine 2018; 21(6): 825 – 835 https://www.liebertpub.com/doi/abs/10.1089/jpm.2017.0578?rfr_dat=cr_pub%3Dpubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&journalCode=jpm
A systematic review of clinical pharmacist interventions in paediatric hospital patients European Journal of Pediatrics 2018; 177(8): 1139 – 1148 https://link.springer.com/article/10.1007%2Fs00431-018-3187-x
Detecting medication errors from adverse drug reaction monitoring centre database – A retrospective analysis International Journal of Pharmaceutical Sciences and Research 2018; 9(6): 2520 – 2524 http://ijpsr.com/bft-article/detecting-medication-errors-from-adverse-drug-reaction-monitoring-centre-database-a-retrospective-analysis/
Effects of training physicians in electronic prescribing in the outpatient setting on clinical, learning and behavioural outcomes: a cluster randomised trial British Journal of Clinical Pharmacology 2018; 84(6): 1187 – 1197 https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1111/bcp.13540
A multi-hospital before-after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors Drug Safety 2018; 41: 591 – 602 https://link.springer.com/article/10.1007%2Fs40264-018-0637-3
Risk of meticillin resistant Staphylococcus aureus and Clostridium difficile in patients with a documented penicillin allergy: population based matched cohort study BMJ 2018; 361: doi: https://doi.org/10.1136/bmj.k2400
August 2018
Integrating systemic accident analysis into patient safety incident investigation practices Applied Ergonomics Oct 2018; vol. 72 ; p. 1-9 https://www.sciencedirect.com/science/article/pii/S000368701830098X
A comparison of medication profiles held by general practitioners and those documented during Home Medication Reviews Pharmacy Practice and Research 2018: 48; 340-7 https://onlinelibrary.wiley.com/doi/abs/10.1002/jppr.1411
Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system American Journal of Health-System Pharmacy 2018 Jul 15;75(14):1064-1068. doi: 10.2146/ajhp161058 https://academic.oup.com/ajhp/article-abstract/75/14/1064/5102019?redirectedFrom=fulltext
Evidence and tips on the use of medication compliance aids BMJ 2018; 362 doi: https://doi.org/10.1136/bmj.k2801
Pregabalin and the Risk for Opioid-Related Death: A Nested Case–Control Study Annals of Internal Medicine http://annals.org/aim/article-abstract/2697572/pregabalin-risk-opioid-related-death-nested-case-control-study
Fixed-dose combination antihypertensives and risk of medication errors Heart https://heart.bmj.com/content/early/2018/08/02/heartjnl-2018-313492
Incidence and cost of medication harm in older adults following hospital discharge: a multicentre prospective study in the UK British Journal of Clinical Pharmacology Aug 2018; vol. 84 (no. 8); p. 1789-1797 https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1111/bcp.13613
September 2018
Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review BMJ Open https://bmjopen.bmj.com/content/8/8/e022202
Evolution of the general practice pharmacist’s role in England: a longitudinal study British Journal of General Practice 28 August 2018; bjgp18X698849. https://doi.org/10.3399/bjgp18X698849
What is the place for monitored dosage systems? Drug and Therapeutic Bulletin http://dx.doi.org/10.1136/dtb.2018.9.000004
Medication reminder applications to improve adherence in coronary heart disease: a randomised clinical trial Heart https://heart.bmj.com/content/105/4/323
Cardiovascular Safety of Lorcaserin in Overweight or Obese Patients New England Journal of Medicine https://www.nejm.org/doi/full/10.1056/NEJMoa1808721
Conference report: Real-world evidence from Global Anticoagulant Registry ( GARFIELD-AF) Shows Superior Reduction in Mortality With Non-vitamin K Antagonists Oral Anticoagulants (NOACs) vs. Vitamin K Antagonists (VKAs) in Newly Diagnosed Atrial Fibrillation Biospace Inc. https://www.prnewswire.com/news-releases/real-world-evidence-from-garfield-af-shows-superior-reduction-in-mortality-with-non-vitamin-k-antagonists-oral-anticoagulants-noacs-vs-vitamin-k-antagonists-vkas-in-newly-diagnosed-atrial-fibrillation-863787637.html
Patient Discharge from Hospital to General Practice: Thematic Report 2017-2018 Healthcare Inspectorate Wales http://hiw.org.uk/docs/hiw/reports/180808dischargeen.pdf?lang=en
October 2018
Antithrombotic Stewardship: Assessing Use of Computerized Clinical Decision Support Tools to Enhance Safe Prescribing of Direct Oral Anticoagulants in Hospitalized Patients Journal of Patient Safety 2018 Sep 25. doi: 10.1097/PTS.0000000000000535 https://www.ncbi.nlm.nih.gov/pubmed/30252771
Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning Protocol to Prevent Wrong-Patient Insulin Pen Errors The Joint Commission Journal on Quality and Patient Safety 2018 Sep 26. pii: S1553-7250(18)30310-6. doi: 10.1016/j.jcjq.2018.08.006. https://www.jointcommissionjournal.com/article/S1553-7250(18)30310-6/fulltext
Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational British Journal of Clinical Pharmacology Oct 2018; vol. 84 (no. 10); p. 2252-2259 https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1111/bcp.13665
Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases American Journal of Health-System Pharmacy 2018 Oct 1;75(19):1460-1466 https://www.ncbi.nlm.nih.gov/pubmed/30257842
ASHP guidelines on preventing medication errors in hospitals American Journal of Health-System Pharmacy Oct 2018; vol. 75 (no. 19); p. 1493-1517 https://academic.oup.com/ajhp/article-abstract/75/19/1493/5139896?redirectedFrom=fulltext
Patient safety and pro re nata prescription and administration: A systematic review Pharmacy Sep 2018; vol. 6 (no. 3) https://www.ncbi.nlm.nih.gov/pubmed/30158511
Preventing Future Deaths from Medicines: Responses to Coroners' Concerns in England and Wales
Drug Safety
2018 Oct 8. doi: 10.1007/s40264-018-0738-z. https://www.ncbi.nlm.nih.gov/pubmed/30298309
Adverse-event management and reporting for electronic cigarettes (e-cigarettes) European Journal of Hospital Pharmacy 2018;0:1–2. doi:10.1136/ejhpharm-2018-001747 https://ejhp.bmj.com/content/early/2018/10/09/ejhpharm-2018-001747.share
Surgical mesh and patient safety. A mandatory device registry is long overdue BMJ 2018;363:k4231 doi: 10.1136/bmj.k4231 https://www.bmj.com/content/363/bmj.k4231
Identifying the "Blip on the Radar Screen": Leveraging Big Data in Defining Drug Safety and Efficacy in Pediatric Practice Journal of Clinical Pharmacology 2018 Oct;58 Suppl 10:S86-S93. doi: 10.1002/jcph.1141 https://www.ncbi.nlm.nih.gov/pubmed/30248191
October 2018 continued
Comparative, cross-sectional study of the format, content and timing of medication safety letters issued in Canada, the USA and the UK BMJ Open 2018;8:e020150. doi:10.1136/ bmjopen-2017-020150 https://bmjopen.bmj.com/content/bmjopen/8/10/e020150.full.pdf
November 2018
Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system British Journal of Anaesthesia 2018 Dec;121(6):1338-1345. doi: 10.1016/j.bja.2018.09.004 https://www.ncbi.nlm.nih.gov/pubmed/30442262
Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study BMJ 2018; 363 https://www.bmj.com/content/363/bmj.k4524.long
Effect of a Pharmacist-Led Educational Intervention on Inappropriate Medication Prescriptions in Older Adults. The D-PRESCRIBE Randomized Clinical Trial JAMA 2018;320(18):1889-1898 https://jamanetwork.com/journals/jama/article-abstract/2714531
Impact of pharmacist interventions on clinical outcome and cost avoidance in a university teaching hospital International Journal of Clinical Pharmacy 2018 Oct 26. doi: 10.1007/s11096-018-0733-6 https://www.ncbi.nlm.nih.gov/pubmed/30367375
Prevention of medication errors at hospital admission: a single-centre experience in elderly admitted to internal medicine International Journal of Clinical Pharmacy 2018 Oct 26. doi: 10.1007/s11096-018-0737-2 https://www.ncbi.nlm.nih.gov/pubmed/30367379
Types and frequency of errors in the preparation and administration of drugs Einstein (Sao Paulo, Brazil) Sep 2018; vol.16 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178856/
November 2018 continued
Development of a standardized chart review method to identify drug-related hospital admissions in older people British Journal of Clinical Pharmacology Nov 2018; vol.84;2600-2614 https://www.ncbi.nlm.nih.gov/pubmed/30007041
International Society for Pharmacovigilance (ISOP) 2018 abstracts Available full text in Embase via HDAS:
Pharmacovigilance: Analysis of medication errors reports received by argentine regulatory authority (anmat) during the period 2013-2017 Drug Safety Nov 2018; vol.41;1144-1145 https://hdas.nice.org.uk/strategy/545394/17#1 Communication: The key to implementation of risk management and patient safety Drug Safety Nov 2018; vol.41;1110 https://hdas.nice.org.uk/strategy/545394/20#1 Serious consequences from medication errors identified in vigibase Drug Safety Nov 2018; vol. 41;1107 https://hdas.nice.org.uk/strategy/545394/19#2 Measuring the impact of medication errors on public health: What are the right parameters and criteria? Drug Safety Nov 2018; vol.41 (no. 11); p. 1106 https://hdas.nice.org.uk/strategy/545394/18#2
Incidence and prevalence of intravenous medication errors in the UK: a systematic review European Journal of Hospital Pharmacy Oct 2018 https://ejhp.bmj.com/content/early/2018/10/23/ejhpharm-2018-001624
December 2018 and January 2019
ASHP guidelines on preventing medication errors in hospitals American Journal of Health-System Pharmacy Oct 2018; vol. 75 (no. 19); p. 1493-1517 https://academic.oup.com/ajhp/article-abstract/75/19/1493/5139896?redirectedFrom=fulltext
Deceptive defences: rethinking safety interventions in complex adaptive systems British Journal of Anaesthesia Dec 2018; vol. 121 (no. 6); p. 1196-1198 https://bjanaesthesia.org/article/S0007-0912(18)30655-X/fulltext
Using the HALT model in an exploratory quality improvement initiative to reduce medication errors British journal of nursing (Mark Allen Publishing) - from EBSCO (CINAHL Plus with Full Text) (https://www.magonlinelibrary.com/doi/full/10.12968/bjon.2018.27.22.1330?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed&)
The effect of electronic health records on patient safety: A qualitative exploratory study Informatics for health & social care; Jan 2019; vol. 44 (no. 1); p. 79-91. https://www.researchgate.net/publication/321815592_The_effect_of_electronic_health_records_on_patient_safety_A_qualitative_exploratory_study
Evaluation of an Electronic Dosing Calculator to Reduce Pediatric Medication Errors Clinical Pediatrics 2019 https://journals.sagepub.com/doi/pdf/10.1177/0009922818821871
Incident reports versus direct observation to identify medication errors and risk factors in hospitalised newborns European Journal of Pediatrics 2018 https://link.springer.com/article/10.1007%2Fs00431-018-3294-8
Defining electronic-prescribing and infusion-related medication errors in paediatric intensive care - a Delphi study BMC Medical Informatics & Decision Making 2018; 18: 130 http://europepmc.org/articles/PMC6286555;jsessionid=3E03B6DCD8B9395C554500162AC9748D?fromSearch=singleResult&fromQuery=%28DOI:10.1186/s12911-018-0713-8%29
Three in 10 deaths British drug-related deaths in acute care due to omitted medicines, research reveals 2018 http://www.hospitalpharmacyeurope.com/editors-pick/three-10-britishdrug-related-deaths-acute-care-due-omitted-medicines-research-reveals
December 2018 and January 2019
continued
Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system British Journal of Anaesthesia 2018;121(6):1338–1345 https://bjanaesthesia.org/article/S0007-0912(18)30709-8/pdf
The Prevalence and Nature of Medication Errors and Adverse Events Related to Preadmission Medications When Patients Are Admitted to an Orthopedic Inpatient Unit: An Observational Study Annals of Pharmacotherapy 2018 https://journals.sagepub.com/doi/pdf/10.1177/1060028018802472
Prevention and Treatment of Opioid Misuse and Addiction: A Review JAMA Psychiatry 2019;76(2):208-216. doi:10.1001/jamapsychiatry.2018.3126 https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2716982
Incident opioid use and risk of hip fracture among persons with Alzheimer disease Pain 2019;160(2):417–423 https://journals.lww.com/pain/Abstract/publishahead/Incident_opioid_use_and_risk_of_hip_fracture_among.98840.aspx
Single, short-time exposure to heat in a car during sunny day can decrease epinephrine concentration in autoinjectors: a real-life pilot study The Journal of Allergy and Clinical Immunology: In Practice https://www.jaci-inpractice.org/article/S2213-2198(18)30698-6/abstract
Making high-risk medication safer to use Journal of Pharmacy Practice and Research Dec 2018; vol. 48 (no. 6); p. 501-503 (March 2019: No link to this article available)
Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy Journal of Evaluation in Clinical Practice 2019; 25(1); 28-35 https://psnet.ahrq.gov/resources/resource/32439/Roboticdispensing-improves-patient-safety-inventory-management-and-staff-satisfaction-in-anoutpatient-hospital-pharmacy
Reducing errors in the administration of medication with infusion pumps in the intensive care department: A lean approach SAGE Open Medicine Jan 2019; 7 https://journals.sagepub.com/doi/pdf/10.1177/2050312118822629
December 2018 and January 2019
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Drug shortages may compromise patient safety: Results of a survey of the reference pharmacies of the Drug Commission of German Pharmacists Health Policy Dec 2018;122(12);1302-1309 https://www.sciencedirect.com/science/article/pii/S0168851018304664
Improvement of drug prescribing in acute kidney injury with a nephrotoxic drug alert system European Journal of Hospital Pharmacy 2019;26:33-38 http://dx.doi.org/10.1136/ejhpharm-2017-001300
Evaluation of the adequacy of drug prescriptions in patients with chronic kidney disease: results from the CKD-REIN cohort British Journal of Clinical Pharmacology Dec 2018;84(12);2811-2823 https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1111/bcp.13738