What are the effects of professional, structural, and organizational interventions in primary care for reducing medication errors?

2018 ◽  
Keyword(s):  
Primary Care ◽  
Medication Errors ◽  
Organizational Interventions

scholarly journals Bayesian Cohort and Cross-Sectional Analyses of the PINCER Trial: A Pharmacist-Led Intervention to Reduce Medication Errors in Primary Care

PLoS ONE ◽  
2012 ◽  
Vol 7 (6) ◽  
pp. e38306 ◽  
Author(s):  
Karla Hemming ◽  
Peter J. Chilton ◽  
Richard J. Lilford ◽  
Anthony Avery ◽  
Aziz Sheikh
Keyword(s):  
Primary Care ◽  
Medication Errors ◽  
Cross Sectional

Educational and Organizational Interventions to Improve the Management of Depression in Primary Care

JAMA ◽  
2003 ◽  
Vol 289 (23) ◽  
pp. 3145 ◽  
Author(s):  
Simon Gilbody ◽  
Paula Whitty ◽  
Jeremy Grimshaw ◽  
Ruth Thomas
Keyword(s):  
Primary Care ◽  
Organizational Interventions

scholarly journals Economic analysis of the prevalence and clinical and economic burden of medication error in England

2020 ◽  
pp. bmjqs-2019-010206 ◽  
Author(s):  
Rachel Ann Elliott ◽  
Elizabeth Camacho ◽  
Dina Jankovic ◽  
Mark J Sculpher ◽  
Rita Faria
Keyword(s):  
Primary Care ◽  
Medication Errors ◽  
Resource Use ◽  
Economic Burden ◽  
Secondary Care ◽  
Healthcare Resource ◽  
Annual Number ◽  
Healthcare Resource Use ◽  
Clinically Significant ◽  
Potentially Clinically Significant

ObjectivesTo provide national estimates of the number and clinical and economic burden of medication errors in the National Health Service (NHS) in England.MethodsWe used UK-based prevalence of medication errors (in prescribing, dispensing, administration and monitoring) in primary care, secondary care and care home settings, and associated healthcare resource use, to estimate annual number and burden of errors to the NHS. Burden (healthcare resource use and deaths) was estimated from harm associated with avoidable adverse drug events (ADEs).ResultsWe estimated that 237 million medication errors occur at some point in the medication process in England annually, 38.4% occurring in primary care; 72% have little/no potential for harm and 66 million are potentially clinically significant. Prescribing in primary care accounts for 34% of all potentially clinically significant errors. Definitely avoidable ADEs are estimated to cost the NHS £98 462 582 per year, consuming 181 626 bed-days, and causing/contributing to 1708 deaths. This comprises primary care ADEs leading to hospital admission (£83.7 million; causing 627 deaths), and secondary care ADEs leading to longer hospital stay (£14.8 million; causing or contributing to 1081 deaths).ConclusionsUbiquitous medicines use in health care leads unsurprisingly to high numbers of medication errors, although most are not clinically important. There is significant uncertainty around estimates due to the assumption that avoidable ADEs correspond to medication errors, data quality, and lack of data around longer-term impacts of errors. Data linkage between errors and patient outcomes is essential to progress understanding in this area.

scholarly journals Frequency of medication errors in primary care patients with polypharmacy

2012 ◽  
Vol 30 (3) ◽  
pp. 313-319 ◽  
Author(s):  
D. Koper ◽  
G. Kamenski ◽  
M. Flamm ◽  
B. Bohmdorfer ◽  
A. Sonnichsen
Keyword(s):  
Primary Care ◽  
Medication Errors ◽  
Primary Care Patients
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