Medication Prescribing Errors in a Teaching Hospital

JAMA: The Journal of the American Medical Association

Volumn 263, Issue 17, 1990, Pages 2329-2334

  Lesar, Timothy S ^a   Briceland, Laurie L ^b   Delcoure, Karen ^a   Parmalee, Janet Crilly ^a   Masta Gornic, Vickey ^a   Pohl, Henry ^c  

^a ALBANY MEDICAL CENTER   (United States)

^b ALBANY COLLEGE OF PHARMACY AND HEALTH SCIENCES   (United States)

^c ALBANY MEDICAL COLLEGE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ERROR; MEDICAL PRACTICE; PRESCRIPTION; PRIORITY JOURNAL; RESIDENT; RISK ASSESSMENT; TEACHING HOSPITAL;

HOSPITAL BED CAPACITY, 500 AND OVER; HOSPITAL DEPARTMENTS; HOSPITALS, TEACHING; HUMAN; IATROGENIC DISEASE; INTERNSHIP AND RESIDENCY; MEDICAL AUDIT; MEDICAL STAFF, HOSPITAL; MEDICATION ERRORS; NEW YORK; RISK FACTORS; SPECIALTIES, MEDICAL;

EID: 0025268697     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.1990.03440170051035     Document Type: Article

References (27)

1. 1. Barr DP. Hazards of modern diagnosis and therapy—the price we pay. JAMA. 1956;159:1452-1456.
2. 2. Moser RH. Diseases of medical progress. N Engl J Med. 1956;255:606-614.
3. 3. Schimmel EM. Hazards of hospitalization. Ann Intern Med. 1964;60:100-110.
4. 4. Steel K, Gertman P, Crescenzi C, Anderson J. Iatrogenic illness on a general medical service at a university hospital. N Engl J Med. 1981;304:638-642.
5. 5. Dubois RW, Brook RH. Preventable deaths: who, how often, why? Ann Intern Med. 1988; 109:582-589.
6. 6. Fink JL. Liability claims based on drug use. Drug Intell Clin Pharm. 1983;17:667-670.
7. 7. Perlstein P, Callison C, White M, Barnes B, Edwards NK. Errors in drug computations during newborn intensive care. AJDC. 1979;133:376-379.
8. 8. Davis NM, Cohen MR. Medication Errors: Causes and Prevention. Philadelphia, Pa: George F Stickley; 1981
9. 9. Folli H, Poole RL, Benitz WE, Russo JC. Medication error prevention by clinical pharmacists in two children’s hospitals. Pediatrics. 1987;79:718-722.
10. 10. Blum KV, Abel SR, Urbanski CJ, Pierce JM. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45:1902-1903.
11. 11. Hawkey CJ, Hodgson SE, Garner ST, Norman AJ. Reactive pharmacy intervention: potential medical impact of prescribing errors. Br J Clin Pharmacol. 1988;27:118-119P.
12. 12. Rupp MT, Schondelmeyer SW, Wilson GT, Krause JE. Documenting prescribing errors and pharmacist interventions in community pharmacy practice. Am Pharm. 1988;NS28:574-580.
13. 13. Wingert WA, Chan LS, Stewart K, Lawrence L, Portnoy B. A study of the quality of prescriptions issued in a busy pediatric emergency room. Public Health Rep. 1975;90:402-408.
14. 14. Walson PD, Hammel M, Martin R. Prescription writing by pediatric house officers. J Med Educ. 1981;56:423-428.
15. 15. Christensen DB, Campbell WH, Madsen S, Hartzema AG, Nudelman PM. Documenting outpatient problem intervention activities of pharmacists in an HMO. Med Care. 1981;19:104-117.
16. 16. Betz RP, Levy HB. An interdisciplinary method of classifying and monitoring medication errors. Am J Hosp Pharm. 1985;42:1724-1732.
17. 17. Vincer MJ, Murray JM, Yuill A, Allen AC, Evans JR, Stinson DA. Drug errors and incidents in a neonatal care unit: a quality assurance activity. AJDC. 1989;143:737-740.
18. 18. Barker KN. The effect of an experimental medication system on medication errors and cost, part I: introduction and errors study. Am J Hosp Pharm. 1969;26:324-333.
19. 19. Hynniman CE, Conrad WF, Urch WA, Ridnick BR, Parker PF. A comparison of medication errors under the University of Kentucky unit dose system and traditional drug distribution system in four hospitals. Am J Hosp Pharm. 1970;27:803-804.
20. 20. Barker KN, Mikeal RL, Pearson RE, Illig NA, Morse ML. Medication errors in nursing homes and small hospitals. Am J Hosp Pharm. 1982;39: 387-391.
21. 21. Raju TN, Thornton JP, Kecskes S, Perry M, Feldman S. Medication errors in neonatal and pediatric intensive care units. Lancet. 1989;2:374-376.
22. 22. Kirchbaum DW, Malone PM. Subcutaneous administration of nifedipine. Drug Intell Clin Pharm. 1988;22;891-892.
23. 23. Hoffman RS, Smilkstein MJ, Rubenstein F. An ‘amp’ by any other name: the hazards of intravenous magnesium dosing. JAMA. 1989;261:557.
24. 24. Bakris G. It may seem obvious to you…: giving medication instructions to patients. JAMA. 1988;260:1243.
25. 25. Patient dies from 10-fold digoxin overdose. Pharm J. 1989;242:250.
26. 26. Deaconson TF, O’Hair DP, Levy MF, Lee MB-F, Schueneman AL, Condon RE. Sleep deprivation and resident performance. JAMA. 1988;260:1721-1727.
27. 27. Health and Public Policy Committee, American College of Physicians. Improving medical education in therapeutics. Ann Intern Med. 1988; 108:145-147.