Prescription errors in UK critical care units

Anaesthesia

Volumn 59, Issue 12, 2004, Pages 1193-1200

  Ridley, Saxon A ^a   Booth, S A ^a   Thompson, C M ^a   Clayton, Tracey ^b   Eddleston, Jane ^c   Mackenzie, Simon ^d   Thomas, Tony ^e   Webb, Andrew ^f   Wright, David ^g  

^a NORFOLK AND NORWICH UNIVERSITY HOSPITAL   (United Kingdom)

^b GLOUCESTERSHIRE ROYAL HOSPITAL   (United Kingdom)

^c MANCHESTER ROYAL INFIRMARY   (United Kingdom)

^d ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

^e HOPE HOSPITAL   (United Kingdom)

^f UNIVERSITY COLLEGE HOSPITAL   (United Kingdom)

^g WESTERN GENERAL HOSPITAL   (United Kingdom)

Author keywords

Intensive care; Medication errors

Indexed keywords

ADRENALIN; ALFENTANIL; AMIODARONE; CEFUROXIME; FUROSEMIDE; GENTAMICIN; HEPARIN; INSULIN; MAGNESIUM SULFATE; METRONIDAZOLE; MIDAZOLAM; MORPHINE; NORADRENALIN; OMEPRAZOLE; PARACETAMOL; POTASSIUM CHLORIDE; PROPOFOL; PROSTACYCLIN; RANITIDINE; SODIUM CHLORIDE;

AMBIGUITY; ARTICLE; CALCULATION; CLASSIFICATION; CONTROLLED STUDY; DATA ANALYSIS; DRUG FORMULATION; HOSPITAL CARE; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; MEDICAL DOCUMENTATION; MEDICAL PRACTICE; MEDICATION ERROR; NOMENCLATURE; PRESCRIPTION; RISK ASSESSMENT; STANDARDIZATION; UNITED KINGDOM; WRITING;

CRITICAL CARE; GREAT BRITAIN; HEALTH SERVICES RESEARCH; HOSPITALIZATION; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MEDICATION ERRORS; PHARMACY SERVICE, HOSPITAL; PRESCRIPTIONS, DRUG;

EID: 10044294741     PISSN: 00032409     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1365-2044.2004.03969.x     Document Type: Article

References (31)

1. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. British Medical Journal 2001; 322: 517-9.
2. Department of Health. An Organisation with a Memory. London: Department of Health, 2000.
3. Department of Health. Building a Safer NHS for Patients. Implementing an Organisation with a Memory. London: Department of Health, 2001.
4. Ioannidis J, Lau J. Evidence on interventions to reduce medical errors. An overview and recommendations for future research. Journal of General Internal Medicine 2001; 16: 325-34.
5. Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events: implications for prevention. Journal of the American Medical Association 1995; 274: 29-34.
6. Raschke RA, Gollihare B, Wunderlich TA, et al. A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. Journal of the American Medical Association 1998; 280: 1317-20.
7. Classen DC, Pestotnik SL, Evans RS, Lloyd JF, Burke JP. Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. Journal of the American Medical Association 1997; 277: 301-6.
8. Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalised patients. Journal of the American Medical Association 1997; 277: 307-11.
9. Anonymous. Report maps road to medication safety. CMO Update 2004; 38: 1-3.
10. Kohn LT, Corrigan JM, Donaldson M. To Err is Human. Building a Safer Health System. Committee on Quality of Healthcare in America, Institute of Medicine. Washington, DC: National Academy Press, 2000.
11. Weingart SN, Wilson RM, Gibberd RW, Harrison B. Epidemiology of medical error. British Medical Journal 2000; 320: 774-7.
12. Meyer TA. Improving the quality of the order-writing process for inpatient orders and outpatient prescriptions. American Journal of Health-System Pharmacy 2000; 57: S18-S22.
13. Lesar TS, Briceland L, Stein DS. Factors related to errors in medication prescribing. Journal of the American Medical Association 1997; 277: 312-7.
14. Hinckley CM. Make no mistake - errors can be controlled. Quality and Safety in Health Care 2003; 12: 359-65.
15. van den Bemt PM, Postma MJ, van Roon EN, Chow M-CC, Fijn R, Brouwers JR. Cost-benefit analysis of the detection of prescribing errors by hospital pharmacy staff. Drug Safety 2002; 25: 135-43.
16. Chief Pharmaceutical Officer. Building a Safer NHS for Patients; Improving Medication Errors. London: Department of Health, 2004.
17. Anonymous. Prescription writing. In: Mehta DK, ed. British National Formulary. London: British Medical Association and the Royal Pharmaceutical Society of Great Britain, 2003: 4-5.
18. Dean B, Barber N, Schachter M. What is a prescribing error? Quality and Safety in Health Care 2000; 9: 232-7.
19. Overhage JM, Lukes A. Practical, reliable, comprehensive method for characterizing pharmacists' clinical activities. American Journal of Health-System Pharmacy 1999; 56: 2444-50.
20. Dean B, Schachter M, Vincent C, Barber N. Prescribing errors in hospital inpatients: their incidence and clinical significance. Quality and Safety in Health Care 2002; 11: 340-4.
21. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. New England Journal of Medicine 1991; 324: 370-6.
22. Wilson RM, Runciman WB, Gibberd RW, Harrison BT, Newby L, Hamilton JD. The Quality in Australian Health Care Study. Medical Journal of Australia 1995; 163: 458-71.
23. Bobb A, Gleason K, Husch M, Feinglass J, Yarnold PR, Noskin GA. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Archives of Internal Medicine 2004; 164: 785-92.
24. Leape LL, Cullen DJ, Clapp MD, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. Journal of the American Medical Association 1999; 282: 267-70.
25. National Patient Safety Agency. Patient Safety Alert. http://81.144.177/site/media/documents/486_riskalertpsa.pdf.
26. National Patient Safety Agency. Business Plan 2003-04. Appendix, 3. http://81.144.177/site/media/documents/ 251_businessplan.pdf.
27. Audit Commission. A spoonful of sugar. Medicines Management in NHS Hospitals. London: Audit Commission, 2001.
28. Nightingale PG, Adu D, Richards NT, Peters M. Implementation of rules based computerised bedside prescribing and administration: intervention study. British Medical Journal 2000; 320: 750-3.
29. Tunnicliffe WS, Sames R, Manji M, Gyves H, Rosser DM. Reduction in prescribing errors with a rule based prescribing and information management system. Intensive Care Medicine 2003; 29 S8.
30. Taxis K, Barber N. Ethnographic study of incidence and severity of intravenous drug errors. British Medical Journal 2003; 326: 684-7.
31. O'Hare MC, Bradley AM, Gallagher T, Shields MD. Errors in administration of intravenous drugs. British Medical Journal 1995; 310: 1536-7.