Prevent medication errors on admission

Clinical Governance: An International Journal

Volumn 8, Issue 2, 2003, Pages 128-137

  Dutton, Karen ^a   Hedger, Neil ^b   Wills, Simon ^c   Davies, Pauline ^b  

^a DERRIFORD HOSPITAL   (United Kingdom)

^b PORTSMOUTH HOSPITALS NHS TRUST   (United Kingdom)

^c Wessex Medicines Information Centre   (United Kingdom)

Author keywords

Error cause identification; Hospitals; Medicines; Patients expectations; Pharmaceuticals

Indexed keywords

ACETYLSALICYLIC ACID; ANTICONVULSIVE AGENT; ANTIDEPRESSANT AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; BRONCHODILATING AGENT; CALCIUM CHANNEL BLOCKING AGENT; CARBAMAZEPINE; CARDIOVASCULAR AGENT; CO BENELDOPA; DILTIAZEM; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; DIURETIC AGENT; DOPAMINE RECEPTOR STIMULATING AGENT; HORMONE; INSULIN; METHOTREXATE; METOLAZONE; NITRATE; ORAL CONTRACEPTIVE AGENT; PHENOBARBITAL; PHENYTOIN; STEROID; THYROXINE; UNCLASSIFIED DRUG; WARFARIN;

ANALYTICAL ERROR; ANAMNESIS; ARTICLE; CHRONIC DISEASE; CLINICAL PRACTICE; CONTROLLED STUDY; DETERIORATION; DOCTOR PATIENT RELATION; DOCUMENT EXAMINATION; DOSE CALCULATION; DRUG DOSE REGIMEN; DRUG INDICATION; DRUG MONITORING; DRUG USE; DRUG WITHDRAWAL; HEALTH SURVEY; HORMONE SUBSTITUTION; HOSPITAL ADMISSION; HUMAN; INHALER; MAJOR CLINICAL STUDY; MEDICAL CARE; MEDICAL RECORD; OUTCOMES RESEARCH; PATIENT CARE; PHARMACIST; PRESCRIPTION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; SIDE EFFECT; STANDARD; TREATMENT OUTCOME;

EID: 12444251709     PISSN: 14777274     EISSN: 17586038     Source Type: Journal    
DOI: 10.1108/14777270310471612     Document Type: Article

References (33)

1. Audit Commission (2001), A Spoonful of Sugar: Medicines Management in NHS Hospitals, available at: www.audit-commission.gov.uk
2. Badowski, S., Rosenbloom, D. and Dawson, P. (1984), “Clinical importance of pharmacist-obtained medication histories using a validated questionnaire”, American Journal of Hospital Pharmacy, Vol. 41, pp. 731-2.
3. Bates, D. (2000), “Using information technology to reduce rates of medication errors in hospitals”, British Medical Journal, Vol. 320 No. 7237, pp. 788-91.
4. Bates, D.W., Cullen, D.J., Laird, N., Peterson, L.A., Small, S.D., Servi, D., Laffel, G., Sweitzer, B.J., Shea, B.F. and Hallisey, R. et al. (ADE Prevention Study Group, (1995)), “Incidence of adverse events and potential adverse drug events. Implications for prevention”, Journal of the American Medical Association, Vol. 274, pp. 29-34.
5. Bowden, J.E. (1993), “Reissuing patients’ medicines – a step to seamless care”, Pharmaceutical Journal, Vol. 251, pp. 356-7.
6. Bush, N. and Horner, R. (1998), “Is there a need for proactive pharmaceutical care services at the weekend?”, Pharmacy Management, Vol. 14 No. 4, pp. 41-4.
7. Cambridgeshire Health Authority (2000), “Methotrexate toxicity. An inquiry into the death of a Cambridgeshire patient in April 2000”, available at: www.cambs-ha.nhs.uk/publications/pdf/methotrexate-toxicity.pdf
8. Claoué, C. and Elkington, A. (1986), “Informing the hospital of patients’ drug regimens”, British Medical Journal, Vol. 292, p. 101.
9. Classen, D.C., Pestotnik, S.L., Evans, R.S., Lloyd, J.F. and Burke, J.P. (1997), “Adverse drug events in hospitalized patients”, Journal of the American Medical Association, Vol. 277, pp. 301-6.
10. Cohen, J., Wilson, C. and Ward, F. (1998), “Improve drug history taking”, Pharmacy in Practice, Vol. 8 No. 1, pp. 13-16.
11. Dodds, L.J. (1982), “An objective assessment of the role of the pharmacist in medication and compliance history taking”, British Journal of Pharmacy Practice, Vol. 4 No. 4, pp. 12-24.
12. DoH (2000a), An Organisation with a Memory, June, HMSO, London.
13. DoH (2000b), Pharmacy in the Future – Implementing the NHS Plan. A Programme for Pharmacy in the National Health Service, HMSO, London, September.
14. DoH (2001a), Building a Safer NHS for Patients. Implementing an Organisation with a Memory, HMSO, London.
15. DoH (2001b), National Service Framework for Older People, HMSO, London.
16. Drewett, M. (1998), “Stop regular medication errors”, Pharmacy in Practice, Vol. 8 No. 5, pp. 193-6.
17. Dummer N. (1996), “Discrepancies in drug histories”, Hospital Pharmacist, Vol. 3 No. 6, p. 128.
18. Gosney, M. and Tallis, R. (1984), “Prescription of contra-indicated and interacting drugs in elderly patients admitted to hospital”, Lancet, Vol. 2, pp. 564-7.
19. Lazarou, J., Pomeranz, B.H. and Corey, P.N. (1998), “Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies”, Journal of the American Medical Association, Vol. 279 No. 15, pp. 1200-5.
20. Leape, L.L., Bates, D.W., Cullen, D.J., Cooper, J., Demonaco, H.J. and Gallivan, T. et al. (1995), “Systems analysis of adverse drug events”, Journal of the American Medical Association, Vol. 274 No. 1, pp. 35-43.
21. Lesar, T.S., Briceland, L. and Stein, D.S. (1997), “Factors related to errors in medication prescribing”, Journal of the American Medical Association, Vol. 277, January 22/29, pp. 312-17.
22. Mistry, R., Rangedera, D., Close, J., Cairns, C. and Spacey, E. (1995a), “The significance of errors and omissions on admission prescription in elderly patients admitted to hospital”, abstract in Proceedings of United Kingdom Clinical Pharmacy Association Symposium, Blackpool, pp. 71-2.
23. Mistry, R., Rangedera, D., Close, J., Cairns, C. and Spacey, E. (1995b), “Quality of admission medication information in elderly patients”, abstract in Proceedings of United Kingdom Clinical Pharmacy Association Symposium, Blackpool, pp. 84-5.
24. Price, D., Cooke, J., Singleton, S. and Feely, M. (1986), “Doctors’ unawareness of the drugs their patients are taking: a major cause of overprescribing?”, British Medical Journal, Vol. 292, pp. 99-100.
25. Price, R. (1998), “The emergency admissions pharmacist”, The Hospital Pharmacist, Vol. 5, pp. 183-95.
26. Price, R. and Rogers, A.S. (2000), “Intervention monitoring on admission wards”, The Hospital Pharmacist, Vol. 7 No. 4, pp. 81-4.
27. Radley, A.S., Pirie, K., Elliott, C., Hamley, J. and Milne, K. (1995), “Transfer of information between care environments”, abstract in Proceedings of United Kingdom Clinical Pharmacy Association Symposium, Blackpool, pp. 88-9.
28. Reinertsen, J.L. (2000), “Let's talk about error”, British Medical Journal, Vol. 320 No. 7237, p. 730.
29. Sabapathy, P.B. and Sharma, A.K. (1999), “Always take a proper drug history”, British Medical Journal, Vol. 319, p. 696.
30. Short, D. (1986), “Informing the hospital of patients’ drug regimens”, British Medical Journal, Vol. 292, p. 412.
31. Taylor, S. and Hughes, D. (1997), “Emergency admissions” (abstract), British Pharmaceutical Journal, Vol. 259, p. 26.
32. Weingart, S.N., Wilson, R., Gibberd, R.W. and Harrison, B. (2000), “Epidemiology of medical error”, British Medical Journal, Vol. 320 No. 7237, pp. 774-7.
33. Wright, J., Prasad, N. and Dalrymple, G. (1996), “Emergency referral letters from deputising doctors need to be improved”, British Medical Journal, Vol. 312 No. 7041, p. 1304.