Medication Errors Recovered by Emergency Department Pharmacists

Annals of Emergency Medicine

Volumn 55, Issue 6, 2010, Pages 513-521

  Rothschild, Jeffrey M ^a,b   Churchill, William ^a   Erickson, Abbie ^a   Munz, Kristin ^a   Schuur, Jeremiah D ^a,b   Salzberg, Claudia A ^a   Lewinski, Daniel ^a   Shane, Rita ^c   Aazami, Roshanak ^c   Patka, John ^d   Jaggers, Rondell ^d   Steffenhagen, Aaron ^e   Rough, Steve ^e   Bates, David W ^a,b  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c CEDARS SINAI MEDICAL CENTER   (United States)

^d GRADY HEALTH SYSTEM   (United States)

^e University of Wisconsin Health   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTICOAGULANT AGENT; ANTIINFECTIVE AGENT; CARDIOVASCULAR AGENT; CENTRAL NERVOUS SYSTEM AGENTS; FIBRINOLYTIC AGENT; HORMONE; INSULIN;

ADOLESCENT; ADULT; ARTICLE; CHILD; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; EMERGENCY CARE; EMERGENCY WARD; FEMALE; HARM REDUCTION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICATION ERROR; OBSERVATIONAL STUDY; PHARMACIST; PRIORITY JOURNAL; PROSPECTIVE STUDY;

ADULT; ANTI-INFECTIVE AGENTS; ANTICOAGULANTS; CENTRAL NERVOUS SYSTEM AGENTS; CROSS-SECTIONAL STUDIES; EMERGENCY MEDICAL SERVICES; FEMALE; FIBRINOLYTIC AGENTS; HUMANS; MALE; MEDICATION ERRORS; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PHARMACISTS; PROSPECTIVE STUDIES;

EID: 77952322780     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2009.10.012     Document Type: Article

References (34)

1. Croskerry P., Shapiro M., Campbell S., et al. Profiles in patient safety: medication errors in the emergency department. Acad Emerg Med 11 (2004) 289-299
2. Peth Jr. H.A. Medication errors in the emergency department: a systems approach to minimizing risk. Emerg Med Clin North Am 21 (2003) 141-158
3. Pitts S.R., Niska R.W., Xu J., et al. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Rep 7 (2008) 1-38
4. Campbell S.G., Croskerry P., and Bond W.F. Profiles in patient safety: a "perfect storm" in the emergency department. Acad Emerg Med 14 (2007) 743-749
5. Committee on the Future of Emergency Care in the United States Health System. Hospital-Based Emergency Care: At the Breaking Point (2007), National Academies Press, Washington, DC
6. Fairbanks R.J. The Emergency Pharmacist: Safety Measure in Emergency Medicine (2007), Agency for Healthcare Research and Quality, Rockville, MD
7. Stiell A., Forster A.J., Stiell I.G., et al. Prevalence of information gaps in the emergency department and the effect on patient outcomes. CMAJ 169 (2003) 1023-1028
8. Kaboli P., Hoth A., McClimon B., et al. Clinical pharmacists and inpatient medical care. Arch Intern Med 166 (2006) 955-964
9. Leape L.L., Cullen D.J., Clapp M.D., et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA 282 (1999) 267-270
10. Thomasset K.B., and Faris R. Survey of pharmacy services provision in the emergency department. Am J Health Syst Pharm 60 (2003) 1561-1564
11. Brown J.N., Barnes C.L., Beasley B., et al. Effect of pharmacists on medication errors in an emergency department. Am J Health Syst Pharm 65 (2008) 330-333
12. Ling J.M., Mike L.A., Rubin J., et al. Documentation of pharmacist interventions in the emergency department. Am J Health Syst Pharm 62 (2005) 1793-1797
13. Lada P., and Delgado Jr. G. Documentation of pharmacists' interventions in an emergency department and associated cost avoidance. Am J Health Syst Pharm 64 (2007) 63-68
14. Bates D.W., Cullen D.J., Laird N., et al., ADE Prevention Study Group. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. JAMA 274 (1995) 29-34
15. Rothschild J.M., Hurley A.C., Landrigan C.P., et al. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf 32 (2006) 63-72
16. Leape L.L., Bates D.W., Cullen D.J., et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA 274 (1995) 35-43
17. Allan E.L., and Barker K.N. Fundamentals of medication error research. Am J Hosp Pharm 47 (1990) 555-571
18. Barthell E.N., Aronsky D., Cochrane D.G., et al. The Frontlines of Medicine Project progress report: standardized communication of emergency department triage data for syndromic surveillance. Ann Emerg Med 44 (2004) 247-252
19. Leape L.L., Brennan T.A., Laird N., et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 324 (1991) 377-384
20. Bates D.W., Boyle D.L., Vander Vliet M.B., et al. Relationship between medication errors and adverse drug events. J Gen Intern Med 10 (1995) 199-205
21. Kaushal R., Bates D.W., Landrigan C., et al. Medication errors and adverse drug events in pediatric inpatients. JAMA 285 (2001) 2114-2120
22. Chin M.H., Wang L.C., Jin L., et al. Appropriateness of medication selection for older persons in an urban academic emergency department. Acad Emerg Med 6 (1999) 1232-1241
23. Kozer E., Scolnik D., Macpherson A., et al. Variables associated with medication errors in pediatric emergency medicine. Pediatrics 110 (2002) 737-742
24. Juarez A., Cacki-Smith J., Bauer M.R., et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission National Patient Safety Goals. Jt Comm J Qual Patient Saf 35 (2009) 49-59
25. Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. J Emerg Med. In press.
26. Aspden P., Wolcott J.A., and Bootman J.L. Preventing Medication Errors (2007), National Academies Press, Washington, DC
27. Kellermann A.L. Crisis in the emergency department. N Engl J Med 355 (2006) 1300-1303
28. ASHP statement on pharmacy services to the emergency department. Am J Health Syst Pharm 65 (2008) 2380-2383
29. Pedersen C.A., Schneider P.J., and Scheckelhoff D.J. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration-2008. Am J Health Syst Pharm 66 (2009) 926-946
30. Hayes B.D., Donovan J.L., Smith B.S., et al. Pharmacist-conducted medication reconciliation in an emergency department. Am J Health Syst Pharm 64 (2007) 1720-1723
31. Fairbanks R.J., Hildebrand J.M., Kolstee K.E., et al. Medical and nursing staff highly value clinical pharmacists in the emergency department. Emerg Med J 24 (2007) 716-718
32. Cohen V., Jellinek S.P., Hatch A., et al. Effect of clinical pharmacists on care in the emergency department: a systematic review. Am J Health Syst Pharm 66 (2009) 1353-1361
33. Joint Commission. 2008 National patient safety goals hospital program. http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/08nspgs.htm Accessed February 10, 2009
34. Schenkel S. The unexpected challenges of accurate medication reconciliation. Ann Emerg Med 52 (2008) 493-495