Interventions to reduce medication errors in adult intensive care: A systematic review

British Journal of Clinical Pharmacology

Volumn 74, Issue 3, 2012, Pages 411-423

  Manias, Elizabeth ^a   Williams, Allison ^a   Liew, Danny ^b,c  

^a THE UNIVERSITY OF MELBOURNE   (Australia)

^b UNIVERSITY OF MELBOURNE   (Australia)

^c ROYAL MELBOURNE HOSPITAL   (Australia)

Author keywords

Intensive care; Interventions; Medication errors; Systematic review

Indexed keywords

ARTICLE; CINAHL; CLINICAL STUDY; COCHRANE LIBRARY; COMPUTERIZED PROVIDER ORDER ENTRY; DECISION SUPPORT SYSTEM; DRUG INFUSION; EDUCATION; EMBASE; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; INTRAVENOUS SYSTEM; MEDICATION ERROR; MEDLINE; PHARMACIST; PRACTICE GUIDELINE; PRESCRIPTION; PRIORITY JOURNAL; STATISTICAL ANALYSIS; SYSTEMATIC REVIEW; WORK SCHEDULE;

ADULT; CRITICAL ILLNESS; HUMANS; INTENSIVE CARE; INTENSIVE CARE UNITS; MEDICATION ERRORS; PHARMACISTS; PRACTICE GUIDELINES AS TOPIC; PROFESSIONAL ROLE; RESEARCH DESIGN;

EID: 84864796974     PISSN: 03065251     EISSN: 13652125     Source Type: Journal    
DOI: 10.1111/j.1365-2125.2012.04220.x     Document Type: Article

References (34)

1. Camiré E, Moyen E, Stelfox HT. Medication errors in critical care: risk factors, prevention and disclosure. Can Med Assoc J 2009; 180: 936-43.
2. Moyen E, Camiré E, Stelfox HT. Clinical review: medication errors in critical care. Crit Care 2008; 12: 208.
3. Kiekkas P, Karga M, Lemonidou C, Aretha D, Karanikolas M. Medication errors in critically ill adults: a review of direct observation evidence. Am J Crit Care 2011; 20: 36-44.
4. Wilmer A, Louie K, Dodek P, Wong H, Ayas N. Incidence of medication errors and adverse drug events in the ICU: a systematic review. Qual Saf Health Care 2010; 19: e7. Epub 2010 Jul 29.
5. Kane-Gill SL, Jacobi J, Rothschild JM. Adverse drug events in intensive care units: risk factors, impact, and the role of team care. Crit Care Med 2010; 38: (Suppl.): S83-S9.
6. National Coordinating Council for Medication Error Reporting and Prevention. About medication errors. 2011. Available at http://www.nccmerp.org/aboutMedErrors.html (last accessed 10 May 2011).
7. Oxford Centre for Evidence-Based Medicine, Levels of Evidence Working Group. Levels of evidence. 2011. Available at http://www.cebm.net/index.aspx?o=5653 (last accessed 20 January 2012).
8. Des Jarlais DC, Lyles C, Crepaz N, Group atT. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND Statement. Am J Public Health 2004; 94: 361-6.
9. Schulz KF, Altman DG, Moher D, for the CONSORT Group. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomized trials. Open Med 2010; 4: 60-8.
10. Simera I, Moher D, Hoey J, Schulz KF, Altman DG. A catalogue of reporting guidelines for health research. Eur J Clin Invest 2010; 40: 35-53.
11. Ali J, Barrow L, Vuylsteke A. The impact of computerised physician order entry on prescribing practices in a cardiothoracic intensive care unit. Anaesthesia 2010; 65: 119-23.
12. Bradley V, Steltenkamp C, Hite K. Evaluation of reported medication errors before and after implementation of computerized practitioner order entry. J Healthc Inf Manag 2006; 20: 46-53.
13. Colpaert K, Claus B, Somers A, Vandewoude K, Robays H, Decruyenaere J. Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial. Crit Care 2006; 10: R21.
14. Shulman R, Singer M, Goldstone J, Bellingan G. Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Crit Care 2005; 9: R516-R21.
15. Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. Am J Health Syst Pharm 2007; 64: 526-30.
16. Landrigan CP, Rothschild JM, Cronin JW, Kaushal R, Burdick E, Katz JT, Lilly CM, Stone PH, Lockley SW, Bates DW, Czeisler CA. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med 2004; 351: 1838-48.
17. Nuckols TK, Bower AG, Paddock SM, Hilborne LH, Wallace P, Rothschild JM, Griffin A, Fairbanks RJ, Carlson B, Panzer RJ, Brook RH. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med 2008; 23: (Suppl.): 41-5.
18. Rothschild JM, Keohane CA, Cook EF, Orav EJ, Burdick E, Thompson S, Hayes J, Bates DW. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med 2005; 33: 533-40.
19. Ford DG, Seybert AL, Smithburger PL, Kobulinsky LR, Samosky JT, Kane-Gill SL. Impact of simulation-based learning on medication error rates in critically ill patients. Intensive Care Med 2010; 36: 1526-31.
20. Thomas A, Boxall E, Laha S, Day A, Grundy D. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care 2008; 17: 360-3.
21. Pronovost P, Weast B, Schwarz M, Wyskiel RM, Prow D, Milanovich SN, Berenholtz S, Dorman T, Lipsett P. Medication reconciliation: a practical tool to reduce the risk of medication errors. J Crit Care 2003; 19: 201-5.
22. Bertsche T, Mayer Y, Stahl R, Hoppe-Tichy T, Encke J, Haefeli WE. Prevention of intravenous drug incompatibilities in an intensive care unit. Am J Health Syst Pharm 2008; 65: 1834-40.
23. McMullin J, Cook D, Griffith L, McDonald E, Clarke F, Guyatt G, Gibson J, Crowther M. Minimizing errors of omission: behavioural reenforcement of heparin to avert venous emboli: the BEHAVE study. Crit Care Med 2006; 34: 694-9.
24. Wasserfallen J-B, Butschi A-J, Muff P, Biollaz J, Schaller M-D, Pannatier A, Revelly J-P, Chiolero R. Format of medical order sheet improves security of antibiotics prescription: the experience of an intensive care unit. Crit Care Med 2004; 32: 655-9.
25. Klopotowska JE, Kuiper R, van Kan HJ, de Pont AC, Dijkgraaf MG, Lie-A-Huen L, Vroom MB, Smorenburg SM. On-ward participation of a hospital pharmacist in a Dutch intensive care unit reduces prescribing errors and related patient harm: an intervention study. Crit Care 2010; 14: R174.
26. Langebrake C, Hilgarth H. Clinical pharmacists' interventions in a German University Hospital. Pharm World Sci 2010; 32: 194-9.
27. Leape LL, Cullen DJ, Clapp MD, Burdick E, Demonaco HJ, Erickson JI, Bates DW. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA 1999; 282: 267-70.
28. Lee AJ, Chiao TB, Lam JT, Khan S, Boro MS. Improving medication safety in the ICU: the pharmacist's role. Hosp Pharm 2007; 42: 337-44.
29. Chapuis C, Roustit M, Gaelle B, Schwebel C, Timsit J-F, Allenet B, Bosson J-L, Bedouch P. Automated drug dispensing system reduces medication errors in an intensive care setting. Crit Care Med 2010; 38: 1-7.
30. DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on medication error rates in an adult medical intensive care unit. Am J Health Syst Pharm 2009; 66: 1110-5.
31. Evans K, Benham S, Garrard C. A comparison of handwritten and computer-assisted prescriptions in an intensive care unit. Crit Care 1998; 2: 73-8.
32. Evans RS, Pestotnik SL, Classen DC, Clemmer TP, Weaver LK, Orme JF, Lloyd JF, Burke JP. A computer-assisted management program for antibiotics and other antiinfective agents. N Engl J Med 1998; 338: 232-8.
33. Evans RS, Pestotnik SL, Classen DC, Burke JP. Evaluation of a computer-assisted antibiotic-dose monitor. Ann Pharmacother 1999; 33: 1026-31.
34. Fraenkel DJ, Cowie M, Daley P. Quality benefits of an intensive care clinical information system. Crit Care Med 2003; 31: 120-5.