Exploratory evaluation of medication classes most commonly involved in nursing home errors

Journal of the American Medical Directors Association

Volumn 14, Issue 6, 2013, Pages 403-408

  Desai, Rishi J ^a   Williams, Charlotte E ^b   Greene, Sandra B ^b,c   Pierson, Stephanie ^b   Caprio, Anthony J ^d   Hansen, Richard A ^e  

^a University of North Carolina   (United States)

^b UNIVERSITY OF NORTH CAROLINA   (United States)

^c IL   (United States)

^d UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

^e AUBURN UNIVERSITY   (United States)

Author keywords

Drug classes; Drug safety; Health care quality; Medication errors; Nursing homes

Indexed keywords

ALPRAZOLAM; ANTICOAGULANT AGENT; ANTICONVULSIVE AGENT; ANTIDEPRESSANT AGENT; ANTIDIABETIC AGENT; ATYPICAL ANTIPSYCHOTIC AGENT; CODEINE; DIURETIC AGENT; HYDROCODONE; LAXATIVE; OXYCODONE;

ARTICLE; CROSS-SECTIONAL STUDY; FOLLOW UP; HUMAN; MEDICAL DOCUMENTATION; MEDICATION ERROR; NURSING HOME; NURSING HOME PATIENT; TRANSDERMAL PATCH;

EID: 84878836322     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2012.11.006     Document Type: Article

References (24)

1. Barker K.N., Flynn E.A., Pepper G.A., et al. Medication errors observed in 36 health care facilities. Arch Intern Med 2002, 162:1897.
2. Zimmerman S., Love K., Sloane P.D., et al. Medication administration errors in assisted living: Scope, characteristics, and the importance of staff training. J Am Geriatr Soc 2011, 59:1060-1068.
3. Gurwitz J.H., Field T.S., Avorn J., et al. Incidence and preventability of adverse drug events in nursing homes. Am J Med 2000, 109:87-94.
4. Bootman J.L., Harrison D.L., Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med 1997, 157:2089.
5. Handler S.M., Wright R.M., Ruby C.M., Hanlon J.T. Epidemiology of medication-related adverse events in nursing homes. Am J Geriatr Pharmacother 2006, 4:264-272.
6. Katz P.R., Karuza J. Physician practice in the nursing home: Missing in action or misunderstood. J Am Geriatr Soc 2005, 53:1826-1828.
7. Cohen-Mansfield J. Turnover among nursing home staff: A review. Nurs Manag (Harrow) 1997, 28:59.
8. Bobb A., Gleason K., Husch M., et al. The epidemiology of prescribing errors: The potential impact of computerized prescriber order entry. Arch Intern Med 2004, 164:785-792.
9. Lesar T.S., Briceland L.L., Delcoure K., et al. Medication prescribing errors in a teaching hospital. JAMA 1990, 263:2329-2334.
10. Greene S.B., Williams C.E., Hansen R., et al. Medication errors in nursing homes: A state's experience implementing a reporting system. J Patient Saf 2005, 1:181.
11. Crespin D.J., Modi A.V., Wei D., et al. Repeat medication errors in nursing homes: Contributing factors and their association with patient harm. Am J Geriatr Pharmacother 2010, 8:258-270.
12. Desai R., Williams C.E., Greene S.B., et al. Medication errors during patient transitions into nursing homes: Characteristics and association with patient harm. Am J Geriatr Pharmacother 2011, 9:413-422.
13. Hansen R.A., Cornell P.Y., Ryan P.B., et al. Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. Pharmacoepidemiol Drug Saf 2010, 19:1087-1094.
14. Hansen R.A., Greene S.B., Williams C.E., et al. Types of medication errors in North Carolina nursing homes: A target for quality improvement. Am J Geriatr Pharmacother 2006, 4:52-61.
15. Pierson S., Hansen R., Greene S., et al. Preventing medication errors in long term care: Results and evaluation of a large scale web-based error reporting system. Qual Saf Health Care 2007, 16:297.
16. National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) index for categorizing medication errors. Available at: Accessed March 25, 2011. http://www.NCCMERP.org.
17. Centers for Disease Control and Prevention. National Nursing Home Survey: Questionnaires, datasets, and related documentation from the National Nursing Home Survey. Available at: Accessed January 2, 2012. http://www.cdc.gov/nchs/nnhs/nnhs_questionnaires.htm.
18. Dwyer L. Collecting medication data in the 2004 National Nursing Home Survey. National Center for Health Statistics. Vital Health Stat 2009, 1:47.
19. Lee M., Phillips J. Transdermal patches: High risk for error. Drug Topics 2002, 146:54-55.
20. Filik R., Purdy K., Gale A., Gerrett D. Drug name confusion: Evaluating the effectiveness of capital ("Tall Man") letters using eye movement data. Soc Sci Med 2004, 59:2597-2601.
21. Picone D.M., Titler M.G., Dochterman J., et al. Predictors of medication errors among elderly hospitalized patients. Am J Med Qual 2008, 23:115-127.
22. Young H.M., Gray S.L., McCormick W.C., et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J Am Geriatr Soc 2008, 56:1199-1205.
23. Barber N.D., Alldred D.P., Raynor D.K., et al. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Qual Saf Health Care 2009, 18:341-346.
24. Bates D.W. The quality case for information technology in healthcare. BMC Med Inform Decis Mak 2002, 2:7.