Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.

Klaus Mann; Jeffrey M Rothschild; Carol Keohane; James A Chu; David W Bates

Review

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.

March 26, 2008

Mann K, Rothschild JM, Keohane C, et al. World J Biol Psychiatry. 2008;9(1):24-33.

View more articles from the same authors.

This review addresses the challenges inherent in applying standard models of classifying adverse drug events to psychiatric patient populations.

PubMed citation

Available at

Related Resources From the Same Author(s)

Medication safety in a psychiatric hospital.

March 21, 2007

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

October 19, 2005

A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.

April 21, 2005

Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies.

February 2, 2011

Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy.

September 27, 2006

Errors associated with outpatient computerized prescribing systems.

July 13, 2011

How many hospital pharmacy medication dispensing errors go undetected?

January 31, 2006

Single-parameter early warning criteria to predict life-threatening adverse events.

June 23, 2010

Costs of adverse events in intensive care units.

September 26, 2007

Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.

July 9, 2014

Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index.

June 13, 2007

Effect of bar-code technology on the safety of medication administration.

May 12, 2010

The costs of adverse drug events in community hospitals.

March 7, 2012

The role of advice in medication administration errors in the pediatric ambulatory setting.

September 9, 2009

Risk factors in preventable adverse drug events in pediatric outpatients.

February 6, 2008

A controlled trial of a rapid response system in an academic medical center.

June 25, 2008

Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

March 6, 2005

Evaluation of the contributions of an electronic web-based reporting system: enabling action.

March 18, 2009

Risks of complications by attending physicians after performing nighttime procedures.

October 21, 2009

Recovery from medical errors: the critical care nursing safety net.

January 31, 2006

Medication safety in the ambulatory chemotherapy setting.

November 9, 2005

Adverse drug events in pediatric outpatients.

October 3, 2007

Strategies for detecting adverse drug events among older persons in the ambulatory setting.

March 6, 2005

Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system.

September 18, 2013

Adherence to black box warnings for prescription medications in outpatients.

February 22, 2006

Primary care closed claims experience of Massachusetts malpractice insurers.

October 16, 2013

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools.

February 8, 2012

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Effect of reducing interns' work hours on serious medical errors in intensive care units.

March 27, 2005

An exploration of safety climate in nursing homes.

August 8, 2012

Hospital workload and adverse events.

May 9, 2007

Medical errors recovered by critical care nurses.

June 2, 2010

Medication errors recovered by emergency department pharmacists.

July 14, 2010

Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.

July 10, 2013

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

May 15, 2013

Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant.

August 25, 2010

Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.

August 14, 2013

Comparison of computerized surveillance and manual chart review for adverse events.

June 29, 2011

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors.

August 10, 2005

Impact of vendor computerized physician order entry in community hospitals.

February 22, 2012

Analysis of risk factors for adverse drug events in critically ill patients.

April 11, 2012

The use of computers for clinical care: a case series of advanced US sites.

March 6, 2005

Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.

April 15, 2015

Quantifying nursing workflow in medication administration.

January 9, 2008

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.

November 25, 2009

A model of recovering medical errors in the coronary care unit.

June 4, 2008

John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital.

March 6, 2005

Unexpected hypoglycemia in a critically ill patient.

March 15, 2006

Computerized physician order entry and medication errors: finding a balance.

July 6, 2005

Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.

July 19, 2017

Health information exchange and patient safety.

November 7, 2007

Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study.

May 20, 2015

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.

November 7, 2018

Medication administration errors by nurses: adherence to guidelines.

January 30, 2013

Can electronic clinical documentation help prevent diagnostic errors?

March 31, 2010

Electronic health record use and the quality of ambulatory care in the United States.

July 25, 2007

Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data.

July 11, 2018

Evaluation and certification of computerized physician order entry systems.

November 22, 2006

Association of hospital public quality reporting with electronic health record medication safety performance.

October 6, 2021

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

Improving safety with information technology.

March 6, 2005

Health apps and health policy: what is needed?

October 24, 2018

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

June 15, 2011

Adverse drug events caused by serious medication administration errors.

August 8, 2012

Adverse events and near misses relating to information management in a hospital.

June 22, 2016

Incidence of adverse drug events and medication errors in Japan: the JADE Study.

November 3, 2010

Preventable adverse drug events and their causes and contributing factors: the analysis of register data.

February 16, 2011

Pediatric medication safety and the media: what does the public see?

June 21, 2006

Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.

April 17, 2019

Ambulatory computerized prescribing and preventable adverse drug events.

June 8, 2016

Improving electronic health record usability and safety requires transparency.

December 12, 2018

Physician burnout in the electronic health record era: are we ignoring the real cause?

May 9, 2018

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.

February 3, 2016

Racism and electronic health records (EHRs): perspectives for research and practice.

April 12, 2023

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.

July 18, 2007

What practices will most improve safety? Evidence-based medicine meets patient safety.

April 12, 2006

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

January 16, 2008

Standard practices for computerized clinical decision support in community hospitals: a national survey.

July 11, 2012

Missed diagnosis of cardiovascular disease in outpatient general medicine: insights from malpractice claims data.

August 16, 2017

An initiative to improve the management of clinically significant test results in a large health care network.

October 30, 2013

Effective implementation of work-hour limits and systemic improvements.

November 28, 2007

Digital health and patient safety.

April 27, 2016

Communicating critical test results: safe practice recommendations.

April 3, 2005

Safety of patients isolated for infection control.

March 27, 2005

Transformational improvement in quality care and health systems: the next decade.

November 25, 2020

Impact of incorporating pharmacy claims data into electronic medication reconciliation.

March 4, 2015

Mixed results in the safety performance of computerized physician order entry.

April 21, 2010

The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.

January 10, 2007

Outpatient adverse drug events identified by screening electronic health records.

June 9, 2010

Prescribers' responses to alerts during medication ordering in the long term care setting.

August 30, 2006

Benefits and risks of using smart pumps to reduce medication error rates: a systematic review.

October 22, 2014

Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians.

March 13, 2019

Design of a safety dashboard for patients.

December 18, 2019

Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center

January 15, 2020

User-centered collaborative design and development of an inpatient safety dashboard.

September 20, 2017

Electronic results management in pediatric ambulatory care: qualitative assessment.

January 28, 2009

Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care.

January 18, 2006

Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care.

October 26, 2005

Providers' and patients' perspectives on diagnostic errors in the acute care setting.

February 15, 2023

Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study.

February 22, 2017

Related Resources

Only 1 in 5 people with opioid addiction get the medications to treat it, study finds.

August 16, 2023

Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique.

August 16, 2023

Why stigma matters in addressing alcohol harm.

August 9, 2023

Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department.

July 26, 2023

Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia.

July 5, 2023

‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care.

July 5, 2023

Understanding the medication safety challenges for patients with mental illness in primary care: a scoping review.

June 28, 2023

WebM&M Cases

The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.

June 14, 2023

Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care.

May 24, 2023

Care Delivery within Community Mental Health Teams.

April 5, 2023

Few hospitals are willing to bear the cost of providing psychiatric care for kids.

March 22, 2023

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.

February 15, 2023

Conceptual and practical challenges associated with understanding patient safety within community-based mental health services.

December 7, 2022

Influencing a culture of quality and safety through huddles.

November 9, 2022

Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway.

November 9, 2022

Six major steps to make investigations of suicide valuable for learning and prevention.

November 2, 2022

Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative.

October 5, 2022

Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review.

October 5, 2022

Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies.

September 14, 2022

Alcoholism and American healthcare: the case for a patient safety approach.

August 17, 2022

Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: a review of the qualitative evidence.

August 17, 2022

Developing and aligning a safety event taxonomy for inpatient psychiatry.

July 13, 2022

Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with national coverage.

May 25, 2022

Is it time for the mental health field to consider unplanned discharge a key metric of patient safety?

May 4, 2022

Factors associated with workplace violence among healthcare workers in an academic medical center.

April 27, 2022

Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement.

April 20, 2022

To what extent are patients involved in researching safety in acute mental healthcare?

April 6, 2022

Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review.

March 23, 2022

Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review.

March 9, 2022

See More About The Topic

Mental Health Care (Psychiatry and Clinical Psychology)

Pharmacy

Psychiatric Nursing

Medication Errors/Preventable Adverse Drug Events

Epidemiology of Errors and Adverse Events

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site