An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.

Annette Lankshear; Karin Lowson; Saul N Weingart

Study

An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.

April 13, 2011

Lankshear A, Lowson K, Weingart SN. BMJ Qual Saf. 2011;20(4):360-5.

View more articles from the same authors.

Medication safety alerts issued by the National Patient Safety Agency had a significant impact on patient safety, although awareness of the alerts was much higher among pharmacists than physicians or medical directors.

PubMed citation

Available at

Related Resources From the Same Author(s)

Making patients safer: nurses' responses to patient safety alerts.

September 24, 2008

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales.

August 24, 2016

Performance of a fail-safe system to follow up abnormal mammograms in primary care.

September 8, 2010

Chemotherapy medication errors.

April 11, 2018

Racial and ethnic disparities in patient safety.

August 27, 2014

Confidential clinician-reported surveillance of adverse events among medical inpatients.

March 27, 2005

Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork.

June 1, 2011

Developing and testing a tool to measure nurse/physician communication in the intensive care unit.

June 1, 2011

Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events.

October 16, 2013

Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior?

July 17, 2013

The association of hospital quality ratings with adverse events.

February 26, 2014

Can we rely on patients' reports of adverse events?

June 22, 2011

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

May 20, 2009

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

November 18, 2009

Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer.

November 1, 2017

Overrides of medication alerts in ambulatory care.

February 18, 2009

Oral chemotherapy safety practices at US cancer centres: questionnaire survey.

January 24, 2007

Association between cancer-specific adverse event triggers and mortality: a validation study.

May 20, 2020

Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data.

January 29, 2020

Medication reconciliation in ambulatory oncology.

December 5, 2007

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.

September 23, 2009

Patient-reported safety and quality of care in outpatient oncology.

February 7, 2007

Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests.

May 13, 2020

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.

February 12, 2020

Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures.

January 18, 2017

Creating a fellowship curriculum in patient safety and quality.

September 17, 2014

The You CAN campaign: teamwork training for patients and families in ambulatory oncology.

February 4, 2009

Risk factors for adverse events in patients with breast, colorectal, and lung cancer.

May 23, 2018

Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum.

September 6, 2017

Performance of a trigger tool for identifying adverse events in oncology.

July 19, 2017

Process of care failures in breast cancer diagnosis.

May 13, 2009

Medication errors involving oral chemotherapy.

March 24, 2010

Patient-reported service quality on a medicine unit.

November 30, 2005

What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents.

August 17, 2005

Outpatient prescribing errors and the impact of computerized prescribing.

August 31, 2005

Implementation and evaluation of a prototype consumer reporting system for patient safety events.

June 14, 2017

Rating recommendations for consumers about patient safety: sense, common sense, or nonsense?

April 8, 2009

Adverse events during hospitalization: results of a patient survey.

October 1, 2008

Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study.

April 19, 2017

Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.

September 11, 2013

Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.

February 11, 2009

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

February 13, 2008

Medication safety messages for patients via the web portal: the MedCheck intervention.

July 11, 2007

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?

July 23, 2008

Medication errors in the home: a multisite study of children with cancer.

May 15, 2013

Clinicians' assessments of electronic medication safety alerts in ambulatory care.

October 7, 2009

Adverse drug events in ambulatory care.

March 6, 2005

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.

June 29, 2005

Hospitalized patients' participation and its impact on quality of care and patient safety.

January 30, 2005

Use of administrative data to find substandard care: validation of the complications screening program.

October 26, 2005

High performance teamwork training and systems redesign in outpatient oncology.

April 3, 2013

Epidemiology of medical error.

March 27, 2005

The evolving role of health educators in advancing patient safety: forging partnerships and leading change.

April 11, 2007

Implementation of patient centeredness to enhance patient safety.

January 31, 2006

Interorganizational complexity and organizational accident risk: a literature review.

November 25, 2015

"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions.

June 8, 2011

Use of complex adaptive systems metaphor to achieve professional and organizational change.

August 31, 2005

The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues.

August 31, 2005

Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study.

February 23, 2022

Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach.

July 12, 2023

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders.

August 3, 2022

Patient safety and job-related stress: a focus group study.

July 2, 2008

Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use.

September 10, 2014

Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes.

February 1, 2012

Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety.

September 16, 2015

Causes of use errors in ventilation devices--systematic review.

November 10, 2021

Learning from accidents—what more do we need to know?

May 12, 2010

Paediatric nurses' understanding of the process and procedure of double-checking medications.

March 17, 2010

Radiographers' experience of preventing patient safety incidents in the context of radiological examinations.

September 13, 2023

The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.

May 1, 2013

Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers.

April 6, 2016

A review of the evidence of harm from self-tests.

September 17, 2014

Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study.

July 26, 2023

Contextual errors in medical decision making: overlooked and understudied.

December 16, 2015

How to develop an effective obstetric checklist.

September 28, 2011

Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems.

April 28, 2021

Rapid response systems in the Netherlands.

March 9, 2011

The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test–retest reliability and hospital-level reliability.

July 17, 2013

Social aspects of clinical errors: a discussion paper.

March 25, 2009

Effect of burnout among physicians on observed adverse patient outcomes: a literature review.

June 16, 2021

Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis.

February 23, 2022

Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings.

May 13, 2009

Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work.

February 3, 2021

A national physician survey of diagnostic error in paediatrics.

October 26, 2016

The problem with 'My Five Moments for Hand Hygiene'.

August 25, 2021

Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study.

July 12, 2023

Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review.

May 27, 2020

What do healthcare staff think about the quality and safety of care provided to children and young people with an intellectual disability? A qualitative study using the framework method of analysis.

September 6, 2023

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients.

May 1, 2020

March 11, 2020

Resident shift handoff strategies in US internal medicine residency programs.

March 14, 2018

Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool."

May 8, 2013

Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period.

June 14, 2023

Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study.

June 22, 2016

Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services.

April 20, 2016

Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden.

October 9, 2019

Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets.

March 2, 2016

An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients.

October 6, 2010

Processes for effective communication in primary care.

May 4, 2005

An acetaminophen icon helps reduce medication decision errors in an experimental setting.

August 17, 2016

Related Resources

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial.

March 1, 2023

FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters.

January 26, 2023

Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial.

January 18, 2023

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers.

January 18, 2023

Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care.

September 21, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations.

October 27, 2021

Good for You, Good for Us, Good for Everybody.

October 6, 2021

Opioids in the United Kingdom: safety and surveillance during COVID-19.

July 7, 2021

State medical board regulation of compounding in physician offices.

June 9, 2021

Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis.

February 3, 2021

Economic analysis of the prevalence and clinical and economic burden of medication error in England.

July 1, 2020

How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience.

February 5, 2020

Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions.

January 22, 2020

Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge.

November 13, 2019

A mixed-methods study of challenges experienced by clinical teams in measuring improvement.

September 11, 2019

Get the Medications Right Institute.

August 7, 2019

How to prevent or reduce prescribing errors: an evidence brief for policy authors.

August 7, 2019

Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.

July 31, 2019

Medication Safety in Key Action Areas.

July 10, 2019

Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety.

July 10, 2019

NHS Improvement.

May 18, 2019

Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products.

March 6, 2019

Medicine Safety: Take Care.

February 27, 2019

Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database.

February 6, 2019

Defining and classifying terminology for medication harm: a call for consensus.

December 19, 2018

Comparative, cross-sectional study of the format, content and timing of medication safety letters issued in Canada, the USA and the UK.

November 7, 2018

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies.

August 22, 2018

Drone delivery of medications: review of the landscape and legal considerations.

February 21, 2018

See More About The Topic

Health Care Providers

Quality and Safety Professionals

Policy Makers

Pharmacy

Medication Safety

An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.

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