Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.

Jonathan J Shuster; Almut G Winterstein

Study

Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.

August 23, 2006

Shuster JJ, Winterstein AG. J Clin Epidemiol. 2006;59(9).

View more articles from the same authors.

The authors assessed the appropriateness of using time-series research methodology for evaluating patient safety programs and concluded that it is useful in acute care settings.

Available at

PubMed citation

Related Resources From the Same Author(s)

Development of a medication safety and quality survey for small rural hospitals.

December 6, 2017

An in-depth analysis of medication errors in hospitalized patients with HIV.

May 18, 2011

Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care.

October 10, 2007

Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals.

December 20, 2017

Medication safety infrastructure in critical-access hospitals in Florida.

March 1, 2006

A cognitive task analysis of information management strategies in a computerized provider order entry environment.

November 29, 2006

Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies.

March 3, 2020

Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease.

July 29, 2020

Medicine for the wandering mind: mind wandering in medical practice.

December 21, 2011

Optimizing patient safety during hemodialysis.

October 26, 2011

The impacts of medication shortages on patient outcomes: a scoping review.

June 19, 2019

A piece of my mind. The patient you least want to see.

May 4, 2016

As she lay dying: how I fought to stop medical errors from killing my mom.

December 12, 2012

Among the elderly, many mental illnesses go undiagnosed.

May 20, 2015

The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.

June 15, 2022

Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups.

February 17, 2016

The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking.

November 16, 2016

Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons.

August 28, 2019

Leadership: an effective human factor during COVID-19.

September 1, 2021

Retrospective analysis of medication incidents reported using an on-line reporting system.

December 13, 2006

The successful anesthesia patient safety officer.

September 15, 2021

Potential consequences of patient complications for surgeon well-being: a systematic review.

April 17, 2019

Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events.

January 31, 2018

The impact of resident duty hour and supervision changes: a review.

December 9, 2015

ADVERSE drug events: incidence and risk reduction across the care continuum.

February 10, 2016

Misdiagnosis in the emergency department: time for a system solution.

February 8, 2023

Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up.

March 30, 2022

Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs.

February 6, 2013

Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic.

August 26, 2020

A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.

June 24, 2015

Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic.

April 29, 2020

Management reasoning: beyond the diagnosis.

May 23, 2018

Surgical checklists: a systematic review of impacts and implementation.

September 25, 2013

The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review.

March 29, 2023

Diagnostic reasoning in cardiovascular medicine.

January 19, 2022

Seeing systems in health care organizations.

September 5, 2007

Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting.

March 6, 2005

Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use.

September 20, 2023

Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis.

July 12, 2023

Charter on Physician Well-being.

April 11, 2018

Intervening in interruptions: what exactly is the risk we are trying to manage?

October 11, 2017

A framework for engaging physicians in quality and safety.

August 24, 2011

The role of feedback in emergency ambulance services: a qualitative interview study.

April 6, 2022

How health systems decide to use artificial intelligence for clinical decision support.

April 6, 2022

Evaluating incident learning systems and safety culture in two radiation oncology departments.

February 16, 2022

Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand.

April 24, 2019

Can residents detect errors in technique while observing central line insertions?

September 27, 2017

Dental patient safety in the military health system: joining medicine in the journey to high reliability.

August 7, 2019

Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare.

November 27, 2013

Psychological safety and error reporting within Veterans Health Administration hospitals.

March 4, 2015

Types of diagnostic errors in neurological emergencies in the emergency department.

February 25, 2015

Implementation of an emergency department sign-out checklist improves transfer of information at shift change.

September 3, 2014

Quality-monitoring program for bar-code–assisted medication administration.

June 17, 2009

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.

February 23, 2022

Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses.

February 15, 2006

Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.

February 28, 2007

Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists.

October 24, 2007

Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay.

July 25, 2007

Enhancing patient safety: a national standard for cyber resiliency in healthcare.

September 20, 2023

Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians?

February 18, 2015

A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning.

June 3, 2020

Clinician perspectives on the management of abnormal subcritical tests in an urban academic safety-net health care system.

October 4, 2017

Organizational learning in hospitals: a realist review.

August 21, 2019

When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.

June 19, 2019

Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital.

April 3, 2013

Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.

March 27, 2013

Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence.

September 18, 2013

Strategies for sustaining a quality improvement collaborative and its patient safety gains.

July 11, 2012

Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study.

June 20, 2012

Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study.

April 1, 2015

Patient safety indicators for judging hospital performance: still not ready for prime time.

February 24, 2016

The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review.

October 5, 2022

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

Predictors of the perceived impact of a patient safety collaborative: an exploratory study.

March 23, 2011

Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals.

October 10, 2007

Missed lesions at abdominal oncologic CT: lessons learned from quality assurance.

July 9, 2008

Patient safety problems in adolescent medical care.

January 18, 2006

Effect of the transformation of the Veterans Affairs Health Care System on the quality of care.

November 9, 2005

Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings.

September 16, 2020

Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists.

October 13, 2021

Reasons for repeat rapid response team calls, and associations with in-hospital mortality.

February 6, 2019

Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors.

September 11, 2013

Patient access to electronic health records during hospitalization.

March 18, 2015

Cough and cold medication adverse events after market withdrawal and labeling revision.

December 4, 2013

Fast does not imply flawed: analyzing emergency physician productivity and medical errors.

December 14, 2022

Relationship between nurse burnout, patient and organizational outcomes: systematic review.

August 18, 2021

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

Systematic review of the impact of physician implicit racial bias on clinical decision making.

May 5, 2017

Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness.

March 17, 2010

Predictive value of alert triggers for identification of developing adverse drug events.

December 2, 2009

Managing an acute adverse event in a radiology department.

August 6, 2008

“I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error.

January 20, 2021

Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain.

October 30, 2019

A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study.

January 18, 2017

'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings.

November 13, 2013

Health literacy in transitions of care: an innovative objective structured clinical examination for fourth-year medical students in an internship preparation course.

October 28, 2015

Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center.

March 30, 2016

Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review.

June 25, 2014

Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.

July 8, 2009

Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative.

July 21, 2010

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Analysis of patient safety risk management call data during the COVID‐19 pandemic.

January 27, 2021

Health information technology-related wrong-patient errors: context is critical.

January 27, 2021

An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences.

January 20, 2021

Cognitive bias impact on management of postoperative complications, medical error, and standard of care.

November 4, 2020

In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States.

March 13, 2019

Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports.

August 3, 2016

Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability.

July 20, 2016

Exploring the causes of junior doctors' prescribing mistakes: a qualitative study.

October 22, 2014

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors.

September 24, 2014

Look alike/sound alike drugs: a literature review on causes and solutions.

June 11, 2014

Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments.

May 21, 2014

Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting.

April 30, 2014

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

March 6, 2013

Risk models to improve safety of dispensing high-alert medications in community pharmacies.

November 7, 2012

Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm.

May 2, 2012

The costs of adverse drug events in community hospitals.

March 7, 2012

Risk factors for patient-reported medical errors in eleven countries.

February 29, 2012

The nurse's role in the causation of compensable injury.

October 12, 2011

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.

September 28, 2011

A prevalence study of errors in opioid prescribing in a large teaching hospital.

August 10, 2011

Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.

May 25, 2011

An in-depth analysis of medication errors in hospitalized patients with HIV.

May 18, 2011

Using prospective clinical surveillance to identify adverse events in hospital.

March 30, 2011

Applying trigger tools to detect adverse events associated with outpatient surgery.

March 16, 2011

Development of a core drug list towards improving prescribing education and reducing errors in the UK.

March 2, 2011

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

March 2, 2011

Systematic review of medication safety assessment methods.

February 16, 2011

See More About The Topic

General Hospitals

Risk Managers

Quality and Safety Professionals

Medicine

Medication Errors/Preventable Adverse Drug Events

Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

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