Characterization of prescribing errors in an internal medicine clinic.

Emily Beth Devine; Jennifer L. Wilson-Norton; Nathan M. Lawless; Ryan N. Hansen; Thomas K. Hazlet; Kerry Kelly; William Hollingworth; David K. Blough; Sean D. Sullivan

Study

Characterization of prescribing errors in an internal medicine clinic.

May 23, 2007

Devine EB, Wilson-Norton JL, Lawless NM, et al. Am J Health Syst Pharm. 2007;64(10):1062-70.

View more articles from the same authors.

Prior to implementation of an electronic prescription system, the investigators retrospectively analyzed handwritten prescriptions to identify prescribing errors and their characteristics.

PubMed citation

Available at

Related Resources From the Same Author(s)

The impact of computerized provider order entry on medication errors in a multispecialty group practice.

February 3, 2010

The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop.

December 21, 2016

Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care.

July 16, 2014

Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals.

August 9, 2017

Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety.

October 3, 2012

Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback.

March 24, 2021

Epidemiology, comparative methods of detection, and preventability of adverse drug events.

June 15, 2005

Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative.

February 8, 2006

Parents' perspectives on "keeping their children safe" in the hospital.

November 30, 2016

Provider perspectives on partnering with parents of hospitalized children to improve safety.

June 27, 2018

A nurse-led approach to developing and implementing a collaborative count policy.

February 22, 2012

Applying the high reliability health care maturity model to assess hospital performance: a VA case study.

August 31, 2016

Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS.

December 1, 2010

ASHP guidelines: minimum standard for ambulatory care pharmacy practice.

July 22, 2015

Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals.

October 17, 2018

Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.

December 19, 2018

Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations.

November 30, 2016

Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients.

June 21, 2006

Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team.

November 7, 2018

Patients as partners in learning from unexpected events.

November 9, 2016

Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical?

September 13, 2006

Racial disparities in pain management of children with appendicitis in emergency departments.

September 15, 2015

Medication safety program reduces adverse drug events in a community hospital.

June 22, 2005

Pathologists' perspectives on disclosing harmful pathology error.

May 3, 2017

Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors?

November 26, 2014

Evaluating sample medications in primary care: a practice-based research network study.

December 6, 2006

Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017.

May 22, 2019

Core competencies for patient safety research: a cornerstone for global capacity strengthening.

February 2, 2011

An educational and audit tool to reduce prescribing error in intensive care.

October 29, 2008

Rounding to influence.

September 29, 2010

Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic.

March 28, 2007

Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives.

February 19, 2014

Applied use of safety event occurrence control charts of harm and non-harm events: a case study.

July 20, 2016

Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.

July 11, 2012

A prospective study of patient safety in the operating room.

February 22, 2006

Hospital rules-based system: the next generation of medical informatics for patient safety.

April 15, 2005

Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns.

January 30, 2013

Why empathy may be the best risk management strategy.

March 11, 2015

Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health.

August 16, 2017

A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy.

June 8, 2022

In situ simulation: a method of experiential learning to promote safety and team behavior.

June 4, 2008

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.

March 16, 2011

Cultural transformation after implementation of crew resource management: is it really possible?

July 27, 2016

Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident.

July 22, 2020

Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis.

May 17, 2017

Family-identified barriers to medication reconciliation.

April 22, 2009

Global oximetry: an international anaesthesia quality improvement project.

October 21, 2009

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.

December 15, 2010

Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals.

January 20, 2016

Assessing medical students' perceptions of patient safety: The Medical Student Safety Attitudes and Professionalism Survey.

January 29, 2014

Disclosing harmful medical errors to patients: tackling three tough cases.

September 30, 2009

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

November 28, 2012

Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.

August 1, 2012

Errors of diagnosis in pediatric practice: a multisite survey.

July 7, 2010

Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution.

March 9, 2016

Nursing bedside clinical handover—an integrated review of issues and tools.

November 12, 2014

Medication reconciliation in the acute care setting: opportunity and challenge for nursing.

May 4, 2005

Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills.

December 9, 2009

Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses.

August 10, 2016

The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources.

October 22, 2014

Implementing a pediatric surgical safety checklist in the OR and beyond.

July 14, 2010

Organizational learning in hospitals: a realist review.

August 21, 2019

Increase in US medication-error deaths between 1983 and 1993.

March 6, 2005

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.

June 1, 2011

STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.

December 10, 2014

Paid malpractice claims for adverse events in inpatient and outpatient settings.

January 30, 2005

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

April 1, 2015

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

September 18, 2013

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

March 27, 2013

National surveillance of emergency department visits for outpatient adverse drug events.

October 18, 2006

Tiering drug–drug interaction alerts by severity increases compliance rates.

January 7, 2009

Nighttime and weekend medication error rates in an inpatient pediatric population.

December 15, 2010

A multicenter collaborative approach to reducing pediatric codes outside the ICU.

March 7, 2012

Theoretical approaches for investigating patient safety.

June 1, 2005

Active surveillance using electronic triggers to detect adverse events in hospitalized patients.

June 14, 2006

Family safety reporting in medically complex children: parent, staff, and leader perspectives.

July 6, 2022

Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.

May 30, 2018

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

April 26, 2006

Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center.

April 9, 2014

Using a learning system approach to improve safety for prone-position ventilation patients.

April 26, 2023

Can communication-and-resolution programs achieve their potential? Five key questions.

December 19, 2018

Are parents who feel the need to watch over their children's care better patient safety partners?

December 6, 2017

In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital.

December 23, 2020

Risk managers, physicians, and disclosure of harmful medical errors.

February 24, 2010

Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis.

August 9, 2023

Impact of nighttime rapid response team activation on outcomes of hospitalized patients with acute deterioration.

June 6, 2018

The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America.

April 20, 2011

Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers.

October 4, 2023

Questionable hospital chart documentation practices by physicians.

September 24, 2008

Patterns of nurse–physician communication and agreement on the plan of care.

June 9, 2010

Long-term impacts faced by patients and families after harmful healthcare events.

December 15, 2021

Anatomy of a patient safety event: a pediatric patient safety taxonomy.

December 21, 2005

Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system.

April 21, 2005

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.

March 1, 2023

Human factors in anaesthesia: a narrative review.

February 15, 2023

Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats.

September 30, 2020

Guided reflection interventions show no effect on diagnostic accuracy in medical students.

March 20, 2019

Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field.

February 11, 2015

Parent perceptions of children's hospital safety climate.

April 17, 2013

Development of an emergency department trigger tool using a systematic search and modified Delphi process.

July 13, 2016

Related Resources

Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data.

August 30, 2023

Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.

July 5, 2023

Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study.

January 11, 2023

The potential for leveraging machine learning to filter medication alerts.

May 4, 2022

Healthcare failure mode and effect analysis in the chemotherapy preparation process.

November 17, 2021

Risk factors associated with medication ordering errors.

December 16, 2020

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019.

September 30, 2020

Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.

July 8, 2020

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

November 13, 2019

WebM&M Cases

The Lost Start Date: an Unknown Risk of E-prescribing

October 30, 2019

Medication errors: the year in review.

October 23, 2019

How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions.

July 10, 2019

Avoiding chemotherapy prescribing errors: analysis and innovative strategies.

February 13, 2019

Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study.

February 6, 2019

Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases.

November 28, 2018

Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx.

November 14, 2018

Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database.

October 17, 2018

Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting.

April 18, 2018

Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit.

October 4, 2017

Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.

August 16, 2017

The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy.

November 9, 2016

Prescribing errors that cause harm.

October 5, 2016

Automatic errors: a case series on the errors inherent in electronic prescribing.

April 13, 2016

Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers.

March 23, 2016

US poison control center calls for infants 6 months of age and younger.

January 27, 2016

Evaluation of parenteral nutrition errors in an era of drug shortages.

December 16, 2015

The vulnerabilities of computerized physician order entry systems: a qualitative study.

December 9, 2015

Underlying risk factors for prescribing errors in long-term aged care: a qualitative study.

December 9, 2015

Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy.

December 2, 2015

Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.

December 2, 2015

See More About The Topic

Pharmacists

Internal Medicine

Pharmacy

Ordering/Prescribing Errors

Epidemiology of Errors and Adverse Events

Characterization of prescribing errors in an internal medicine clinic.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Characterization of prescribing errors in an internal medicine clinic.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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