Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study.

Pierre Renaudin; Annabelle Coste; Yohan Audurier; Julie Berbis; François Canovas; Laura Lohan; Louis Dagneaux; Anderson Loundou; Mohamed Boucekine; Maxime Villiet; Cyril Breuker

Study

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study.

November 10, 2021

Renaudin P, Coste A, Audurier Y, et al. Basic Clin Pharmacol Toxicol. 2021;129(6):504-509.

View more articles from the same authors.

Pharmacists play an essential role in medication safety through practices such as medication reconciliation and best possible medication history. This observational study found that 20% of patients presenting to surgical units at one French hospital over a two-month period had a medication error. Pharmacists intervened and resolved medication errors related to untreated indications, subtherapeutic dosages, and prescriptions without an indication.

PubMed citation

Available at

Related Resources From the Same Author(s)

Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare.

October 20, 2021

Device use errors among patients with asthma and COPD and the role of training: a real-life study.

September 8, 2021

How would final-year medical students perform if their skill-based prescription assessment was real life?

February 22, 2023

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study.

July 28, 2021

Intervention study for the reduction of medication errors in elderly trauma patients.

September 2, 2020

Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study.

November 3, 2021

Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia.

August 24, 2022

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

March 2, 2011

Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis.

January 12, 2022

Prevention of failure to rescue in obstetric patients: a realist review.

November 10, 2021

Use of heuristics during the clinical decision process from family care physicians in real conditions.

October 6, 2021

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

October 27, 2021

Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review.

April 7, 2021

Medication errors' causes analysis in home care setting: a systematic review.

February 9, 2022

Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review.

May 26, 2021

Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study.

May 5, 2021

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

Medication errors in the care transition of trauma patients

December 18, 2019

Emergency department crowding: the canary in the health care system.

November 3, 2021

An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events.

April 13, 2022

Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff.

November 10, 2021

A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients.

August 19, 2020

Adverse events associated with home blood transfusion: a retrospective cohort study.

May 12, 2021

Physician reporting of clinically significant events through a computerized patient sign-out system.

September 14, 2011

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care.

June 16, 2021

Prevalence and characteristics of interruptions and distractions during surgical counts.

July 28, 2021

Medication errors in intensive care units: an umbrella review of control measures.

August 17, 2022

Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method study.

June 30, 2021

Patient perceptions of safety in primary care: a qualitative study to inform care.

October 13, 2021

Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals.

November 17, 2021

Do pharmacist-led medication reviews in hospitals help reduce hospital readmissions? A systematic review and meta-analysis.

October 19, 2016

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study.

January 12, 2022

Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis.

October 14, 2020

Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle.

September 29, 2021

Defining and studying errors in surgical care: a systematic review.

August 17, 2022

What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study.

March 3, 2021

The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis.

September 20, 2017

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

March 23, 2022

"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room.

July 28, 2021

The pharmacist-physician relationship in the detection of ambulatory medication errors.

January 31, 2006

Errors in medication history at hospital admission: prevalence and predicting factors.

June 20, 2012

Emergency departments are higher-risk locations for wrong blood in tube errors.

September 29, 2021

Critical care simulation education program during the COVID-19 pandemic.

November 10, 2021

Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial.

September 15, 2021

Considering human factors and developing systems-thinking behaviours to ensure patient safety.

February 21, 2018

Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial.

October 13, 2021

Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings.

June 16, 2021

Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study.

November 9, 2022

Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study.

December 16, 2020

It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals.

October 13, 2021

Reducing surgical specimen errors through multidisciplinary quality improvement.

June 16, 2021

Emotional harm in the radiology department: analysis of an underrecognized preventable error.

February 9, 2022

Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study.

November 17, 2021

Missed nursing care during the COVID-19 pandemic: a comparative observational study.

July 21, 2021

Sources of medication omissions among hospitalized older adults with polypharmacy.

March 9, 2022

Identifying health information technology usability issues contributing to medication errors across medication process stages.

July 7, 2021

Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients

December 18, 2019

Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care.

January 23, 2008

Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta-analysis.

January 19, 2022

Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study.

September 16, 2020

Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy.

March 24, 2021

Predicting avoidable hospital events in Maryland.

December 1, 2021

Medication errors in community pharmacies: evaluation of a standardized safety program.

March 15, 2023

Errors in adult trauma resuscitation: a systematic review.

June 30, 2021

Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses.

May 18, 2022

Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study.

June 9, 2021

Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study.

November 24, 2021

The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians.

October 20, 2021

Analyzing diagnostic errors in the acute setting: a process-driven approach.

October 20, 2021

Clinical and financial implications of second-opinion surgical pathology review.

April 7, 2021

Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge.

December 1, 2021

A systematic review on pediatric medication errors by parents or caregivers at home.

August 11, 2021

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

November 12, 2014

Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources.

March 3, 2021

Building a program of expanded peer support for the entire health care team: no one left behind.

October 13, 2021

Diagnostic errors in pediatric critical care: a systematic review.

April 28, 2021

Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review.

July 27, 2022

Optimising the delivery of remediation programmes for doctors: a realist review.

June 2, 2021

There's no place like home--integrating a pharmacist into the hospital-in-home model.

March 17, 2021

"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation.

January 19, 2022

Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error.

March 31, 2021

Drug shortages.

August 30, 2023

Establishing psychological safety in clinical supervision: multi-professional perspectives.

May 11, 2022

Nurses' experiences of organizational learning.

August 19, 2020

Hospital medication errors: a cross sectional study.

December 23, 2020

Medication Errors.

July 8, 2009

Adopting system models for multiple incident analysis: utility and usability.

October 27, 2021

Do final-year medical students have sufficient prescribing competencies? A systematic literature review.

February 14, 2018

Wrong-patient orders in obstetrics.

July 28, 2021

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.

November 24, 2021

Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1).

May 5, 2021

Improving communication and teamwork during labor: a feasibility, acceptability, and safety study.

March 16, 2022

Paramedic self-reported medication errors.

October 18, 2006

Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports.

November 10, 2021

Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review.

March 24, 2021

May 26, 2021

Clinical data sharing improves quality measurement and patient safety.

March 24, 2021

How can never event data be used to reflect or improve hospital safety performance?

May 19, 2021

Related Resources

Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system.

September 20, 2023

Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis.

August 2, 2023

Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward.

July 19, 2023

What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.

April 12, 2023

Journal Article

Study

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

March 29, 2023

The impact of medication reconciliation and review in patients using oral chemotherapy.

March 1, 2023

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

February 15, 2023

Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists.

January 11, 2023

Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission.

December 21, 2022

Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial.

November 30, 2022

Criteria for the selection of paediatric patients susceptible to reconciliation error.

November 16, 2022

Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.

November 2, 2022

Trial and error: learning from malpractice claims in childhood surgery.

August 24, 2022

The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study.

August 10, 2022

Differences in medication reconciliation interventions between six hospitals: a mixed method study.

June 29, 2022

Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions.

March 30, 2022

Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020.

March 30, 2022

Antibiotic prescribing errors in patients discharged from the pediatric emergency department.

March 30, 2022

Sources of medication omissions among hospitalized older adults with polypharmacy.

March 9, 2022

Pediatric medication errors and reduction strategies in the perioperative period.

November 24, 2021

Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial.

October 6, 2021

Effect of medication reconciliation on patient reported potential adverse events after hospital discharge.

September 8, 2021

Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies.

August 18, 2021

Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease.

June 9, 2021

Adverse drug event-related admissions to a pediatric emergency unit.

April 14, 2021

Intervention study for the reduction of medication errors in elderly trauma patients.

September 2, 2020

Longitudinal medication reconciliation at hospital admission, discharge and post-discharge.

August 26, 2020

A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients.

August 19, 2020

Improved medication management with introduction of a perioperative and prescribing pharmacist service.

August 12, 2020

How accurately do older adult emergency department patients recall their medications?

August 12, 2020

See More About The Topic

Operating Room

Quality and Safety Professionals

Orthopedic Surgery

Hospital Pharmacy

Medication Errors/Preventable Adverse Drug Events

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study.

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study.

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

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