Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

Gildasio S. De Oliveira; Lucas J. Castro-Alves; Mark C. Kendall; Robert McCarthy

Review

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

July 19, 2017

De Oliveira GS, Castro-Alves LJ, Kendall MC, et al. J Patient Saf. 2021;17(5):375-380.

View more articles from the same authors.

Care transitions increase risk for medication errors. This meta-analysis found that pharmacist support during care transitions reduced medication errors and postdischarge emergency department visits. These results support a role for pharmacists in medication safety interventions for patients undergoing care transitions.

PubMed citation

Available at

Related Resources From the Same Author(s)

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

October 13, 2021

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial.

June 8, 2016

Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study.

March 15, 2017

Patient Safety Innovations

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

April 7, 2022

Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis.

August 4, 2021

Flexibilization of science, cognitive biases, and the COVID-19 pandemic.

September 23, 2020

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

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

Surgery is in itself a risk factor for the patient.

June 1, 2022

What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports.

May 18, 2022

Association between physician burnout and self-reported errors: meta-analysis.

January 26, 2022

Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care.

April 28, 2021

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.

April 27, 2022

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

December 8, 2021

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training.

February 20, 2013

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System.

August 4, 2021

Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

December 9, 2020

Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.

December 2, 2020

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

July 20, 2022

High-risk medication in home care nursing: a Delphi study.

September 7, 2022

Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review.

January 12, 2022

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study.

November 18, 2020

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

Prescribing errors with low-molecular-weight heparins.

October 13, 2021

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

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

October 14, 2020

Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?

August 25, 2021

Shortage of perioperative drugs: implications for anesthesia practice and patient safety.

June 8, 2011

Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.

October 28, 2020

February 2, 2022

Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.

June 16, 2021

Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors.

April 11, 2018

Healing our own: a randomized trial to assess benefits of peer support.

February 2, 2022

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.

September 29, 2021

Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.

April 6, 2022

Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators.

July 28, 2021

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.

November 30, 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

The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review.

March 8, 2023

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

July 7, 2021

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

July 22, 2020

CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event.

April 5, 2023

Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.

June 24, 2020

The patient perspective on errors in cancer care: results of a cross-sectional survey.

December 1, 2019

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

August 7, 2019

An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review.

December 8, 2021

A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19.

October 19, 2022

Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis.

December 14, 2022

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

October 20, 2021

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care.

October 27, 2021

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care.

May 25, 2022

Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs.

March 10, 2021

The barriers and enhancers to trust in a just culture in hospital settings: a systematic review.

August 17, 2022

The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.

February 17, 2021

The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings.

September 14, 2022

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Errors during resuscitation: the impact of perceived authority on delivery of care.

March 25, 2020

Dedicated teams to optimize quality and safety of surgery: a systematic review.

November 16, 2022

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

January 11, 2023

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?

January 8, 2020

Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study.

April 28, 2021

Resilience from a stakeholder perspective: the role of next of kin in cancer care.

September 23, 2020

A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit.

October 5, 2022

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

March 1, 2023

An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference.

March 1, 2023

Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies.

May 19, 2021

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events.

May 25, 2022

Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study.

January 27, 2021

The trigger tool as a method to measure harmful medication errors in children.

May 13, 2015

Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety.

September 21, 2022

Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population.

August 3, 2022

Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial.

July 29, 2020

The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial.

December 9, 2020

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

November 30, 2022

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care.

October 5, 2022

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.

January 31, 2006

Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care.

May 4, 2022

Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology.

February 1, 2023

Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience.

April 14, 2021

Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial.

October 26, 2022

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.

January 12, 2022

Collaborative case review: a systems-based approach to patient safety event investigation and analysis.

March 30, 2022

Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.

May 26, 2021

Explaining ethnic disparities in patient safety: a qualitative analysis.

March 3, 2010

A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.

March 2, 2022

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

A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes.

November 4, 2020

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

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

Intersystem medical error discovery: a document analysis of ethical guidelines.

January 12, 2022

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.

July 8, 2020

Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses.

September 15, 2021

Development of a multicomponent intervention to decrease racial bias among healthcare staff.

July 27, 2022

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.

June 8, 2022

Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis.

March 8, 2023

Related Resources

Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative systematic review.

November 1, 2023

WebM&M Cases

The Danger of 10% Intravenous Calcium Chloride Extravasation.

April 26, 2023

Making polypharmacy safer for children with medical complexity.

April 5, 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

Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety.

February 22, 2023

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

February 15, 2023

Survey results from pharmacists provide support to enhance the organizational response to codes.

October 26, 2022

Medication Safety Certificate Program.

August 24, 2022

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

June 29, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

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

March 30, 2022

Sources of medication omissions among hospitalized older adults with polypharmacy.

March 9, 2022

February 2, 2022

Medication safety issues with newly authorized PAXLOVID.

January 12, 2022

Medicine self-administration errors in the older adult population: a systematic review.

June 9, 2021

Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients.

April 28, 2021

The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents.

April 21, 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

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

August 26, 2020

August 19, 2020

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

August 12, 2020

Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review.

July 22, 2020

Global drug shortages due to COVID-19: impact on patient care and mitigation strategies.

July 8, 2020

Fighting against COVID-19: innovative strategies for clinical pharmacists.

May 6, 2020

Clinical and economic impact of medication reconciliation in cancer patients: a systematic review.

April 22, 2020

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care.

November 6, 2019

Pharmacist linkage in care transitions: from academic medical center to community.

October 30, 2019

Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.

July 31, 2019

The opioid crisis: origins, trends, policies, and the roles of pharmacists.

April 10, 2019

See More About The Topic

Hospitals

Pharmacists

Facility and Group Administrators

Medicine

Discontinuities, Gaps, and Hand-Off Problems

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

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

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

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

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