Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting.

M Lloyd; S.D Watmough; S.V O'Brien; K Hardy; N Furlong

Study

Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting.

March 3, 2021

Lloyd M, Watmough SD, O'Brien SV, et al. Res Social Adm Pharm. 2021;17(9):1579-1587.

View more articles from the same authors.

Pharmacists play a critical role in reducing medication errors. This prospective study found that a formalized pharmacist-led prescribing feedback program can reduce prescribing errors. After program implementation, the overall prescribing error rate, as well as the frequency of each error type and severity, significantly decreased.

PubMed citation

Available at

Related Resources From the Same Author(s)

Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting.

January 16, 2019

Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews.

November 4, 2015

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

August 26, 2020

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

June 9, 2021

Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic.

February 16, 2022

Using failure mode and effects analysis to increase patient safety in cancer chemotherapy.

December 22, 2021

Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis.

November 18, 2020

Medication discrepancy rates and sources upon nursing home intake: a prospective study.

April 6, 2022

Medication errors in community pharmacies: the need for commitment, transparency, and research.

February 20, 2019

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

September 21, 2022

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

July 8, 2020

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

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

September 8, 2021

Deprescribing Guidelines: Special Section on Symposium Results.

June 26, 2019

Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review.

March 10, 2021

Special Issue on Prescription Drug Misuse.

September 25, 2019

Older people's experiences of medicine changes on leaving hospital.

October 22, 2014

Special Issue on Medication Safety.

July 31, 2019

The effect of blue-enriched lighting on medical error rate in a university hospital ICU.

January 27, 2021

The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event.

July 15, 2020

First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality.

March 3, 2021

Organisational factors associated with safety climate, patient satisfaction and self-reported medicines adherence in community pharmacies.

June 17, 2020

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.

March 3, 2021

Implementing a human factors approach to RCA(2) : tools, processes and strategies.

March 10, 2021

The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy.

April 27, 2022

Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command.

October 7, 2020

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.

December 14, 2022

Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions.

March 30, 2022

The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review.

April 7, 2021

The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors.

February 10, 2021

Care of the clinician after an adverse event.

February 18, 2015

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

Use and impact of virtual primary care on quality and safety: The public's perspectives during the COVID-19 pandemic.

January 12, 2022

Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety.

December 23, 2020

Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it.

April 7, 2021

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

January 27, 2021

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

July 8, 2020

Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.

September 23, 2020

Variation in the reporting of elective surgeries and its influence on patient safety indicators.

July 6, 2022

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.

December 1, 2021

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

November 4, 2020

Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education.

November 4, 2020

Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk.

November 11, 2020

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

March 3, 2021

Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital.

June 24, 2020

The impact of critical incidents on nurses and midwives: a systematic review.

February 10, 2021

More than an apple a day: factors associated with avoidance of doctor visits among transgender, gender nonconforming, and nonbinary people in the USA.

September 23, 2020

Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit.

March 2, 2011

Lessons from walking the medical distancing tightrope.

July 22, 2020

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

September 30, 2020

Missing the near miss: recognizing valuable learning opportunities in radiation oncology.

December 16, 2020

Errors in nurse-led triage: an observational study.

December 2, 2020

Prehospital naloxone and emergency department adverse events: a dose-dependent relationship.

November 25, 2020

Assessing and supporting late career practitioners: four key questions.

September 30, 2020

When safety event reporting is seen as punitive: "I've been PSN-ed!"

September 9, 2020

Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities.

February 10, 2021

The impact of COVID-19 response on central line associated bloodstream infections and blood culture contamination rates at a tertiary care center in greater Detroit area.

December 16, 2020

Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019.

July 29, 2020

Are dental patients concerned about safety? An exploratory study.

October 28, 2020

Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice.

March 31, 2021

Retrospective analysis of reported suicide deaths and attempts on veterans health administration campuses and inpatient units.

September 23, 2020

Physician task load and the risk of burnout among US physicians in a national survey.

December 2, 2020

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety.

May 5, 2021

Safety climate associated with adverse events in nursing homes: a national VA study.

August 26, 2020

Absence or presence: silent discourse in the operating room and impact on surgical team action.

November 11, 2020

Emergency department image interpretation accuracy: the influence of immediate reporting by radiology.

June 4, 2014

Factors influencing providers' willingness to deprescribe medications.

December 1, 2021

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.

December 2, 2020

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation.

September 16, 2020

The challenges and opportunities for shared decision making highlighted by COVID-19.

August 12, 2020

Omissions of care in nursing homes: a uniform definition for research and quality improvement.

November 18, 2020

The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care.

November 10, 2021

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database.

December 1, 2021

A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system.

December 23, 2020

Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study.

November 4, 2020

Bracing for the storm: one health care system's planning for the COVID-19 surge.

November 11, 2020

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

February 9, 2022

Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study.

December 22, 2021

A blinded, prospective study of error detection during physician chart rounds in radiation oncology.

October 14, 2020

Understanding and responding to health literacy as a social determinant of health.

October 9, 2021

Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.

December 2, 2020

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

October 27, 2021

Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients?

September 1, 2021

A program to provide clinicians with feedback on their diagnostic performance in a learning health system.

October 28, 2020

The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.

October 21, 2020

Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic.

November 25, 2020

Hospital at Home: setting a regulatory course to ensure safe, high-quality care.

February 2, 2022

Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study.

June 29, 2022

Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systematic review and meta-analysis.

November 4, 2020

Extended work shifts and neurobehavioral performance in resident-physicians.

March 10, 2021

Workforce planning and safe workload in sterile compounding hospital pharmacy services.

November 24, 2021

Integrating principles of safety culture and just culture into nursing homes: lessons from the pandemic.

January 12, 2022

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017.

September 23, 2020

Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows.

August 26, 2020

Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology.

November 18, 2020

Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals.

November 18, 2020

Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure.

June 24, 2020

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

The impact of errors on healthcare professionals in the critical care setting.

April 24, 2019

Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.

March 11, 2020

Related Resources

A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.

April 26, 2023

STAMP: a 5-year project to reduce paediatric prescribing errors.

April 19, 2023

Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis.

April 5, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 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

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

January 11, 2023

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

January 11, 2023

Weight and size descriptors for drug dosing: too many options and too many errors.

January 11, 2023

Preventing errors when preparing and administering medications via enteral feeding tubes.

December 7, 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

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

October 26, 2022

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

September 21, 2022

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

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

WebM&M Cases

Challenges of Diabetes Management and Medication Reconciliation

August 5, 2022

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

June 29, 2022

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

June 15, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 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

Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products

December 22, 2021

Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice.

December 15, 2021

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

August 4, 2021

Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment.

July 14, 2021

Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals.

March 24, 2021

Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk.

November 11, 2020

Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital.

October 28, 2020

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

September 30, 2020

See More About The Topic

Hospitals

Facility and Group Administrators

Quality and Safety Professionals

Pharmacy

Hospital Pharmacy

Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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