Impact of an antiretroviral stewardship strategy on medication error rates.

Katherine M Shea; Athena Lv Hobbs; Jason D Shumake; Derek J Templet; Eimeira Padilla-Tolentino; Kristin E Mondy

Study

Impact of an antiretroviral stewardship strategy on medication error rates.

July 18, 2018

Shea KM, Hobbs AL, Shumake JD, et al. Am J Health Syst Pharm. 2018;75(12):876-885.

View more articles from the same authors.

This pre–post analysis found a significant drop in medication error rates after implementation of an antibiotic stewardship program. The authors attribute this improvement to pharmacist medication review, which has been shown to enhance medication safety across multiple settings.

PubMed citation

Available at

Related Resources From the Same Author(s)

Clinical dilemmas and a review of strategies to manage drug shortages.

May 15, 2013

Clinical decision support for early recognition of sepsis.

April 20, 2016

Caregiver and clinician perspectives on discharge medication counseling: a qualitative study.

July 12, 2023

When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety.

August 2, 2023

Sleep deprivation: a call for institutional rules.

September 25, 2013

Hospitalized patients' understanding of their plan of care.

January 27, 2010

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.

October 12, 2022

Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.

July 20, 2011

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

August 17, 2022

Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals.

September 2, 2009

A patient reported approach to identify medical errors and improve patient safety in the emergency department.

November 23, 2016

Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.

September 22, 2021

The impact of transition to a digital hospital on medication errors (TIME study).

August 16, 2023

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

ACGME duty-hour recommendations—a national survey of residency program directors.

August 11, 2010

Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU.

November 30, 2016

Pre-surgery briefings and safety climate in the operating theatre.

July 27, 2011

Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer.

July 19, 2023

Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations.

March 25, 2015

Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial.

September 16, 2015

Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff.

June 2, 2021

Errors in surgery: a case control study.

December 14, 2022

Patient complaints about hospital services: applying a complaint taxonomy to analyse and respond to complaints.

June 8, 2016

Prevalence and characteristics of interruptions and distractions during surgical counts.

July 28, 2021

The safety of warfarin therapy in the nursing home setting.

June 13, 2007

Rooting an error review process in just culture: lessons learned.

October 5, 2022

Patient safety: a consumer's perspective.

April 27, 2011

Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles.

December 19, 2018

Creating a safer operating room: groups, team dynamics and crew resource management principles.

June 6, 2018

How is safety climate measured? A review and evaluation.

October 20, 2021

Duty hours, quality of care, and patient safety: general surgery resident perceptions.

October 3, 2012

Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures.

June 8, 2022

A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.

January 16, 2013

'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey.

September 14, 2011

An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes?

July 29, 2015

Nursing and patient safety in the operating room.

January 23, 2008

Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study.

July 10, 2019

Zero harm in health care.

March 18, 2020

Not thinking clearly? Play a game, seriously!

November 16, 2016

Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.

March 22, 2023

How should clinicians minimize bias when responding to suspicions about child abuse?

February 22, 2023

Evaluation of the culture of safety and quality in pediatric primary care practices.

July 6, 2022

Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module.

December 14, 2016

The clinical and medicolegal implications of radiology results communication.

December 13, 2017

The safety of emergency medicine.

November 25, 2015

2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology.

April 12, 2017

Parent willingness to remind health care workers to perform hand hygiene.

August 14, 2013

Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.

February 6, 2013

Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications.

March 1, 2017

Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors.

August 8, 2018

Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.

September 19, 2012

Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.

May 25, 2022

Monitoring adverse drug reactions in children using community pharmacies: a pilot study.

June 29, 2005

Elucidating reasons for resident underutilization of electronic adverse event reporting.

April 29, 2015

The attributes of medical event reporting systems.

March 27, 2005

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

January 9, 2013

Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices.

August 24, 2022

Radiologists' responses to inadequate referrals.

December 9, 2009

Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study.

May 1, 2019

Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation.

February 22, 2017

Tracking with virtual slides: a tool to study diagnostic error in histopathology.

August 5, 2009

ICU attending handoff practices: results from a national survey of academic intensivists.

December 9, 2015

Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study.

February 28, 2018

Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.

July 22, 2020

Without question.

July 20, 2022

High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training.

May 1, 2013

Exploring the sociotechnical intersection of patient safety and electronic health record implementation.

October 16, 2013

Implementing bedside handoff in the emergency department: a practice improvement project.

January 23, 2019

In their own words: safety and quality perspectives from families of hospitalized children with medical complexity.

September 6, 2023

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis.

May 25, 2022

Using patient safety reporting systems to understand the clinical learning environment: a content analysis.

January 9, 2019

US public opinion regarding proposed limits on resident physician work hours.

July 28, 2010

A root cause analysis project in a medication safety course.

September 12, 2012

The impact of patient–physician alliance on trust following an adverse event.

April 10, 2019

A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers.

January 9, 2013

Implementing handoff communication.

June 15, 2011

Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study.

March 27, 2019

Medication complexity, medication number, and their relationships to medication discrepancies.

July 27, 2016

Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data.

October 8, 2014

Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.

October 16, 2013

Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study.

September 11, 2013

Measuring psychological safety and local learning to enable high reliability organisational change.

November 9, 2022

Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial.

June 11, 2008

Principles of automation for patient safety in intensive care: learning from aviation.

June 6, 2018

Barriers to reporting medication errors: a measurement equivalence perspective.

October 6, 2010

Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors.

December 12, 2007

Cultural diversity: what role does it play in patient safety?

August 25, 2010

Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence.

June 2, 2021

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

November 11, 2020

Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay.

January 10, 2018

Adverse events in women giving birth in a labor ward: a retrospective record review study.

November 3, 2021

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues.

December 8, 2021

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork.

September 11, 2019

Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections.

October 26, 2016

When clinicians drop out and start over after adverse events.

March 14, 2018

Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety.

April 25, 2012

Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.

October 21, 2009

Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies.

September 9, 2020

Patient Safety Innovations

The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis

September 29, 2021

Related Resources

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

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

February 15, 2023

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

Medication safety issues with newly authorized PAXLOVID.

January 12, 2022

Patient Safety Primers

Deprescribing as a Patient Safety Strategy

October 27, 2021

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

April 28, 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

WebM&M Cases

The Impact of Communication on Medication Errors

March 15, 2021

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

July 8, 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

Medication errors: the year in review.

October 23, 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

Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service.

May 29, 2019

Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).

May 15, 2019

The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial.

April 17, 2019

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

April 10, 2019

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

January 16, 2019

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3.

December 19, 2018

Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention.

November 14, 2018

Fixed-dose combination antihypertensives and risk of medication errors.

October 3, 2018

The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials.

July 11, 2018

All consumer medication information is not created equal: implications for medication safety.

April 19, 2017

WebM&M Cases

Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention

March 1, 2017

Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers.

February 1, 2017

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

November 9, 2016

Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge.

November 2, 2016

See More About The Topic

Medication Errors/Preventable Adverse Drug Events

Impact of an antiretroviral stewardship strategy on medication error rates.

The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis

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

Deprescribing as a Patient Safety Strategy

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Impact of an antiretroviral stewardship strategy on medication error rates.

The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis

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

Deprescribing as a Patient Safety Strategy

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