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

Tesfay Mehari Atey; Gregory M Peterson; Mohammed Saji Salahudeen; Luke R Bereznicki; Barbara C Wimmer

Review

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

March 8, 2023

Atey TM, Peterson GM, Salahudeen MS, et al. Emerg Med J. 2023;40(2):120-127.

View more articles from the same authors.

Pharmacists are increasingly involved in the emergency department (ED) medication process. This review summarizes the characteristics and impacts of interventions. The most common type of intervention is medication review/reconciliation and/or identification and resolution of medication errors. Interventions including pharmacist co-prescribing or co-charting in the ED resulted in the largest reduction in medication errors.

PubMed citation

Available at

Related Resources From the Same Author(s)

Outcomes of medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis.

July 21, 2021

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

October 14, 2020

Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis.

November 24, 2021

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

August 4, 2021

February 2, 2022

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

November 11, 2020

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

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

March 10, 2021

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

July 8, 2020

Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review.

March 30, 2022

Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.

September 14, 2022

August 19, 2020

Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review.

January 26, 2022

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

December 8, 2021

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

September 29, 2021

The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis.

February 3, 2021

Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis.

January 25, 2023

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis.

March 16, 2022

The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States.

August 26, 2020

Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study.

October 28, 2020

The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies.

November 30, 2022

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments.

November 24, 2021

Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department.

September 30, 2020

When disasters strike the emergency department: a case series and narrative review.

November 10, 2021

Medicines reconciliation in the emergency department: important prescribing discrepancies between the shared medication record and patients' actual use of medication.

March 16, 2022

Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis.

February 9, 2022

Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis.

September 28, 2022

The impact of hospital accreditation on the quality of healthcare: a systematic literature review.

October 27, 2021

Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality.

April 20, 2022

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

Systematic review of the impact of physician implicit racial bias on clinical decision making.

May 5, 2017

The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review.

October 5, 2022

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

Deprescribing for community-dwelling older adults: a systematic review and meta-analysis.

September 16, 2020

A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety.

June 30, 2021

Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis.

March 29, 2023

The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis.

July 15, 2020

Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis.

April 1, 2020

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

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

Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: a systematic review and meta-synthesis.

August 25, 2021

Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis.

March 15, 2023

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

December 14, 2022

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

April 7, 2021

Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis.

February 3, 2021

COVID-19: an emerging threat to antibiotic stewardship in the emergency department.

October 21, 2020

Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.

November 28, 2018

Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients.

December 8, 2021

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.

July 7, 2021

Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis.

March 22, 2023

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

June 16, 2021

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis.

January 2, 2008

Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review.

February 16, 2022

How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.

December 2, 2020

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.

February 23, 2022

Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.

February 16, 2022

Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department.

February 17, 2016

Variation in detected adverse events using trigger tools: a systematic review and meta-analysis.

September 21, 2022

Assessing experiences of racism among Black and White patients in the emergency department.

January 25, 2023

Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic.

July 20, 2022

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

January 12, 2022

The emergency department trigger tool: a novel approach to screening for quality and safety events.

September 30, 2020

Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy.

November 17, 2021

Emergency department discharge prescription interventions by emergency medicine pharmacists.

June 20, 2012

Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence.

July 18, 2012

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

The standardisation of handoffs in a large academic paediatric emergency department using I-PASS.

July 28, 2021

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

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

October 21, 2020

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

November 25, 2020

Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review.

December 2, 2020

The impact of health information management professionals on patient safety: a systematic review.

December 22, 2021

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

March 30, 2022

Preventable medication harm across health care settings: a systematic review and meta-analysis.

February 17, 2021

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.

May 19, 2021

Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis.

May 19, 2021

Resident duty hours and resident and patient outcomes: systematic review and meta-analysis.

November 16, 2022

Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department.

July 6, 2022

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department.

February 6, 2008

Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex.

April 20, 2022

Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic review and consensus recommendations.

February 15, 2023

Factors influencing family member perspectives on safety in the intensive care unit: a systematic review.

December 9, 2020

The potential for improved teamwork to reduce medical errors in the emergency department.

March 27, 2005

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

Effect of the surgical safety checklist on provider and patient outcomes: a systematic review.

April 27, 2022

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.

July 29, 2020

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

Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population.

May 19, 2021

Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey.

February 16, 2022

Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis.

February 17, 2021

Experiences of transgender and gender nonbinary patients in the emergency department and recommendations for health care policy, education, and practice.

July 21, 2021

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.

November 12, 2014

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

The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review.

January 11, 2023

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review.

October 5, 2022

Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method.

August 19, 2020

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis.

January 19, 2022

Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings.

August 10, 2022

Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system.

May 12, 2021

Rates of surgical consultations after emergency department admission in Black and White Medicare patients.

October 26, 2022

Related Resources

Patient Safety Primers

Inpatient Transitions of Care: Challenges and Safety Practices

March 27, 2024

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

November 1, 2023

Pharmacy-led medication reconciliation is best practice.

October 11, 2023

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

September 20, 2023

Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals.

September 13, 2023

Incidence and severity of medication reconciliation discrepancies in trauma patients.

August 16, 2023

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

July 19, 2023

Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service.

May 3, 2023

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

April 12, 2023

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

March 1, 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

WebM&M Cases

Hospital-Acquired Diabetic Ketoacidosis.

February 1, 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

Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability.

November 9, 2022

What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review.

November 2, 2022

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

September 21, 2022

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

June 29, 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

Medicines reconciliation in the emergency department: important prescribing discrepancies between the shared medication record and patients' actual use of medication.

March 16, 2022

Sources of medication omissions among hospitalized older adults with polypharmacy.

March 9, 2022

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

February 9, 2022

February 2, 2022

Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies.

December 1, 2021

Pediatric medication errors and reduction strategies in the perioperative period.

November 24, 2021

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

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

September 8, 2021

See More About The Topic

Emergency Departments

Quality and Safety Professionals

Emergency Medicine

Medication Errors/Preventable Adverse Drug Events

Epidemiology of Errors and Adverse Events

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

Inpatient Transitions of Care: Challenges and Safety Practices

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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

Inpatient Transitions of Care: Challenges and Safety Practices

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