Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.

Asim Ahmed Elnour; Nagy H Ellahham; Huria I Al Qassas

Study

Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.

December 12, 2007

Elnour AA, Ellahham NH, Al Qassas HI. J Patient Saf. 2008;3(4).

View more articles from the same authors.

This study found that reporting of medication errors increased significantly after a new medication safety program was implemented collaboratively between pharmacy and nursing staffs.

Available at

Related Resources From the Same Author(s)

Raising the awareness of inpatient nursing staff about medication errors.

October 10, 2007

Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department.

October 1, 2014

Communication in health care: impact of language and accent on health care safety, quality, and patient experience.

August 4, 2021

Comparison of appendectomy outcomes between senior general surgeons and general surgery residents.

May 3, 2017

Floating to intensive care units: nurses' messages for instant action to promote patient safety.

May 3, 2023

Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study.

January 11, 2023

Burns surgery handover study: trainees' assessment of current practice in the British Isles.

April 22, 2009

Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education.

April 12, 2017

Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.

November 4, 2020

Innovation in practice: a multidisciplinary medication safety initiative.

July 15, 2015

Obstetric medical emergency teams are a step forward in maternal safety!

November 24, 2010

Development and evaluation of a required patient safety course.

September 3, 2008

Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality.

January 23, 2013

Cognitive and system factors contributing to diagnostic errors in radiology.

October 9, 2013

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention.

February 20, 2008

Nurses' perceptions of error communication and reporting in the intensive care unit.

August 13, 2008

Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment.

May 3, 2017

The role of failure mode and effects analysis in health care.

September 24, 2014

Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study.

June 13, 2007

Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait.

February 18, 2009

Periodic resuscitation cart checks and nurse situational awareness: an observational study.

March 30, 2022

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

Understanding and attitudes towards patient safety concepts in obstetrics.

July 25, 2007

A systems approach to identify factors influencing adverse drug events in nursing homes.

June 27, 2018

Epidemiology, comparative methods of detection, and preventability of adverse drug events.

June 15, 2005

Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system.

July 12, 2023

Making the Patient Safety and Quality Improvement Act of 2005 work.

September 26, 2007

Rate, causes and reporting of medication errors in Jordan: nurses' perspectives.

August 29, 2007

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

August 12, 2020

Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power.

December 9, 2020

Errors as allies: error management training in health professions education.

January 23, 2013

Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program?

December 12, 2018

Assessment of patient retention of inpatient care information post-hospitalization.

February 22, 2023

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

May 26, 2021

The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement.

July 13, 2016

Management and patient safety of complex elderly patients in primary care during the COVID-19 pandemic in the UK-Qualitative assessment.

April 14, 2021

Medical device-related pressure ulcers: a systematic review and meta-analysis.

March 6, 2019

Development and content validation of a surgical safety checklist for operating theatres that use robotic technology.

July 31, 2013

Classification of patient-safety incidents in primary care.

September 26, 2018

Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties.

January 15, 2014

Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital.

June 22, 2022

Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patients with cancer.

March 25, 2020

Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial.

November 21, 2018

Junior doctors' reflections on patient safety.

March 21, 2012

Optimizing patient safety in clinical trials by improving transitions of care.

April 15, 2020

Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool.

March 18, 2020

Lack of timely follow-up of abnormal imaging results and radiologists' recommendations.

February 11, 2015

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

Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors.

March 29, 2012

The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance.

October 26, 2011

An evaluation of information transfer through the continuum of surgical care: a feasibility study.

August 11, 2010

Effectiveness of written hospitalist sign-outs in answering overnight inquiries.

November 20, 2013

Retained foreign bodies: risk and outcomes at the national level.

May 13, 2015

Journal Article

Study

A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel.

March 29, 2023

Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework.

June 1, 2022

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.

June 28, 2023

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

Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes.

September 30, 2015

Effect of distractions on operative performance and ability to multitask—a case for deliberate practice.

July 1, 2015

Identifying and addressing preventable process errors in trauma care.

June 26, 2013

Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors.

May 29, 2013

Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills.

November 25, 2015

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

November 24, 2021

Improving physician's hand over among oncology staff using standardized communication tool.

February 22, 2017

Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution.

March 9, 2016

Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.

September 30, 2020

Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety.

May 9, 2012

The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review.

July 15, 2015

French national survey of inpatient adverse events prospectively assessed with ward staff.

October 17, 2007

Building a safer foundation: the Lessons Learnt patient safety training programme.

November 6, 2013

Developing a conceptual framework for patient safety culture in emergency department: a review of the literature.

October 3, 2018

An overview of the use and implementation of checklists in surgical specialities - a systematic review.

February 25, 2015

Errors in diagnosis of spinal epidural abscesses in the era of electronic health records.

September 27, 2017

Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure.

June 22, 2011

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

March 16, 2022

A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes.

April 16, 2014

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

August 29, 2012

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review.

April 20, 2022

Factors underlying suboptimal diagnostic performance in physicians under time pressure.

January 16, 2019

Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care.

March 8, 2017

Patient safety skills in primary care: a national survey of GP educators.

February 4, 2015

A systematic quantitative assessment of risks associated with poor communication in surgical care.

June 30, 2010

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm.

November 16, 2022

Electronic detection of delayed test result follow-up in patients with hypothyroidism.

February 15, 2017

Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery.

August 9, 2017

Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,

October 7, 2020

Development of a trigger tool to identify adverse events and harm in emergency medical services.

September 20, 2017

Finding diagnostic errors in children admitted to the PICU.

February 8, 2017

Needlestick injuries among surgeons in training.

July 4, 2007

Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis.

February 12, 2014

Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity.

May 3, 2023

Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care.

March 9, 2016

Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs.

January 11, 2023

In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study.

February 22, 2023

Misdiagnosis of heart failure: a systematic review of the literature.

July 28, 2021

A quality improvement initiative to improve pediatric discharge medication safety and efficiency.

August 16, 2023

The "weekend effect" in pediatric surgery—increased mortality for children undergoing urgent surgery during the weekend.

August 6, 2014

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

August 19, 2020

Diagnostic performance dashboards: tracking diagnostic errors using big data.

April 4, 2018

Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot?

September 18, 2019

Related Resources

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

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

June 29, 2022

Patient Safety Innovations

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

April 7, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

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

February 9, 2022

Pharmacy Education and Practice.

January 26, 2022

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.

December 15, 2021

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

August 4, 2021

Patient Safety Primers

Medication Administration Errors

March 12, 2021

Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review.

February 3, 2021

A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error.

October 21, 2020

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

September 2, 2020

What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.

September 2, 2020

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

July 8, 2020

Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians.

January 8, 2020

WebM&M Cases

A Mistaken Dose of Naloxone 

December 18, 2019

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

November 6, 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

Review of medication errors that are new or likely to occur more frequently with electronic medication management systems.

July 17, 2019

Improving Usability, Safety and Patient Outcomes With Health Information Technology.

February 27, 2019

Relationship of staff information sharing and advice networks to patient safety outcomes.

January 30, 2019

The impact of technology on safe medicines use and pharmacy practice in the US.

January 30, 2019

Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.

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

How to prevent the top 4 medication errors.

October 17, 2018

A health system–wide initiative to decrease opioid-related morbidity and mortality.

September 26, 2018

Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting.

July 25, 2018

Economic evaluation of pharmacist-led medication reviews in residential aged care facilities.

December 13, 2017

Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial.

December 6, 2017

Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit.

October 4, 2017

See More About The Topic

Hospitals

Nurses

Pharmacists

Health Care Executives and Administrators

Information Professionals

Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.

A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel.

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

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

Medication Administration Errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.

A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel.

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

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

Medication Administration Errors

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