Incidence of medication errors and adverse drug events in the ICU: a systematic review. | PSNet

Provide Feedback |

Submit a Case

Register

Review

Incidence of medication errors and adverse drug events in the ICU: a systematic review.

September 15, 2010

Wilmer A, Louie K, Dodek P, et al. Qual Saf Health Care. 2010;19(5):e7.

View more articles from the same authors.

This study discovered significant variation in both reporting rates and definitions of adverse drug events and medication errors in ICU settings. The authors advocate for greater standardization in definitions and methods for error detection to fully understand the spectrum of events.

PubMed citation

Related Resources From the Same Author(s)

Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events

October 16, 2019

The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study.

March 3, 2010

Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model.

April 25, 2012

The relationship between organizational culture and family satisfaction in critical care.

May 9, 2012

Restricting resident work hours: the good, the bad, and the ugly.

March 21, 2012

Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante.

May 25, 2005

Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits.

September 6, 2006

Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.

December 13, 2006

The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study.

November 25, 2015

Extended work duration and the risk of self-reported percutaneous injuries in interns.

September 6, 2006

Effective implementation of work-hour limits and systemic improvements.

November 28, 2007

Failure to engage hospitalized elderly patients and their families in advance care planning.

April 10, 2013

Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department.

December 1, 2010

Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study.

October 24, 2007

Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit.

May 3, 2006

Peripheral vision: expertise in real world contexts.

May 18, 2005

Racism in health services for adolescents: a scoping review.

August 2, 2023

The Daily Plan: including patients for safety's sake.

April 11, 2012

Optimising the delivery of remediation programmes for doctors: a realist review.

June 2, 2021

A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion.

August 15, 2007

High reliability of care in orthopedic surgery: are we there yet?

November 16, 2016

Nursing crew resource management: a follow-up report from the Veterans Health Administration.

March 13, 2013

Improving patient safety and optimizing nursing teamwork using crew resource management techniques.

March 14, 2012

Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients.

May 2, 2012

Frequency and clinical importance of pages sent to the wrong physician.

June 17, 2009

Between a rock and a hard place: disclosing medical errors.

September 20, 2006

Minimising medication errors in children.

February 25, 2009

Matching nurse skill with patient acuity in the intensive care units: a risk management mandate.

July 5, 2006

Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist?

November 9, 2016

Achieving dialysis safety: the critical role of higher-functioning teams.

April 17, 2019

Spinal surgery and patient safety: a systems approach.

May 10, 2006

Children and the opioid epidemic: age-stratified exposures and harms.

October 21, 2020

Second opinions improve healthcare outcomes and reduce costs.

June 24, 2020

New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis.

September 1, 2010

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

April 11, 2018

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

February 16, 2022

The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations.

March 16, 2022

Intraoperative communications between pathologists and surgeons: do we understand each other?

September 6, 2023

Adverse events after transition from ICU to hospital ward: a multicenter cohort study.

May 20, 2020

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

April 27, 2022

Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic.

June 2, 2021

Development of a pediatric adverse events terminology.

March 15, 2017

Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015.

November 9, 2016

Workplace empowerment and magnet hospital characteristics as predictors of patient safety climate.

June 25, 2008

Impact of duty hour limits on resident training in otolaryngology.

June 15, 2005

To err is human: quality and safety issues in spine care.

May 30, 2007

A concept analysis of situational awareness in nursing.

April 17, 2013

The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.

February 13, 2013

Are they safe in there? Patient safety and trainees in the practice.

February 8, 2012

A simulation-based approach to training in heuristic clinical decision-making.

June 19, 2019

Deaths among opioid users: impact of potential inappropriate prescribing practices.

May 15, 2019

Influence of perioperative handoffs on complications and outcomes.

November 17, 2021

Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis.

March 10, 2021

The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS).

February 12, 2020

Medication reconciliation at hospital discharge: evaluating discrepancies.

October 15, 2008

Quality improvement in medical education: current state and future directions.

January 18, 2012

Paediatric dosing errors before and after electronic prescribing.

August 18, 2010

Medication safety initiative in reducing medication errors.

July 7, 2010

A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams.

October 7, 2020

The lost sponge: patient safety in the operating room.

October 17, 2012

An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety?

January 29, 2014

Using nurses and office staff to report prescribing errors in primary care.

May 7, 2008

Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity.

June 6, 2007

Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions.

March 7, 2018

Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.

December 13, 2017

Teaching medical error disclosure to physicians-in-training: a scoping review.

May 8, 2013

Moving beyond implicit bias in antiracist academic medicine initiatives.

September 7, 2022

Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia.

June 27, 2007

Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.

August 26, 2020

Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.

September 5, 2018

Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited.

October 5, 2011

Medication adverse events in the ambulatory setting: a mixed-methods analysis.

October 26, 2022

The role of communication in paediatric drug safety.

May 23, 2007

Changing smart pump vendors: lessons learned.

December 14, 2016

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

February 13, 2013

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

July 13, 2011

When no news is bad news: improving diagnostic testing communication through patient engagement.

March 9, 2022

Attitudes to patient safety amongst medical students and tutors: developing a reliable and valid measure.

October 28, 2009

Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.

September 12, 2018

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

February 24, 2010

What constitutes a prescribing error in paediatrics?

October 19, 2005

Real-time automated paging and decision support for critical laboratory abnormalities.

August 17, 2011

Perception of patient safety culture in pediatric long-term care settings.

February 13, 2019

Pharmacist medication reviews to improve safety monitoring in primary care patients.

May 18, 2016

Patient safety indicators for judging hospital performance: still not ready for prime time.

February 24, 2016

Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes.

May 10, 2023

Are personal health records (PHRs) facilitating patient safety? A scoping review.

June 15, 2022

Analysis of laboratory critical value reporting at a large academic medical center.

May 24, 2006

Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study.

July 5, 2023

Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey.

March 22, 2023

Importance of safety climate, teamwork climate and demographics: understanding nurses, allied health professionals and clerical staff perceptions of patient safety.

January 30, 2019

Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department.

October 7, 2015

Patient safety in North America: beyond "operate through your initials" and "sign your site."

June 24, 2009

Teaching quality improvement and patient safety to trainees: a systematic review.

June 30, 2010

Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety.

June 9, 2021

Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting.

August 18, 2021

Not sick enough to worry? "Influenza-like" symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey.

June 3, 2020

US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic.

January 13, 2021

High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events.

May 20, 2020

The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States.

August 1, 2018

View More

Related Resources

Medication-related problems in critical care survivors: a systematic review.

June 28, 2023

Identification of patient safety threats in a post-intensive care clinic.

May 31, 2023

Paediatric family activated rapid response interventions; qualitative systematic review.

January 18, 2023

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

January 11, 2023

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

November 16, 2022

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

November 2, 2022

Medication errors in intensive care units: an umbrella review of control measures.

August 17, 2022

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

Family support role in hospital rapid response teams: a scoping review.

April 13, 2022

Increased mortality and costs associated with adverse events in intensive care unit patients.

April 6, 2022

Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis.

February 2, 2022

WebM&M Cases

An Inadvertent Bolus of Norepinephrine.

May 26, 2021

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

February 17, 2021

Adverse events after transition from ICU to hospital ward: a multicenter cohort study.

May 20, 2020

WebM&M Cases

One Bronchoscopy, Two Errors

January 1, 2019

Interventions to improve hand hygiene compliance in the ICU: a systematic review.

November 29, 2017

Clinical practice guideline: safe medication use in the ICU.

August 30, 2017

Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis.

April 26, 2017

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

March 3, 2017

Learning from excellence in healthcare: a new approach to incident reporting.

October 19, 2016

Adverse drug event reporting systems: a systematic review.

September 14, 2016

Incident and error reporting systems in intensive care: a systematic review of the literature.

February 3, 2016

Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review.

June 3, 2015

Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial.

March 18, 2015

Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge.

March 18, 2015

A systematic review of adult admissions to ICUs related to adverse drug events.

January 28, 2015

Preventing medication errors in neonatology: is it a dream?

October 15, 2014

Reducing medication errors in critical care: a multimodal approach.

October 1, 2014

Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study.

September 3, 2014

Interventions to reduce medication errors in pediatric intensive care.

August 20, 2014

View More

See More About The Topic

Intensive Care Units

Quality and Safety Professionals

Medication Errors/Preventable Adverse Drug Events

Error Reporting

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364