Learning safe prescribing during post-take ward rounds.

Emma Conroy-Smith; Roselle Herring; Gordon Caldwell

Newspaper/Magazine Article

Learning safe prescribing during post-take ward rounds.

June 8, 2011

Conroy-Smith E, Herring R, Caldwell G. The clinical teacher. 2011;8(2):75-8.

View more articles from the same authors.

This article describes how a rounds-based medication chart review initiative was implemented to educate physicians and medical students on medication safety behaviors.

PubMed citation

Available at

Related Resources From the Same Author(s)

A considerative checklist to ensure safe daily patient review.

August 14, 2013

Association between license status and medication errors.

February 2, 2011

The pros and cons of electronic prescribing for children.

July 27, 2011

Nurses' perceptions of multidisciplinary team work in acute health-care.

February 21, 2007

Pay practices and safety organizing: evidence from hospital nursing units.

December 13, 2023

Systematic review of clinical debriefing tools: attributes and evidence for use.

April 19, 2023

Interventions against bullying of prelicensure students and nursing professionals: an integrative review.

November 21, 2018

Dealing honestly with an honest mistake.

January 20, 2010

Double checking the administration of medicines: what is the evidence? A systematic review.

October 3, 2012

Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an observational study.

June 18, 2014

Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study

February 12, 2020

An analysis of near misses identified by anesthesia providers in the intensive care unit.

July 15, 2015

Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative.

February 22, 2017

Effect of pharmacists on medication errors in an emergency department.

February 27, 2008

Preventing wrong site, procedure, and patient events using a common cause analysis.

August 31, 2011

Positive approaches to safety: learning from what we do well.

August 31, 2022

The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system.

February 3, 2021

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

A 60-year-old man with delayed care for a renal mass.

May 18, 2011

Finding and fixing diagnosis errors: can triggers help?

February 1, 2012

Non-technical skills training to enhance patient safety.

June 5, 2013

Diagnosis and diagnostic errors: time for a new paradigm.

January 8, 2014

Good medical care can suffer late in the day.

March 18, 2020

Journal Article

Study

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

April 10, 2024

Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice.

October 23, 2013

PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique.

September 28, 2016

Ask me if I cleaned my hands.

April 25, 2012

Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study.

July 24, 2019

Assessing clinical reasoning: targeting the higher levels of the pyramid.

September 18, 2019

Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions.

January 22, 2020

Time for a change in injury and trauma care delivery: a trauma death review analysis.

December 10, 2008

Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit.

April 4, 2018

Adverse events in healthcare: learning from mistakes.

September 3, 2014

Educational interventions to reduce prescribing errors.

May 7, 2008

Supporting patient safety: examining communication within delivery suite teams through contrasting approaches to research observation.

August 25, 2010

S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater.

November 2, 2016

Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK.

September 2, 2015

Supporting structures for team situation awareness and decision making: insights from four delivery suites.

March 25, 2009

How can we make diagnosis safer?

February 8, 2012

Educational interventions to improve handover in health care: a systematic review.

January 30, 2005

Disclosing adverse events to patients: international norms and trends.

April 30, 2014

We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare.

November 25, 2009

What is the role of individual accountability in patient safety? A multi-site ethnographic study.

November 25, 2015

A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries.

September 4, 2013

Clinical handovers between prehospital and hospital staff: literature review.

September 24, 2014

Debriefing to improve interprofessional teamwork in the operating room: a systematic review.

March 6, 2024

Can electronic clinical documentation help prevent diagnostic errors?

March 31, 2010

The elusive and illusive quest for diagnostic safety metrics.

May 16, 2018

Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges.

November 3, 2021

RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice.

August 17, 2022

COVID-19: making the right diagnosis.

August 5, 2020

Human reliability analysis: a critique and review for managers.

July 13, 2011

An ethnographic study of classifying and accounting for risk at the sharp end of medical wards.

July 15, 2009

Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis.

July 14, 2021

The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study.

February 8, 2017

Effective communication with primary care providers.

October 1, 2014

Advancing the research agenda for diagnostic error reduction.

August 28, 2013

Pediatric emergency nurses self-reported medication safety practices.

June 26, 2013

The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors.

May 19, 2021

Explainable artificial intelligence for safe intraoperative decision support.

September 25, 2019

Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.

January 25, 2006

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

August 31, 2011

Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.

September 28, 2011

How well is quality improvement described in the perioperative care literature? A systematic review.

May 4, 2016

Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review.

April 10, 2013

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

August 24, 2022

Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation.

October 9, 2019

Lessons learned from implementing a principled approach to resolution following patient harm.

January 9, 2019

Incorporating indications into medication ordering—time to enter the age of reason.

August 10, 2016

Staffing matters—every shift.

December 12, 2012

Use of health information technology to reduce diagnostic errors.

August 21, 2013

Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout.

March 3, 2021

Diagnostic error in internal medicine.

July 27, 2005

"Managing up" can improve teamwork in the OR.

May 26, 2010

Thinking ethically about medical mistakes.

March 13, 2013

Reducing near miss medication events using an evidence-based approach.

July 27, 2022

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

July 15, 2020

I'm sorry: laws that support apologies in health care.

February 5, 2020

Sidelining safety — the FDA's inadequate response to the IOM.

September 12, 2007

Origin and uses of primum non nocere—above all, do no harm!

May 4, 2005

Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic.

April 5, 2023

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.

August 11, 2010

Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review.

March 29, 2017

The use of simulation in emergency medicine: a research agenda.

March 7, 2007

From a blame culture to a just culture in health care.

November 18, 2009

Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital.

August 19, 2009

Strategies for flipping the script on opioid overprescribing.

November 23, 2016

Characterising 'near miss' events in complex laparoscopic surgery through video analysis.

May 27, 2015

The use of a standard design medication room to promote medication safety: organizational implications.

February 13, 2013

What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors.

March 4, 2020

Enhancing the quality and safety of the perioperative patient.

February 7, 2018

Integrating quality and safety content into clinical teaching in the acute care setting.

June 13, 2007

Exploring the barriers to learning from crisis: organizational learning and crisis.

November 14, 2007

Towards an organization with a memory: exploring the organizational generation of adverse events in health care.

June 8, 2005

Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study.

December 5, 2018

What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regulation strategies, and effects on patient care.

April 1, 2020

Ensuring primary care diagnostic quality in the era of telemedicine.

October 27, 2021

Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons.

August 28, 2019

An organization-specific and modifiable inpatient safety composite measure.

May 8, 2019

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

April 10, 2019

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

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

April 19, 2023

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

The effect of clinician feedback interventions on opioid prescribing.

April 27, 2022

Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help?

February 2, 2022

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

July 14, 2021

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

March 3, 2021

Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation

October 9, 2019

Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.

August 14, 2019

Intentional rounding—an integrative literature review.

August 7, 2019

Walking the plank: an experimental paradigm to investigate safety voice.

July 31, 2019

Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study.

July 24, 2019

A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions."

June 26, 2019

Reduced verification of medication alerts increases prescribing errors.

May 1, 2019

Is physician mentorship associated with the occurrence of adverse patient safety events?

April 10, 2019

Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.

February 27, 2019

The role of purple pens in learning to prescribe.

February 13, 2019

Fatal flaws in clinical decision making.

January 30, 2019

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.

November 14, 2018

Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study.

September 12, 2018

Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital.

July 11, 2018

'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective.

May 10, 2017

Learning From Mistakes.

August 31, 2016

A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important?

August 31, 2016

Building a Patient Safety Toolkit for use in general practice.

July 20, 2016

Tackling disrespectful, unprofessional provider behaviors.

July 13, 2016

Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.

April 27, 2016

Pediatric emergency department discharge prescriptions requiring pharmacy clarification.

August 5, 2015

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

February 4, 2015

STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.

December 10, 2014

See More About The Topic

Hospitals

Physicians

Quality and Safety Professionals

Educators

Ordering/Prescribing Errors

Learning safe prescribing during post-take ward rounds.

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Learning safe prescribing during post-take ward rounds.

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

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