Study Medication, allergy, and adverse drug event discrepancies in ambulatory care. Citation Text: Stephens M, Fox B, Kukulka G, et al. Medication, allergy, and adverse drug event discrepancies in ambulatory care. Fam Med. 2008;40(2):107-10. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 26, 2008 Stephens M, Fox B, Kukulka G, et al. Fam Med. 2008;40(2):107-10. View more articles from the same authors. Nearly one third of patients attending a family medicine clinic reported a medication allergy history different from that recorded in the chart. PubMed citation Free full text (PDF) Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Stephens M, Fox B, Kukulka G, et al. Medication, allergy, and adverse drug event discrepancies in ambulatory care. Fam Med. 2008;40(2):107-10. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. July 13, 2022 Emergency department visits for medical device–associated adverse events among children. September 15, 2010 Violations of behavioral practices revealed in closed claims reviews. October 29, 2008 The American College of Surgeons' closed claims study: new insights for improving care. April 11, 2007 10 derm mistakes you don't want to make. April 9, 2008 Good Catch Campaign: improving the perioperative culture of safety. July 18, 2018 Residents' perspective on the impact of the 80-hour workweek policy. June 11, 2008 Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. October 15, 2008 Critical conversations: a call for a nonprocedural "time out." April 27, 2011 Patient safety in nursing practice. July 20, 2005 Disclosing errors to patients: perspectives of registered nurses. January 14, 2009 Annual Perspective Annual Perspective: Psychological Safety of Healthcare Staff March 31, 2022 A culture of civility: positively impacting practice and patient safety. April 25, 2018 Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review. December 2, 2015 Maximizing smart pump technology to enhance patient safety. July 29, 2015 Does an insulin double-checking procedure improve patient safety? April 20, 2016 The relationship between culture of safety and rate of adverse events in long-term care facilities. May 15, 2019 The disclosure dilemma—large-scale adverse events. September 8, 2010 Theoretical approaches for investigating patient safety. June 1, 2005 Use of administrative data to find substandard care: validation of the complications screening program. October 26, 2005 Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. June 22, 2022 Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. January 24, 2024 The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. December 22, 2010 Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. January 30, 2005 Prescription of teratogenic medications in United States ambulatory practices. January 4, 2006 Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. September 14, 2005 Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. November 3, 2010 Implementing patient safety initiatives in rural hospitals. October 14, 2009 Perceptions of nurses who are second victims in a hospital setting. December 22, 2021 Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. May 20, 2015 How safe are paediatric emergency departments? A national prospective cohort study. August 3, 2022 Readiness of US general surgery residents for independent practice. October 4, 2017 In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. June 5, 2013 High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. May 1, 2013 Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. August 1, 2012 Qualitative content analysis: a framework for the substantive review of hospital incident reports. March 23, 2022 Communication disparities between nursing home team members. July 20, 2022 How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. January 11, 2023 Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023 Impact of sleep deficiency on surgical performance: a prospective assessment. April 19, 2023 How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. January 27, 2021 Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. December 16, 2020 Communication failures contributing to patient injury in anaesthesia malpractice claims. September 1, 2021 Weekend hospitalization and additional risk of death: an analysis of inpatient data. February 29, 2012 Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. February 6, 2013 Wide heart monitor use tied to missed alarms. January 18, 2012 Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center. September 6, 2023 Automated search methods for identifying wrong patient order entry-a scoping review. August 23, 2023 Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022 Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. April 27, 2022 Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. February 7, 2024 Paediatric family activated rapid response interventions; qualitative systematic review. January 18, 2023 Complexity and challenges of the clinical diagnosis and management of Long COVID. November 30, 2022 Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. May 24, 2023 Prescribing errors in children: why they happen and how to prevent them. June 14, 2023 Antibiotic shortages in pediatrics. November 14, 2018 ASHP guidelines on managing drug product shortages. August 15, 2018 Meaningful use's benefits and burdens for US family physicians. May 30, 2018 Making residents part of the safety culture: improving error reporting and reducing harms. February 15, 2017 Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. January 31, 2018 What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. November 20, 2013 Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged. May 18, 2016 Time of day and the decision to prescribe antibiotics. October 22, 2014 Longitudinal trends in U.S. drug shortages for medications used in emergency departments (2001–2014). January 20, 2016 The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action. April 20, 2016 Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. February 24, 2016 Drug shortages: a complex health care crisis. May 7, 2014 Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. February 26, 2020 Addressing the elephant in the room: a shame resilience seminar for medical students. August 28, 2019 Overview of progress on patient safety. January 12, 2011 More to teamwork than knowledge, skill and attitude. September 1, 2010 Educational interventions to reduce prescribing errors. May 7, 2008 Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. May 25, 2011 Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. September 21, 2005 Variation in caregiver perceptions of teamwork climate in labor and delivery units. July 5, 2006 Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. July 20, 2005 Attitudes toward safety and teamwork in a maternity unit with embedded team training. November 3, 2010 Perception of intimidation in a perioperative setting. January 27, 2010 Disclosing adverse events to patients. March 6, 2005 Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care. June 17, 2009 Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. December 3, 2014 Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. February 16, 2022 Identifying boundary spanning reporter roles in patient safety events. August 24, 2022 Who killed patient safety? July 20, 2022 Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. October 4, 2023 Improving shared situation awareness for high-risk therapies in hospitalized children. January 19, 2022 Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. December 22, 2021 Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation. July 10, 2024 Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. September 18, 2019 Implementing a warm handoff between hospital and skilled nursing facility clinicians. September 18, 2019 To do no harm - and the most good - with AI in health care. March 13, 2024 Race and socioeconomic bias in pediatric cardiac transplantation. February 8, 2023 Home health agency patient experience measures and their relationship to Joint Commission accreditation. June 7, 2023 Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. July 5, 2023 Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. October 21, 2020 Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. October 14, 2020 Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. December 19, 2018 Provider perspectives on partnering with parents of hospitalized children to improve safety. June 27, 2018 Closing the gap and raising the bar: assessing board competency in quality and safety. May 10, 2017 View More Related Resources Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. April 10, 2024 Patterns and predictors of medication discrepancies in primary care. July 29, 2015 WebM&M Cases Discontinued Medications: Are They Really Discontinued? May 1, 2014 Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. March 12, 2014 The effects of electronic prescribing by community-based providers on ambulatory medication safety. December 4, 2013 Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. November 20, 2013 Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. November 6, 2013 Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. August 21, 2013 What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use. August 14, 2013 Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. July 24, 2013 Resilient actions in the diagnostic process and system performance. July 17, 2013 Advanced practice nursing students' identification of patient safety issues in ambulatory care. April 10, 2013 Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. March 27, 2013 Certain uncertainties: modes of patient safety in healthcare. December 19, 2012 Electronic medical record availability and primary care depression treatment. September 26, 2012 Patient safety perceptions of primary care providers after implementation of an electronic medical record system. September 12, 2012 Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. September 12, 2012 Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. August 1, 2012 Information distortion in physicians' diagnostic judgments. July 18, 2012 Medication safety in primary care practice: results from a PPRNet quality improvement intervention. July 11, 2012 Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. June 13, 2012 Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. June 6, 2012 Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. May 16, 2012 Medication reconciliation campaign in a clinic for homeless patients. April 4, 2012 Identifying discrepancies in electronic medical records through pharmacist medication reconciliation. March 21, 2012 A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. March 7, 2012 New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. December 30, 2011 Implementing medication reconciliation in outpatient pediatrics. December 14, 2011 Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. December 14, 2011 Identifying unintended consequences of quality indicators: a qualitative study. December 14, 2011 View More See More About The Topic Ambulatory Care Physicians Family Medicine Primary Care General Internal Medicine View More
Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. July 13, 2022
Emergency department visits for medical device–associated adverse events among children. September 15, 2010
The American College of Surgeons' closed claims study: new insights for improving care. April 11, 2007
A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. October 15, 2008
Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review. December 2, 2015
The relationship between culture of safety and rate of adverse events in long-term care facilities. May 15, 2019
Use of administrative data to find substandard care: validation of the complications screening program. October 26, 2005
Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. June 22, 2022
Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. January 24, 2024
The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. December 22, 2010
Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. January 30, 2005
Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. September 14, 2005
Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. November 3, 2010
Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. May 20, 2015
In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. June 5, 2013
High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. May 1, 2013
Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. August 1, 2012
Qualitative content analysis: a framework for the substantive review of hospital incident reports. March 23, 2022
How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. January 11, 2023
Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023
How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. January 27, 2021
Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. December 16, 2020
Communication failures contributing to patient injury in anaesthesia malpractice claims. September 1, 2021
Weekend hospitalization and additional risk of death: an analysis of inpatient data. February 29, 2012
Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. February 6, 2013
Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center. September 6, 2023
Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022
Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. April 27, 2022
Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. February 7, 2024
Paediatric family activated rapid response interventions; qualitative systematic review. January 18, 2023
Making residents part of the safety culture: improving error reporting and reducing harms. February 15, 2017
Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. January 31, 2018
What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. November 20, 2013
Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged. May 18, 2016
Longitudinal trends in U.S. drug shortages for medications used in emergency departments (2001–2014). January 20, 2016
The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action. April 20, 2016
Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. February 24, 2016
Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. February 26, 2020
Addressing the elephant in the room: a shame resilience seminar for medical students. August 28, 2019
Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. May 25, 2011
Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. September 21, 2005
Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. July 20, 2005
Attitudes toward safety and teamwork in a maternity unit with embedded team training. November 3, 2010
Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care. June 17, 2009
Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. December 3, 2014
Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. February 16, 2022
Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. October 4, 2023
Improving shared situation awareness for high-risk therapies in hospitalized children. January 19, 2022
Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. December 22, 2021
Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation. July 10, 2024
Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. September 18, 2019
Implementing a warm handoff between hospital and skilled nursing facility clinicians. September 18, 2019
Home health agency patient experience measures and their relationship to Joint Commission accreditation. June 7, 2023
Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. July 5, 2023
Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. October 21, 2020
Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. October 14, 2020
Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. December 19, 2018
Provider perspectives on partnering with parents of hospitalized children to improve safety. June 27, 2018
Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. March 12, 2014
The effects of electronic prescribing by community-based providers on ambulatory medication safety. December 4, 2013
Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. November 20, 2013
Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. November 6, 2013
Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. August 21, 2013
What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use. August 14, 2013
Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. July 24, 2013
Advanced practice nursing students' identification of patient safety issues in ambulatory care. April 10, 2013
Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. March 27, 2013
Patient safety perceptions of primary care providers after implementation of an electronic medical record system. September 12, 2012
Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. September 12, 2012
Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. August 1, 2012
Medication safety in primary care practice: results from a PPRNet quality improvement intervention. July 11, 2012
Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. June 13, 2012
Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. June 6, 2012
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. May 16, 2012
Identifying discrepancies in electronic medical records through pharmacist medication reconciliation. March 21, 2012
A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. March 7, 2012
New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. December 30, 2011
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. December 14, 2011