Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.

Gerald N DeLorenze; Stephen F Follansbee; Dong Phuong Nguyen; Daniel B Klein; Michael Horberg; Charles P Quesenberry; Noelle T Blick; Ai-Lin Tsai

Study

Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.

September 7, 2005

DeLorenze GN, Follansbee SF, Nguyen DP, et al. Med Care. 2005;43(9 Suppl):III63-III68.

View more articles from the same authors.

This AHRQ-funded retrospective study of 5473 patient encounters found that reviewing electronic pharmacy records could help identify preventable medication errors (particularly the use of contraindicated medications) in HIV-infected outpatients.

PubMed citation

Available at

Related Resources From the Same Author(s)

Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data?

September 7, 2005

Competition and health plan performance: evidence from health maintenance organization insurance markets.

April 27, 2005

The costs associated with adverse drug events among older adults in the ambulatory setting.

December 7, 2005

Accidental iatrogenic pneumothorax in hospitalized patients.

March 15, 2006

The influence of the structure and culture of medical group practices on prescription drug errors.

August 31, 2005

Assessing patient safety in the United States: challenges and opportunities.

April 3, 2005

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

February 13, 2008

Adverse events and burnout: the moderating effects of workgroup identification and safety climate.

July 1, 2020

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety.

February 8, 2006

State policies for prescription drug monitoring programs and adverse opioid-related hospital events.

September 9, 2020

Changes in prognosis after the first postoperative complication.

April 3, 2005

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

January 16, 2008

Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators.

April 21, 2005

Assessing resident and attending error and adverse events in the emergency department.

March 2, 2022

Improving hospital systems for the care of women with major obstetric hemorrhage.

May 17, 2006

Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults.

September 1, 2021

A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.

March 2, 2022

The cost of nurse-sensitive adverse events.

June 4, 2008

Body mass index category and adverse events in hospitalized children.

July 27, 2022

Using patient safety indicators to estimate the impact of potential adverse events on outcomes.

January 30, 2008

Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.

April 21, 2005

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.

August 18, 2021

Accuracy of pressure ulcer events in US nursing home ratings.

August 24, 2022

Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.

November 10, 2021

National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents.

March 5, 2008

Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care.

August 24, 2022

Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests.

December 9, 2020

Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers, and office-based settings.

December 16, 2020

Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural and medication abortions.

August 10, 2022

A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.

February 8, 2023

Patient safety and quality improvement adaptation during the COVID-19 pandemic.

April 21, 2021

Predictors of serious opioid-related adverse drug events in hospitalized patients.

July 8, 2020

Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?

August 25, 2021

Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.

June 16, 2021

Data collection for adverse events reporting by US dental schools.

September 30, 2020

A systems approach to analyzing and preventing hospital adverse events.

June 24, 2020

Associations between healthcare environment design and adverse events in intensive care unit.

May 26, 2021

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

Diagnostic error in pediatrics: a narrative review.

March 23, 2022

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

April 6, 2022

Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology.

April 20, 2022

Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis.

January 26, 2022

Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study.

December 23, 2020

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.

January 31, 2006

What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States.

May 26, 2021

Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017.

March 24, 2021

Postdischarge adverse events among neonates admitted to the neonatal intensive care unit.

September 7, 2022

Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration.

November 17, 2021

Prevalence, nature, severity and preventability of adverse drug events in mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study.

August 11, 2021

Diagnostic error in the pediatric hospital: a narrative review.

February 9, 2022

Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety.

June 26, 2019

Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study.

November 4, 2020

Adverse events related to accidental unintentional ingestions from cough and cold medications in children.

August 26, 2020

Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care.

October 21, 2020

Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.

October 27, 2021

Quantifying nursing workflow in medication administration.

January 9, 2008

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis.

May 25, 2022

Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists.

April 6, 2022

Association between parent comfort with English and adverse events among hospitalized children.

November 11, 2020

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.

March 10, 2021

Identification of adverse events in ground transport emergency medical services.

September 14, 2011

Taking the pulse of health care systems: experiences of patients with health problems in six countries.

November 9, 2005

A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts.

December 7, 2022

Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study.

September 16, 2020

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

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.

September 14, 2022

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association.

March 25, 2020

Patient Safety Innovations

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

April 7, 2022

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

December 1, 2021

Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative.

August 30, 2006

Impact of intensive care unit discharge time on patient outcome.

January 17, 2007

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

February 9, 2022

Allergic adverse drug events after alert overrides in hospitalized patients.

September 21, 2022

Medical adverse events in the US 2018 mortality data.

January 26, 2022

Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States.

June 22, 2022

Applying decision science to the prioritization of healthcare-associated infection initiatives.

October 27, 2021

Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments.

March 15, 2023

Disparities in adverse event reporting for hospitalized children.

August 3, 2022

Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses.

June 9, 2021

Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.

March 27, 2005

Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care.

May 4, 2022

The impact of adverse events on clinicians: what's in a name?

November 22, 2017

Association between Leapfrog safe practices score and hospital mortality in major surgery.

November 30, 2011

Impact of patient safety culture on missed nursing care and adverse patient events.

March 20, 2019

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

September 29, 2021

Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia.

August 10, 2022

Monitoring preventable adverse events and near misses: number and type identified differ depending on method used.

June 29, 2022

The Shift Coupon: an innovative method to monitor adverse events.

January 18, 2006

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

June 16, 2021

Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study.

February 24, 2021

Preventable harm occurring to critically ill children.

September 5, 2007

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

March 15, 2023

Adverse events and emergency department opioid prescriptions in adolescents.

June 30, 2021

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees.

August 25, 2021

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

Improved medication management with introduction of a perioperative and prescribing pharmacist service.

August 12, 2020

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?

July 23, 2008

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

August 4, 2021

Related Resources

Pharmacy e-prescription dispensing before and after CancelRx implementation.

September 20, 2023

ISMP Targeted Medication Safety Best Practices for Community Pharmacy.

April 19, 2023

WebM&M Cases

Duplicate Therapies in Retail Pharmacy

March 15, 2023

Concerns regarding tablet splitting: a systematic review.

December 7, 2022

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

October 26, 2022

Community Pharmacy Survey on Patient Safety Culture.

October 24, 2022

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.

October 5, 2022

Medication safety issues with newly authorized PAXLOVID.

January 12, 2022

Mix-ups between the influenza (Flu) vaccine and COVID-19 vaccines.

October 20, 2021

Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors.

October 26, 2021 - October 26, 2021

Electronic health record interoperability-why electronically discontinued medications are still dispensed.

September 22, 2021

CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting.

September 1, 2021

Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study.

May 5, 2021

Drug shortages amid the COVID-19 pandemic.

February 24, 2021

Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies.

December 9, 2020

Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims.

November 4, 2020

WebM&M Cases

Multiple Levels Involved in Prescribing the Wrong Medication

September 30, 2020

Fighting against COVID-19: innovative strategies for clinical pharmacists.

May 6, 2020

WebM&M Cases

The Lost Start Date: an Unknown Risk of E-prescribing

October 30, 2019

Pharmacist linkage in care transitions: from academic medical center to community.

October 30, 2019

Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study.

September 4, 2019

Ten ways to improve medication safety in community pharmacies.

August 7, 2019

Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system.

June 5, 2019

Patient Safety.

May 22, 2019

Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report.

April 17, 2019

Medication errors in community pharmacies: the need for commitment, transparency, and research.

February 20, 2019

Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies.

February 6, 2019

In patient safety efforts, pharmacists gain new prominence.

January 23, 2019

Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx.

November 14, 2018

Perspective

Safety in the Retail Pharmacy

October 1, 2018

See More About The Topic

Medication Errors/Preventable Adverse Drug Events

Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.

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

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.

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

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