Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics.

Centaine L Snoswell; Keshia R De Guzman; Michael Barras

Study

Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics.

March 8, 2023

Snoswell CL, De Guzman KR, Barras M. Intern Med J. 2023;53(1):95-103.

View more articles from the same authors.

Community pharmacists play an important role in ensuring patient safety. This retrospective analysis of 18 outpatient pharmacy clinics evaluated pharmacist recommendations and impacts on medication-related safety. Researchers indicated that outpatient pharmacists were effective in resolving 82% of medication-related problems; 18% of these involved high-risk recommendations, such as medication interactions.

PubMed citation

Available at

Related Resources From the Same Author(s)

Developing critical thinking skills for delivering optimal care

July 28, 2021

Scoping review of studies evaluating frailty and its association with medication harm.

June 22, 2022

Resident Duty Hours Across Borders: An International Perspective.

January 21, 2015

Medication use and cognitive impairment among residents of aged care facilities.

June 23, 2021

CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.

November 16, 2022

High-risk medication in home care nursing: a Delphi study.

September 7, 2022

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

COVID-19 pandemic and the tension between the need to act and the need to know.

October 14, 2020

Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the COVID-19 pandemic.

September 28, 2022

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

December 9, 2020

Reducing diagnostic errors in the emergency department at the time of patient treatment.

March 29, 2023

How to prevent or reduce prescribing errors: an evidence brief for policy authors.

August 7, 2019

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

July 19, 2017

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study.

November 10, 2021

The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review.

March 8, 2023

Lessons learned from the RaDonda Vaught ruling.

March 1, 2023

Identifying risk in the use of tumor markers to improve patient safety.

May 4, 2016

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

September 1, 2021

Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population.

June 26, 2019

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

June 16, 2021

Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study.

February 17, 2021

COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network.

March 17, 2021

The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial.

February 2, 2022

A brief analysis of telemetry–related events.

January 14, 2020

How to reduce stigma and bias in clinical communication: a narrative review.

October 12, 2022

Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review.

March 29, 2023

Reducing risks in complex care transitions in rural areas: a grounded theory.

March 22, 2023

Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.

July 13, 2022

Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation.

February 24, 2021

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

March 10, 2021

Developing a patient safety culture in primary dental care.

June 16, 2021

Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey.

April 13, 2022

Patient Safety and Quality.

March 3, 2010

A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients.

August 19, 2020

Perinatal patient safety and quality.

July 6, 2011

Clinical decision support for early recognition of sepsis.

April 20, 2016

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation.

June 9, 2021

Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities.

March 23, 2022

Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study.

April 5, 2023

Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety.

June 1, 2005

Choosing wisely in clinical practice: embracing critical thinking, striving for safer care.

April 6, 2022

Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting.

June 24, 2020

Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey.

April 12, 2023

Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy.

February 5, 2020

Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family.

June 1, 2022

The impact of language barriers on patient care: a pharmacy perspective.

May 24, 2023

Adverse events in emergency department boarding: a systematic review.

August 18, 2021

Achieving a successful patient safety program with implementation of a harm reduction strategy.

October 25, 2023

Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record.

April 22, 2020

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19.

October 19, 2022

Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic.

March 23, 2022

Patient harm from cardiovascular medications.

August 25, 2021

The barriers and enhancers to trust in a just culture in hospital settings: a systematic review.

August 17, 2022

Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study.

May 5, 2021

Do crowdsourced hospital ratings coincide with Hospital Compare measures of clinical and nonclinical quality?

September 12, 2018

How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey.

December 1, 2021

Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients?

September 1, 2021

Epidemiology of adverse events in air medical transport.

October 1, 2008

Medication errors.

October 11, 2006

Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic.

November 9, 2022

Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm?

March 9, 2016

Taking aim at infusion confusion.

April 12, 2006

The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study.

February 28, 2007

A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study.

October 6, 2021

The problem with making Safety-II work in healthcare.

April 13, 2022

Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study.

January 11, 2023

Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits.

May 11, 2016

Structural racism--a 60-year-old black woman with breast cancer.

April 10, 2019

Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study.

March 18, 2020

Color coding to reduce errors.

September 7, 2005

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers.

January 18, 2023

The high cost of retained surgical items.

April 26, 2023

Honesty and transparency, indispensable to the clinical mission--Parts I-III.

December 15, 2021

Safer prescribing for hospitalized older adults with an electronic health records‐based prescribing context.

October 28, 2020

Diagnostic error as a result of drug-laboratory test interactions.

March 6, 2019

Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.

March 1, 2023

Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis.

March 8, 2023

Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care.

April 28, 2021

Defining and classifying terminology for medication harm: a call for consensus.

December 19, 2018

Reducing pediatric medication errors: children are especially at risk for medication errors.

May 18, 2005

Medication use leading to emergency department visits for adverse drug events in older adults.

December 19, 2007

Clinical reasoning education at US medical schools: results from a national survey of internal medicine clerkship directors.

September 13, 2017

Academic Conference of Safety Psychology and Behavior for Healthcare.

March 16, 2024

Disclosing adverse events in clinical practice: the delicate act of being open.

February 2, 2022

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

September 2, 2020

Association of interruptions with an increased risk and severity of medication administration errors.

May 5, 2010

Adverse events associated with home blood transfusion: a retrospective cohort study.

May 12, 2021

Prescribing decision making by medical residents on night shifts: a qualitative study.

November 9, 2022

Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.

June 20, 2018

Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS.

March 15, 2023

The effect of automated alerts on provider ordering behavior in an outpatient setting.

September 21, 2005

What is the medication iatrogenic risk in elderly outpatients for chronic pain?

June 1, 2022

Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review.

March 25, 2020

Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results.

June 29, 2022

Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA.

June 24, 2020

Nurse work environment and its impact on reasons for missed care, safety climate, and job satisfaction: a cross-sectional study.

April 21, 2021

Using EMR-enabled computerized decision support systems to reduce prescribing of potentially inappropriate medications: a narrative review.

October 10, 2018

Nurse staffing and inpatient hospital mortality.

March 23, 2011

The girl who cried pain: a bias against women in the treatment of pain.

January 2, 2001

Related Resources

Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists.

March 20, 2024

Dispensing error rates in pharmacy: a systematic review and meta-analysis.

March 13, 2024

unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study.

February 28, 2024

A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge.

October 25, 2023

Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants.

October 11, 2023

Pharmacy e-prescription dispensing before and after CancelRx implementation.

September 20, 2023

California pharmacies are making millions of mistakes. They’re fighting to keep that secret.

September 20, 2023

Activating pharmacists to reduce the frequency of medication-related problems (ACTMed): a stepped wedge cluster randomised trial.

August 30, 2023

The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication errors in pharmacists during the COVID-19 pandemic.

August 23, 2023

Status of patient safety culture in community pharmacy settings: a systematic review.

August 23, 2023

Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II.

August 9, 2023

ISMP Targeted Medication Safety Best Practices for Community Pharmacy.

April 19, 2023

Creating a stronger culture of safety within US community pharmacies.

April 12, 2023

Making polypharmacy safer for children with medical complexity.

April 5, 2023

WebM&M Cases

Duplicate Therapies in Retail Pharmacy

March 15, 2023

Medication errors in community pharmacies: evaluation of a standardized safety program.

March 15, 2023

Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety.

February 22, 2023

Concerns regarding tablet splitting: a systematic review.

December 7, 2022

Journal Article

Study

Patient Safety Innovations

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).

November 16, 2022

Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability.

November 9, 2022

Walgreens will stop judging its pharmacy staffers by how fast they work.

November 9, 2022

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

October 26, 2022

Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial.

October 26, 2022

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

October 5, 2022

Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation.

July 20, 2022

Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study.

June 29, 2022

Exploration of prescribing error reporting across primary care: a qualitative study.

April 13, 2022

Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic.

February 16, 2022

Pharmacy Education and Practice.

January 26, 2022

Medication safety issues with newly authorized PAXLOVID.

January 12, 2022

See More About The Topic

Ambulatory Clinic or Office

Outpatient Pharmacy

Facility and Group Administrators

Primary Care

Community Pharmacy

Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics.

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics.

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).

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