Tablet-splitting: a common yet not so innocent practice.

Charlotte Verrue; Els Mehuys; Koen Boussery; Jean-Paul Remon; Mirko Petrovic

Study

Tablet-splitting: a common yet not so innocent practice.

January 19, 2011

Verrue C, Mehuys E, Boussery K, et al. J Adv Nurs. 2011;67(1):26-32.

View more articles from the same authors.

Pharmacists and patients commonly split pills in order to increase dose flexibility and make pills easier to swallow. However, this study found that splitting pills resulted in unpredictable dose deviations, which could lead to underdosing or overdosing.

PubMed citation

Available at

Related Resources From the Same Author(s)

Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019.

July 29, 2020

Strategies to reduce the risk of iatrogenic illness in complex older adults.

May 15, 2013

Seen through the patients' eyes: safety of chronic illness care.

December 13, 2017

STOPP/START criteria for potentially inappropriate prescribing in older people: version 3.

September 27, 2023

Managing clinical failure: a complex adaptive system perspective.

May 30, 2007

Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial.

December 20, 2017

Why we need a single definition of disruptive behavior.

June 27, 2018

Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth.

February 9, 2022

Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge.

August 17, 2011

The relationship of self-report of quality to practice size and health information technology.

October 10, 2012

A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist.

July 27, 2022

Does your patient really understand?

November 9, 2011

Implementing a perioperative handoff tool to improve postprocedural patient transfers.

March 7, 2012

Making hospital care safer and better: the structure-process connection leading to adverse events.

May 4, 2005

The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations.

March 30, 2011

High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review.

March 29, 2023

Clinical criteria to screen for inpatient diagnostic errors: a scoping review.

March 25, 2015

Cleaning up the discharge process: a number of components—and personnel—are crucial to success.

October 20, 2010

E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety.

January 30, 2019

Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute for hospital care.

May 17, 2023

Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort.

March 16, 2022

Use of an expedited review tool to screen for prior diagnostic error in emergency department patients.

September 28, 2015

Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis.

September 27, 2023

Use of health information technology to reduce diagnostic errors.

August 21, 2013

Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis.

December 12, 2007

The value of learning from near misses to improve patient safety: a scoping review.

January 25, 2023

Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety.

May 22, 2019

Feeling unsafe in the healthcare setting: patients' perspectives.

March 8, 2017

Healthcare professionals' views of smart glasses in intensive care: a qualitative study.

February 7, 2018

The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes.

December 12, 2012

Changing course.

November 18, 2009

Still hard to share. PSOs making progress but still face tech hurdles.

November 4, 2009

From tragedy to advocacy.

September 30, 2009

AHRQ presses on: no rule yet, but agency taps 10 safety organizations.

November 26, 2008

Breaking the mould in patient safety.

July 15, 2009

Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study.

October 5, 2016

Utilizing pharmacy students in transitions-of-care services.

September 9, 2015

Validation of hospital administrative dataset for adverse event screening.

June 30, 2010

Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives.

June 12, 2019

Barriers to staff adoption of a surgical safety checklist.

November 30, 2011

The ‘new view’ of human error. Origins, ambiguities, successes and critiques.

September 14, 2022

Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse.

April 20, 2022

"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs.

December 12, 2018

The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data.

April 8, 2009

Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study.

July 26, 2023

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

July 14, 2021

Imperfect practice makes perfect: error management training improves transfer of learning.

April 26, 2017

Certified registered nurse anesthetist perceptions of factors impacting patient safety.

April 26, 2017

'Even now it makes me angry': health care students' professionalism dilemma narratives.

August 6, 2014

Advancing diagnostic safety research: results of a systematic research priority setting exercise.

February 24, 2021

A systems approach to address the impact of second victim phenomenon.

December 9, 2020

Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams.

April 19, 2017

Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum.

August 13, 2014

Trend analysis of radiation therapy incidents over seven years.

August 25, 2010

Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study.

August 17, 2011

Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events.

December 3, 2008

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

An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences.

January 20, 2021

Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomised crossover study.

October 18, 2017

Adverse health events related to self-medication practices among elderly: a systematic review.

May 31, 2017

Good and bad reasons: the Swiss cheese model and its critics.

August 12, 2020

Innovative teaching in situational awareness.

June 24, 2015

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

May 22, 2013

Prescription errors in psychiatry - a multi-centre study.

September 6, 2006

An observational study of medication administration errors in old-age psychiatric inpatients.

July 4, 2007

A review of educational philosophies as applied to radiation safety training at medical institutions.

May 24, 2006

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries.

November 4, 2009

Automated drug dispensing system reduces medication errors in an intensive care setting.

September 29, 2010

Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review.

August 16, 2023

Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations.

October 27, 2021

Adolescents identifying errors and omissions in their electronic health records: a national survey.

June 7, 2023

Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center.

August 8, 2012

The effect of workload on infection risk in critically ill patients.

January 17, 2007

Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue.

June 7, 2006

A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom.

January 4, 2006

Missed nursing care during the COVID-19 pandemic: a comparative observational study.

July 21, 2021

COVID-19 and open notes: a new method to enhance patient safety and trust.

July 7, 2021

Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: a comparative cross-sectional study.

June 22, 2022

Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items.

October 2, 2013

Review of computerized physician handoff tools for improving the quality of patient care.

December 12, 2012

Five topics health care simulation can address to improve patient safety: results from a consensus process.

April 27, 2016

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

April 13, 2022

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

November 16, 2016

Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.

February 10, 2010

Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study.

December 14, 2016

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

March 17, 2021

A novel process audit for standardized perioperative handoff protocols.

November 1, 2017

Patient outcomes after opioid dose reduction among patients with chronic opioid therapy.

January 12, 2022

Empowering patients and reducing inequities: is there potential in sharing clinical notes?

April 15, 2020

Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.

January 30, 2005

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study.

November 18, 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

Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice.

March 24, 2010

Impact of adverse events on outcomes in intensive care unit patients.

July 2, 2008

Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis.

November 18, 2009

For children admitted to hospital, what interventions improve medication safety on ward rounds?

March 1, 2023

Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm.

August 7, 2013

Online medication error graphic reports: a pilot in North Carolina nursing homes.

June 15, 2011

Missed breast cancer: effects of subconscious bias and lesion characteristics.

August 5, 2020

Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study.

February 10, 2021

Related Resources

Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process.

March 8, 2023

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

Healthcare failure mode and effect analysis in the chemotherapy preparation process.

November 17, 2021

Geriatric medication reconciliation in the home setting.

July 21, 2021

Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients.

April 28, 2021

WebM&M Cases

The Impact of Communication on Medication Errors

March 15, 2021

Patient Safety Primers

Medication Administration Errors

March 12, 2021

Nurse burnout predicts self-reported medication administration errors in acute care hospitals.

January 20, 2021

What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff.

January 23, 2019

Fixed-dose combination antihypertensives and risk of medication errors.

October 3, 2018

Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sectional survey study.

March 21, 2018

Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.

May 17, 2017

Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study.

February 15, 2017

Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens.

August 17, 2016

Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains.

June 8, 2016

Medication competency of nurses according to theoretical and drug calculation online exams: a descriptive correlational study.

March 30, 2016

The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.

February 3, 2016

Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors.

September 23, 2015

FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor).

August 12, 2015

Fentanyl transdermal system (marketed as Duragesic) information.

July 10, 2015

Differences in medication knowledge and risk of errors between graduating nursing students and working registered nurses: comparative study.

February 4, 2015

Implementation of standardized dosing units for I.V. medications.

January 21, 2015

The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels.

July 30, 2014

Quiet please! Drug round tabards: are they effective and accepted? A mixed method study.

July 9, 2014

How studying human factors improves patient safety.

April 16, 2014

The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study.

April 2, 2014

Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation.

February 26, 2014

An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history.

November 20, 2013

Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements.

September 4, 2013

Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis.

June 26, 2013

See More About The Topic

Nurses

Pharmacists

Nurse Managers

Quality and Safety Professionals

Pharmacy

Tablet-splitting: a common yet not so innocent practice.

Medication Administration Errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Tablet-splitting: a common yet not so innocent practice.

Medication Administration Errors

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