"Tech-check-tech": a review of the evidence on its safety and benefits.

Alex J Adams; Steven J Martin; Samuel F Stolpe

Review

"Tech-check-tech": a review of the evidence on its safety and benefits.

October 5, 2011

Adams AJ, Martin SJ, Stolpe SF. Am J Health Syst Pharm. 2011;68(19):1824-33.

View more articles from the same authors.

This review found that pharmacy technicians can perform final dispensing checks for inpatient drug administration as accurately as pharmacists.

PubMed citation

Available at

Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers.

February 1, 2017

Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation.

July 14, 2021

AI for radiographic COVID-19 detection selects shortcuts over signal.

June 16, 2021

A medical error leads to tragedy: how do we inform the patient?

November 8, 2006

Fixing healthcare from the inside, today.

September 28, 2005

Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study.

May 17, 2017

Inadequate health literacy among paid caregivers of seniors.

January 30, 2005

Patient care, square-rigger sailing, and safety.

October 22, 2008

Ambiguity and workarounds as contributors to medical error.

April 27, 2005

Operational failures and interruptions in hospital nursing.

June 14, 2006

Context matters: toward a multilevel perspective on context in clinical reasoning and error.

June 21, 2023

Self-reported adverse events in health care that cause harm: a population-based survey.

May 13, 2009

Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,

October 7, 2020

A vision for patient-centered health information systems.

January 26, 2011

Clinical reasoning as a core competency.

October 30, 2019

Management reasoning: beyond the diagnosis.

May 23, 2018

Morbidity and mortality conference, grand rounds, and the ACGME's core competencies.

October 25, 2006

Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices.

July 17, 2019

Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model.

March 9, 2016

Formalizing the hidden curriculum of performance enhancing errors.

March 22, 2023

Driving improvement in patient care: lessons from Toyota.

March 6, 2005

Missed steps in the preanesthetic set-up.

April 27, 2011

How safe is my intensive care unit? Methods for monitoring and measurement.

November 21, 2007

Clinical reasoning in the wild: premature closure during the COVID-19 pandemic.

August 19, 2020

Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting.

April 10, 2019

Agreement between patient-reported symptoms and their documentation in the medical record.

August 27, 2008

Using computerized virtual cases to explore diagnostic error in practicing physicians.

February 13, 2019

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

September 13, 2017

Transferring aviation practices into clinical medicine for the promotion of high reliability.

July 26, 2017

Failure to notify reportable test results: significance in medical malpractice.

December 21, 2011

Prioritizing patient safety efforts in office practice settings

December 18, 2019

Cognitive biases in internal medicine: a scoping review.

June 14, 2023

Systematic root cause analysis of adverse drug events in a tertiary referral hospital.

March 27, 2005

New York-Presbyterian Hospital: translating innovation into practice.

October 12, 2005

Patient safety perceptions of primary care providers after implementation of an electronic medical record system.

September 12, 2012

On-site pharmacists in the ED improve medical errors.

August 8, 2012

Adverse drug events in hospitalized cardiac patients.

November 7, 2007

Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.

April 14, 2021

Improving patient safety through the systematic evaluation of patient outcomes.

February 13, 2013

Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days.

June 17, 2020

Implementing medication reconciliation in outpatient pediatrics.

December 14, 2011

A national assessment on patient safety curricula in undergraduate medical education: results from the 2012 clerkship directors in internal medicine survey.

April 8, 2020

Safety considerations in learning new procedures: a survey of surgeons.

January 31, 2018

Impact of organizational leadership on physician burnout and satisfaction.

February 3, 2016

A scoping review of distributed cognition in acute care clinical decision-making.

June 7, 2023

Iatrogenic delirium and coma: a "near miss."

May 21, 2008

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

December 2, 2009

Electronic health record-based surveillance of diagnostic errors in primary care.

November 2, 2011

Disclosure and reporting of surgical complications: a double-edged sword?

August 18, 2010

National pediatric anesthesia safety quality improvement program in the United States.

October 1, 2014

Professional values and reported behaviours of doctors in the USA and UK: quantitative survey.

April 6, 2011

Drawing boundaries: the difficulty in defining clinical reasoning.

August 15, 2018

Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample.

March 6, 2005

Engaging patients in medication reconciliation via a patient portal following hospital discharge.

October 2, 2013

Primary care pediatricians' interest in diagnostic error reduction.

July 20, 2016

Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval.

September 24, 2014

Diagnostic errors in primary care pediatrics: Project RedDE.

November 29, 2017

Wrong site surgery.

August 9, 2006

Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum.

September 13, 2023

What 'just culture' doesn't understand about just punishment.

September 12, 2018

Waking up the next morning: surgeons' emotional reactions to adverse events.

December 12, 2012

Opioid prescribing trends and the physician’s role in responding to the public health crisis.

February 20, 2019

Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit.

December 9, 2015

Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment.

August 5, 2020

Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates.

May 20, 2020

Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety.

September 26, 2018

The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational learning.

February 24, 2016

Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents.

September 14, 2022

Understanding context specificity: the effect of contextual factors on clinical reasoning.

September 2, 2020

Framework for analysing risk and safety in clinical medicine.

July 17, 2013

The sterile cockpit: an effective approach to reducing medication errors?

April 2, 2014

Framework for analysing risk and safety in clinical medicine.

July 17, 2013

Medicare's decision to withhold payment for hospital errors: the devil is in the details.

January 30, 2008

Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process.

September 10, 2014

Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology.

July 26, 2006

Safety skills for clinicians: an essential component of patient safety.

August 20, 2008

Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors.

October 27, 2021

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

October 4, 2006

Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals.

January 30, 2019

Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics.

May 4, 2016

The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week.

July 29, 2015

Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews.

November 25, 2015

Patient complaints in healthcare systems: a systematic review and coding taxonomy.

June 18, 2014

Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans.

November 2, 2011

The investigation and analysis of critical incidents and adverse events in healthcare.

May 25, 2005

Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities.

January 20, 2016

Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics.

June 7, 2023

Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow.

January 20, 2021

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

July 31, 2019

Improving safety in the operating room: a systematic literature review of retained surgical sponges.

June 3, 2009

Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies.

July 15, 2020

A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre.

December 7, 2005

Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.

October 27, 2021

Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization.

November 20, 2013

Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices.

October 20, 2021

Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator.

June 22, 2016

Practice advisory for the prevention and management of operating room fires.

May 7, 2008

Electronic health record usability issues and potential contribution to patient harm.

April 4, 2018

Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention.

April 12, 2017

Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices.

August 26, 2009

Related Resources

Certified Professional in Patient Safety Review Course.

September 28, 2023 - September 29, 2023

Journal Article

Study

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

March 29, 2023

An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference.

March 1, 2023

Medication Safety Certificate Program.

August 24, 2022

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

August 17, 2022

February 2, 2022

Pharmacy Education and Practice.

January 26, 2022

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis.

January 19, 2022

Therapeutic duplication on the general surgical wards.

October 13, 2021

Parenteral nutrition safety.

September 22, 2021

TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care?

September 15, 2021

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

June 16, 2021

WebM&M Cases

Hyponatremia Secondary to Home Parenteral Nutrition Error

May 26, 2021

Implicit bias in healthcare: clinical practice, research and decision making.

April 21, 2021

Patient Safety Primers

Medication Administration Errors

March 12, 2021

The impact of critical incidents on nurses and midwives: a systematic review.

February 10, 2021

A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study.

February 3, 2021

Learning from errors with the new COVID-19 vaccines.

January 27, 2021

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

November 4, 2020

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP.

August 26, 2020

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

August 12, 2020

Patient Safety Primers

The Pharmacist's Role in Medication Safety

September 7, 2019

Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.

August 21, 2019

Ten ways to improve medication safety in community pharmacies.

August 7, 2019

Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.

July 31, 2019

What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives.

July 24, 2019

Review of medication errors that are new or likely to occur more frequently with electronic medication management systems.

July 17, 2019

Design of hospital errors and omissions activities that include patient-specific medication related problems.

April 10, 2019

Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.

March 13, 2019

The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study.

February 27, 2019

See More About The Topic

Hospitals

Allied Health Professionals

Pharmacists

Quality and Safety Professionals

Educators

"Tech-check-tech": a review of the evidence on its safety and benefits.

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

Medication Administration Errors

The Pharmacist's Role in Medication Safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

"Tech-check-tech": a review of the evidence on its safety and benefits.

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

Medication Administration Errors

The Pharmacist's Role in Medication Safety

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