Therapeutic errors involving adults in the community setting: nature, causes and outcomes.

David Taylor; Jeffrey Robinson; Dawson MacLeod; Catherine E MacBean; George Braitberg

Study

Therapeutic errors involving adults in the community setting: nature, causes and outcomes.

September 9, 2009

Taylor D, Robinson J, MacLeod D, et al. Aust N Z J Public Health. 2009;33(4):388-94.

View more articles from the same authors.

This study evaluated the prevalence of medication errors in community-dwelling elders and nursing home residents in Victoria, Australia.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Therapeutic errors among children in the community setting: nature, causes and outcomes.

April 22, 2009

Prescription errors in psychiatry - a multi-centre study.

September 6, 2006

Exploring the causes of junior doctors' prescribing mistakes: a qualitative study.

October 22, 2014

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

February 20, 2019

Types and patterns of safety concerns in home care: client and family caregiver perspectives.

March 9, 2016

Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals.

August 26, 2015

A systematic review of clinical outcomes associated with intrahospital transitions

December 4, 2019

Diagnostic errors with inserted tubes, lines and catheters in children.

December 5, 2012

Racial bias in cesarean decision-making.

May 10, 2023

Voluntary electronic reporting of medical errors and adverse events.

January 18, 2006

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

February 3, 2016

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.

March 27, 2013

Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications.

March 1, 2017

Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.

January 30, 2005

Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.

January 23, 2019

Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals

September 1, 2021

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

October 19, 2005

"Second victim" casualties and how physician leaders can help.

March 19, 2014

Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature.

May 21, 2014

Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial.

June 22, 2022

The wicked problem of patient misidentification: how could the technological revolution help address patient safety?

May 1, 2019

Pediatric radiology malpractice claims—characteristics and comparison to adult radiology claims.

July 12, 2017

CT for suspected appendicitis in children: an analysis of diagnostic errors.

March 1, 2006

Diagnostic errors in pediatric radiology.

March 30, 2011

Physician use of stigmatizing language in patient medical records.

July 28, 2021

Impact of incorporating pharmacy claims data into electronic medication reconciliation.

March 4, 2015

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

May 13, 2009

Positive deviance: a different approach to achieving patient safety.

August 20, 2014

Applied use of safety event occurrence control charts of harm and non-harm events: a case study.

July 20, 2016

Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis.

December 21, 2016

Fast tracking in cardiac surgery: is it safe?

May 11, 2022

The anatomy of health care team training and the state of practice: a critical review.

October 20, 2010

Association of a web-based handoff tool with rates of medical errors.

August 17, 2016

Impact of staff turnover during cardiac surgical procedures.

February 12, 2020

A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies.

December 14, 2005

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.

May 4, 2011

Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system.

April 25, 2018

Testimonial injustice: linguistic bias in the medical records of black patients and women.

June 6, 2021

Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique.

August 16, 2023

Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department.

May 6, 2020

Putting knowledge into practice: does information on adverse drug interactions influence people's dosing behaviour?

February 22, 2017

Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient.

November 13, 2013

Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers?

January 30, 2005

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork.

September 11, 2019

Patient safety rounds in a pediatric tertiary care center.

January 9, 2008

What is the scale of prescribing errors committed by junior doctors? A systematic review.

January 14, 2009

Reducing prescribing errors in hospitalized children on the ketogenic diet.

February 24, 2021

Patient safety in the office-based setting.

April 19, 2006

Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis.

June 29, 2016

Design and implementation of an automated email notification system for results of tests pending at discharge.

February 29, 2012

Improving discharge safety in a pediatric emergency department.

October 26, 2022

Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors.

August 10, 2016

Promoting patient safety with perioperative hand-off communication.

August 10, 2016

Strategies to reduce patient harm from infusion-associated medication errors: a scoping review.

January 31, 2018

Comparison of computerized surveillance and manual chart review for adverse events.

June 29, 2011

A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus.

March 26, 2014

Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.

February 10, 2021

Leveraging a safety event management system to improve organizational learning and safety culture.

March 30, 2022

Functional health literacy and understanding of medications at discharge.

July 16, 2008

Health information exchange in emergency medicine.

August 19, 2015

ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis.

May 3, 2017

Reframing and addressing horizontal violence as a workplace quality improvement concern.

August 22, 2018

Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study.

October 5, 2016

Diagnostic errors in the pediatric and neonatal ICU: a systematic review.

March 4, 2015

Interruptions and geographic challenges to nurses' cognitive workload.

July 1, 2009

Double reading in breast cancer screening: cohort evaluation in the CO-OPS trial.

August 29, 2018

PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety.

December 7, 2016

Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety.

June 5, 2019

Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study

October 9, 2019

Diagnostic error in children presenting with acute medical illness to a community hospital.

July 30, 2014

Prevention of opioid overdose.

June 26, 2019

ReCASTing the RCA: an improved model for performing root cause analyses.

May 26, 2010

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.

June 13, 2012

Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system.

March 5, 2008

Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme.

December 19, 2012

Simulation-based training for patient safety: 10 principles that matter.

March 26, 2008

Debriefing medical teams: 12 evidence-based best practices and tips.

September 3, 2008

Interruptions in a level one trauma center: a case study.

July 4, 2007

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

December 7, 2022

Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students.

April 18, 2012

Challenges in health care simulation: are we learning anything new?

August 30, 2017

The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns

October 2, 2019

Policy and the future of adverse event detection using information technology.

March 6, 2005

The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program.

June 14, 2017

Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study.

February 10, 2021

Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England.

August 9, 2023

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals.

September 25, 2019

Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer.

March 8, 2006

Complexity and challenges of the clinical diagnosis and management of Long COVID.

November 30, 2022

The costs of adverse drug events in community hospitals.

March 7, 2012

The role of advice in medication administration errors in the pediatric ambulatory setting.

September 9, 2009

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

February 16, 2022

Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19.

June 22, 2022

Effect of bar-code technology on the safety of medication administration.

May 12, 2010

Medical morbidity and mortality conferences: past, present and future.

December 21, 2016

Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement.

February 6, 2008

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

November 7, 2012

Sociotechnical work system approach to occupational fatigue.

July 26, 2023

Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.

November 2, 2016

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.

March 27, 2013

Related Resources

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial.

May 10, 2023

Patient Safety Authority Annual Reports.

May 1, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool.

January 25, 2023

National Healthcare Quality and Disparities Reports.

November 7, 2022

Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care.

September 21, 2022

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

September 14, 2022

Individualized medication review in older people with multimorbidity: a comparative analysis between patients living at home and in a nursing home.

May 25, 2022

The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff.

April 20, 2022

Implementation of an antibiotic stewardship program in long-term care facilities across the US.

March 9, 2022

Medicine self-administration errors in the older adult population: a systematic review.

June 9, 2021

Virtual urgent care quality and safety in the time of Coronavirus.

January 20, 2021

Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis.

May 20, 2020

February 26, 2020

Patient Safety Primers

Patient Safety 101

September 7, 2019

Partnering with families and patient advocates: another line of defense in adverse event surveillance.

August 14, 2019

Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention).

August 14, 2019

Adverse events in long-term care residents transitioning from hospital back to nursing home.

August 7, 2019

Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire.

July 17, 2019

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting.

July 17, 2019

The relationship between culture of safety and rate of adverse events in long-term care facilities.

May 15, 2019

The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial.

April 17, 2019

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

October 10, 2018

Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study.

September 13, 2017

Clinical outcomes associated with medication regimen complexity in older people: a systematic review.

June 28, 2017

Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study.

September 7, 2016

WebM&M Cases

A Pill Organizing Plight

September 1, 2016

Preventing medication errors.

August 10, 2016

Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study.

May 11, 2016

See More About The Topic

Long-Term Care

Home Care

Health Care Providers

Health Care Executives and Administrators

Geriatrics

Therapeutic errors involving adults in the community setting: nature, causes and outcomes.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Patient Safety 101

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Therapeutic errors involving adults in the community setting: nature, causes and outcomes.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Patient Safety 101

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