Risk of adverse drug events by patient destination after hospital discharge.

Darren M. Triller; Steven L. Clause; Robert A. Hamilton

Study

Risk of adverse drug events by patient destination after hospital discharge.

September 21, 2005

Triller DM, Clause SL, Hamilton RA. Am J Health Syst Pharm. 2005;62(18):1883-9.

View more articles from the same authors.

This study evaluated the comparative types of adverse drug events associated with discharge to home health care, self-care, and long-term care settings.

Available at

PubMed citation

Related Resources From the Same Author(s)

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance

March 4, 2020

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?

September 23, 2009

Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour.

September 9, 2015

Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study.

January 16, 2013

Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study.

April 1, 2015

Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence.

September 18, 2013

Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.

March 27, 2013

Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition.

November 7, 2018

Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States.

December 17, 2008

Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System.

August 4, 2021

Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review.

June 25, 2014

Unfinished nursing care, missed care, and implicitly rationed care: state of the science review.

April 8, 2015

An investigation of occupational subgroups with respect to patient safety culture.

March 14, 2012

Psychosocial influences on safety climate: evidence from community pharmacies.

December 14, 2011

Retrospective analysis of medication incidents reported using an on-line reporting system.

December 13, 2006

Risk factors for hospital admissions associated with adverse drug events.

August 28, 2013

Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.

August 3, 2016

Refocusing the lens: patient safety in ambulatory chronic disease care.

July 1, 2009

Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.

November 19, 2014

Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review.

December 11, 2019

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

August 26, 2015

Using information technology to improve the quality and safety of emergency care.

July 6, 2011

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

Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity.

June 6, 2007

June 15, 2016

Electronic medical record availability and primary care depression treatment.

September 26, 2012

Prevalence of adverse drug events in ambulatory care: a systematic review.

July 27, 2011

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies.

August 22, 2018

Exploring the human factors of prescribing errors in paediatric intensive care units.

March 27, 2019

The Quality in Australian Health Care Study.

March 27, 2005

Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units.

April 17, 2024

The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty.

September 12, 2018

Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records.

July 26, 2017

Evaluation of a patient safety programme on Surgical Safety Checklist compliance: a prospective longitudinal study.

August 15, 2018

Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety.

May 28, 2008

The thinking doctor: clinical decision making in contemporary medicine.

August 31, 2016

Medical errors in orthopaedics. Results of an AAOS member survey.

March 18, 2009

Sleep deprivation: implications for obstetric practice in the United States.

August 26, 2009

Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.

August 10, 2022

Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.

April 1, 2009

Evaluation of an inpatient computerized medication reconciliation system.

May 21, 2008

Health plan members' views about disclosure of medical errors.

March 6, 2005

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

February 6, 2019

Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies.

May 23, 2018

Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review.

September 13, 2017

Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care.

November 9, 2016

Injury and liability associated with monitored anesthesia care: a closed claims analysis.

February 15, 2006

Implementation of bar-code medication administration to reduce patient harm.

February 20, 2019

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

May 4, 2011

Clinical decision support for drug related events: moving towards better prevention.

December 21, 2016

Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system.

September 20, 2023

Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system.

January 22, 2020

Medication safety in community pharmacy: a qualitative study of the sociotechnical context.

December 2, 2009

Nursing home safety: does financial performance matter?

May 18, 2011

Frequency of inappropriate medical exceptions to quality measures.

March 31, 2010

Effect of communication errors during calls to an antimicrobial stewardship program.

March 26, 2008

Sins of omission. Getting too little medical care may be the greatest threat to patient safety.

July 6, 2005

Active surveillance of vaccine safety: a system to detect early signs of adverse events.

May 4, 2005

Disclosure of medical errors: what factors influence how patients respond?

June 21, 2006

Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study.

June 12, 2019

Using failure mode and effects analysis to plan implementation of smart i.v. pump technology.

August 23, 2006

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

January 11, 2023

Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice.

May 13, 2015

Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study.

February 17, 2021

An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.

July 21, 2010

Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors.

April 21, 2010

Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors.

July 11, 2007

Improving patient safety by repeating (read-back) telephone reports of critical information.

March 6, 2005

Chasing zero harm in radiation oncology: using pre-treatment peer review.

May 22, 2019

Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial.

March 1, 2006

Hospital at night: an organizational design that provides safer care at night.

August 10, 2016

Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool.

August 15, 2018

Medication reconciliation in a community pharmacy setting.

August 11, 2010

Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions.

August 15, 2007

Operational failures and interruptions in hospital nursing.

June 14, 2006

Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study.

July 26, 2023

Characteristics of quality and patient safety curricula in major teaching hospitals.

July 21, 2010

The limits of clinician vigilance as an AI safety bulwark.

March 27, 2024

An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines.

May 23, 2018

Regional surveillance of emergency-department visits for outpatient adverse drug events.

April 22, 2009

The nature and occurrence of registration errors in the emergency department.

July 4, 2007

Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses.

June 19, 2013

Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study.

November 13, 2019

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90).

January 26, 2022

Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions.

December 12, 2007

A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system.

November 14, 2012

Who makes prescribing decisions in hospital inpatients? An observational study.

May 30, 2012

Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.

July 21, 2021

The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.

February 29, 2012

Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink.

November 25, 2015

Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components.

September 17, 2014

February 2, 2022

Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy.

September 11, 2019

Assessment of patient safety research from an organizational ergonomics and structural perspective.

August 8, 2007

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

July 14, 2010

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

May 5, 2010

Racial bias in pulse oximetry measurement.

December 20, 2020

Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.

March 27, 2005

Critical phase distractions in anaesthesia and the sterile cockpit concept.

March 30, 2011

Related Resources

Annual Perspective

Communication During Transitions of Care

March 27, 2024

Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic.

March 27, 2024

Do quality and safe care champions in community nursing teams positively impact on patients?

February 14, 2024

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.

February 15, 2023

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

January 25, 2023

The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging.

November 16, 2022

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals.

July 20, 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

Standardized assessment of medication reconciliation in post-acute care.

April 27, 2022

Qualitative content analysis: a framework for the substantive review of hospital incident reports.

March 23, 2022

The source of purchased medications and its impact on medication mistakes and hospitalizations.

March 16, 2022

Sources of medication omissions among hospitalized older adults with polypharmacy.

March 9, 2022

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

June 9, 2021

Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic.

February 10, 2021

Transforming the medication regimen review process using telemedicine to prevent adverse events.

December 16, 2020

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

October 21, 2020

Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report.

September 2, 2020

COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected.

August 19, 2020

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Care Compare.

July 1, 2020

Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development.

April 29, 2020

The role of personal health information management in promoting patient safety in the home: a qualitative analysis

October 2, 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

Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications.

November 28, 2018

Carers' medication administration errors in the domiciliary setting: a systematic review.

February 8, 2017

Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs.

June 15, 2016

Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature.

January 7, 2015

Unverified patient-reported error: a false alarm can have real consequences.

December 3, 2014

Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission.

November 5, 2014

See More About The Topic

Long-Term Care

Home Care

Risk Managers

Quality and Safety Professionals

Medication Errors/Preventable Adverse Drug Events

Risk of adverse drug events by patient destination after hospital discharge.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Risk of adverse drug events by patient destination after hospital discharge.

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