Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews.

M. Lloyd; S. D. Watmough; S. O'Brien V; N. Furlong; K. Hardy

Study

Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews.

November 4, 2015

Lloyd M, Watmough SD, O'Brien S, et al. Res Social Adm Pharm. 2016;12(3):461-474.

View more articles from the same authors.

According to these focus groups, pharmacists recognized the importance of providing timely feedback to physicians regarding prescription errors, but they also described barriers to feedback such as time pressures and concerns about negative effects on interpersonal rapport.

PubMed citation

Available at

Related Resources From the Same Author(s)

Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting.

January 16, 2019

Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting.

March 3, 2021

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.

September 22, 2010

AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses.

October 21, 2009

Retrieval of iatrogenic intravascular foreign bodies.

December 5, 2012

National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies.

May 25, 2022

The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories.

February 25, 2009

"Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs.

September 23, 2015

"Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs.

September 16, 2015

Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration.

February 28, 2018

Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners.

May 28, 2014

Impact of time pressure on dentists' diagnostic performance.

May 8, 2019

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.

December 1, 2021

Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication.

October 3, 2018

Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study.

March 22, 2017

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.

December 13, 2006

Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists.

December 15, 2010

Building safer systems by ecological design: using restoration science to develop a medication safety intervention.

April 12, 2006

Out-of-hospital pediatric patient safety events: results of the CSI chart review.

November 15, 2017

Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative.

September 9, 2015

PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique.

September 28, 2016

Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it.

April 7, 2021

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.

December 14, 2022

An mHealth design to promote medication safety in children with medical complexity.

March 20, 2024

Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals.

February 27, 2019

Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.

January 10, 2007

Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions.

March 30, 2022

Factors affecting medical residents' decisions to work after call.

January 10, 2024

Use and impact of virtual primary care on quality and safety: the public's perspectives during the COVID-19 pandemic.

January 12, 2022

Development and evaluation of the Institute for Healthcare Improvement global trigger tool.

September 24, 2008

An educational and audit tool to reduce prescribing error in intensive care.

October 29, 2008

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database.

December 1, 2021

Trends and patterns in reporting of patient safety situations in transplantation.

February 10, 2016

Dispensing errors and counseling quality in 100 pharmacies.

July 15, 2009

Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.

March 27, 2005

Medication safety program reduces adverse drug events in a community hospital.

June 22, 2005

Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas.

July 26, 2023

Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients.

June 21, 2006

Medication handling: towards a practical, human-centred approach.

April 3, 2019

Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial.

June 17, 2015

The culture of safety: results of an organization-wide survey in 15 California hospitals.

March 6, 2005

A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures.

March 4, 2009

Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.

March 30, 2011

Miscoding, misclassification and misdiagnosis of diabetes in primary care.

February 22, 2012

An experimental study in nurse-physician relationships.

August 2, 2006

The relationships among work stress, strain and self-reported errors in UK community pharmacy.

March 19, 2014

Contributing factors identified by hospital incident report narratives.

October 22, 2008

Establishing a simulation center for surgical skills: what to do and how to do it.

September 12, 2007

Qualities and attributes of a safe practitioner: identification of safety skills in healthcare.

January 26, 2011

Development and validation of the SURgical PAtient Safety System (SURPASS) checklist.

April 22, 2009

The incidence and nature of in-hospital adverse events: a systematic review.

June 18, 2008

Teamwork on inpatient medical units: assessing attitudes and barriers.

May 5, 2010

The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event.

July 15, 2020

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety.

December 19, 2007

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

August 18, 2010

Development of a rating system for surgeons' non-technical skills.

November 8, 2006

Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit.

March 2, 2011

Weekend hospitalization and additional risk of death: an analysis of inpatient data.

February 29, 2012

Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.

March 6, 2013

Emergency department image interpretation accuracy: the influence of immediate reporting by radiology.

June 4, 2014

Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19.

July 22, 2020

Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals.

January 20, 2016

Understanding and responding to health literacy as a social determinant of health.

October 9, 2021

Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS).

June 26, 2019

Prescribing discrepancies likely to cause adverse drug events after patient transfer.

February 25, 2009

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

October 21, 2009

Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors.

November 28, 2018

Second victims need emotional support after adverse events: even in a just safety culture.

April 3, 2019

Effectiveness of random and focused review in detecting surgical pathology error.

January 14, 2009

Increase in US medication-error deaths between 1983 and 1993.

March 6, 2005

Improving end of life care: an information systems approach to reducing medical errors.

June 15, 2005

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

February 2, 2011

The costs of adverse drug events in hospitalized patients.

March 27, 2005

A series of anesthesia-related maternal deaths in Michigan, 1985-2003.

July 18, 2007

Responding to patient safety incidents: the "seven pillars."

April 7, 2010

Mental health of staff working in intensive care during COVID-19.

February 24, 2021

Group urges going metric to head off dosing mistakes.

June 18, 2014

Patterns of nurse–physician communication and agreement on the plan of care.

June 9, 2010

Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions.

August 16, 2006

The impact of computerized provider order entry on medication errors in a multispecialty group practice.

February 3, 2010

Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System.

April 2, 2008

Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical?

September 13, 2006

Using standardized OR checklists and creating extended time-out checklists.

October 5, 2016

Postoperative complications due to a retained surgical sponge.

July 11, 2007

Adverse events in healthcare: learning from mistakes.

September 3, 2014

Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.

March 27, 2005

A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary.

April 25, 2007

Development of an expert system for classification of medical errors.

June 15, 2005

Medication errors in neonatal and paediatric intensive-care units.

March 6, 2005

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.

June 1, 2011

National Patient Safety Foundation agenda for research and development in patient safety.

March 27, 2005

Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency.

December 13, 2017

Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.

April 6, 2011

The natural history of recovery for the healthcare provider "second victim" after adverse patient events.

October 21, 2009

Anatomy of a patient safety event: a pediatric patient safety taxonomy.

December 21, 2005

Physician satisfaction with transition from CPOE to paper-based prescription.

July 12, 2017

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention.

February 20, 2008

Characterization of prescribing errors in an internal medicine clinic.

May 23, 2007

Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders.

May 4, 2022

Cognitive aids in the management of clinical emergencies: a systematic review.

January 18, 2023

Related Resources

What and when to debrief: a scoping review examining interprofessional clinical debriefing.

January 24, 2024

Prescribing errors in children: why they happen and how to prevent them.

June 14, 2023

Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis.

April 5, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

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

January 11, 2023

Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support.

May 18, 2022

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

April 13, 2022

The problem with…using stories as a source of evidence and learning.

March 9, 2022

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST).

November 3, 2021

Good for You, Good for Us, Good for Everybody.

October 6, 2021

Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs.

July 21, 2021

Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting.

March 3, 2021

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

February 10, 2021

How communication "failed" or "saved the day": counterfactual accounts of medical errors.

February 3, 2021

“I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error.

January 20, 2021

COVID-19: peer support and crisis communication strategies to promote institutional resilience.

April 22, 2020

Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge.

November 13, 2019

Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation

October 9, 2019

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

August 7, 2019

Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

May 1, 2019

Prescribing in 2019: what are the safety concerns?

March 13, 2019

Avoiding chemotherapy prescribing errors: analysis and innovative strategies.

February 13, 2019

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.

November 14, 2018

Fixed-dose combination antihypertensives and risk of medication errors.

October 3, 2018

Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews.

September 19, 2018

Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth.

August 15, 2018

Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study.

June 13, 2018

Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators.

May 2, 2018

Economic evaluation of pharmacist-led medication reviews in residential aged care facilities.

December 13, 2017

Hospital prescribing of opioids to Medicare beneficiaries.

November 16, 2016

See More About The Topic

Health Care Executives and Administrators

Pharmacy

Ordering/Prescribing Errors

Psychological and Social Complications

Active Errors

Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews.

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