Medication complexity, medication number, and their relationships to medication discrepancies.

Chirag H. Patel; Kristin M. Zimmerman; Jennifer R. Fonda; Amy Linsky

Study

Medication complexity, medication number, and their relationships to medication discrepancies.

July 27, 2016

Patel CH, Zimmerman KM, Fonda JR, et al. Ann Pharmacother. 2016;50(7):534-40.

View more articles from the same authors.

This study found that higher medication regimen complexity, as measured by the Medication Regimen Complexity Index, was associated with more medication discrepancies among primary care patients. These results are consistent with prior studies showing that individuals who take more medications have a higher risk of adverse drug events.

PubMed citation

Available at

Related Resources From the Same Author(s)

Medication discrepancies in integrated electronic health records.

December 12, 2012

Factors influencing providers' willingness to deprescribe medications.

December 1, 2021

Deprescribing for community-dwelling older adults: a systematic review and meta-analysis.

September 16, 2020

2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology.

April 12, 2017

Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility.

July 21, 2021

Medication reconciliation in the acute care setting: opportunity and challenge for nursing.

May 4, 2005

Understanding pharmacist decision making for adverse drug event (ADE) detection.

April 15, 2009

Applying the high reliability health care maturity model to assess hospital performance: a VA case study.

August 31, 2016

Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system.

January 6, 2016

Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital.

May 13, 2015

Crew resource management improved perception of patient safety in the operating room.

January 6, 2010

Pediatric weight errors and resultant medication dosing errors in the emergency department.

November 22, 2017

Adverse drug events resulting from patient errors in older adults.

March 7, 2007

The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction.

April 23, 2012

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

July 17, 2019

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

October 3, 2018

Clinical benefits of electronic health record use: national findings.

January 15, 2014

Dementia and risk of adverse warfarin-related events in the nursing home setting.

November 21, 2012

Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors?

November 26, 2014

Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students.

July 23, 2008

Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

March 6, 2005

The impact of anti-infective drug shortages on hospitals in the United States: trends and causes.

February 8, 2012

Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration.

December 6, 2023

Addressing systemic racism in nursing homes: a time for action.

April 14, 2021

The Team Climate Inventory: application in hospital teams and methodological considerations.

August 27, 2008

Safety of overlapping surgery at a high-volume referral center.

January 18, 2017

How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients?

April 19, 2006

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders.

August 3, 2022

Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.

February 23, 2011

Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.

December 9, 2009

Role of cognition in generating and mitigating clinical errors.

May 20, 2015

Factors associated with reported preventable adverse drug events: a retrospective, case-control study.

June 6, 2012

Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals.

February 12, 2020

Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial.

December 6, 2017

The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry.

March 6, 2005

Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting.

June 24, 2015

Hospital staff nurses' shift length associated with safety and quality of care.

April 17, 2013

Medication errors in HIV-infected hospitalized patients: a pharmacist's impact.

July 10, 2013

Strategies for detecting adverse drug events among older persons in the ambulatory setting.

March 6, 2005

Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study.

July 31, 2013

Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds.

June 29, 2005

Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery.

October 19, 2016

A randomized controlled trial on the effect of a double check on the detection of medication errors.

August 23, 2017

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.

September 9, 2009

A system-wide hospital child maltreatment patient safety program.

September 8, 2021

Health outcomes associated with potentially inappropriate medication use in older adults.

April 2, 2008

Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls.

May 10, 2017

Medication safety in the operating room: literature and expert-based recommendations.

February 22, 2017

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

February 2, 2011

Measuring and managing quality of surgery. Statistical vs incidental approaches.

March 6, 2005

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

February 20, 2019

Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting.

April 8, 2020

One hospital's initiatives to encourage safe opioid use.

July 15, 2015

The safety of warfarin therapy in the nursing home setting.

June 13, 2007

Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field.

February 11, 2015

Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system.

June 25, 2014

Office-based physicians are responding to incentives and assistance by adopting and using electronic health records.

July 24, 2013

Choosing your words carefully: how physicians would disclose harmful medical errors to patients.

August 16, 2006

A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study.

October 6, 2021

Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes.

October 12, 2011

Patient safety culture in assisted living: staff perceptions and association with state regulations.

November 30, 2022

Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings.

July 21, 2010

Emergency department visits for antibiotic-associated adverse events.

August 27, 2008

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.

December 19, 2018

Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review.

November 10, 2010

Public perceptions and preferences for patient notification after an unsafe injection.

March 13, 2013

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

September 25, 2019

Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety.

September 9, 2009

Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals.

October 17, 2018

Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform.

September 12, 2007

Impact of repeated reimbursement penalties on hospital total quality scores.

April 17, 2024

Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough?

October 19, 2005

Communicating with patients about medical errors: a review of the literature.

March 6, 2005

Rooting an error review process in just culture: lessons learned.

October 5, 2022

Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study.

October 7, 2009

Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies.

September 9, 2020

Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology.

January 3, 2007

Medication errors in the outpatient setting: classification and root cause analysis.

March 21, 2007

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

March 17, 2010

Development of trigger tools for surveillance of adverse events in ambulatory surgery.

November 10, 2010

Compliance to technical guidelines for radiotherapy treatment in relation to patient safety.

May 19, 2010

Potential medication dosing errors in outpatient pediatrics.

January 11, 2006

Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents.

September 25, 2013

Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity.

July 6, 2022

Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses.

April 13, 2016

Impact of hospital-acquired conditions on financial liabilities for Medicare patients.

June 8, 2016

In their own words: safety and quality perspectives from families of hospitalized children with medical complexity.

September 6, 2023

The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework.

October 31, 2018

Patient Safety Innovations

The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis

September 29, 2021

Ambulance stretcher adverse events.

June 17, 2009

The effect of emergency department boarding on order completion.

January 13, 2016

Hospitalized patients' attitudes about and participation in error prevention.

May 17, 2006

Patient safety in geriatrics: a call for action.

December 15, 2010

Surgical checklists: a systematic review of impacts and implementation.

September 25, 2013

Diseases of medical progress.

March 27, 2005

I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources.

March 10, 2019

Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries.

February 18, 2015

Decisions about critical events in device-related scenarios as a function of expertise.

June 1, 2005

A cross-cultural survey of residents' perceived barriers in questioning/challenging authority.

August 23, 2006

Nursing home residents with dementia: association between place of death and patient safety culture.

January 20, 2021

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial.

January 18, 2023

Medication adverse events in the ambulatory setting: a mixed-methods analysis.

October 26, 2022

Annual Perspective

Patient Safety in the Ambulatory Care Setting

August 5, 2022

Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment.

July 14, 2021

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients.

May 1, 2020

Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction.

November 13, 2019

Communication between primary and secondary care: deficits and danger.

August 21, 2019

Medication Overload: America's Other Drug Problem.

June 19, 2019

Impact of oncology drug shortages on chemotherapy treatment.

May 1, 2019

Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study.

February 6, 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

Classification of patient-safety incidents in primary care.

September 26, 2018

Visual acuity, literacy, and unintentional misuse of nonprescription medications.

June 13, 2018

Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer.

November 1, 2017

Electronic health record alert–related workload as a predictor of burnout in primary care providers.

August 30, 2017

Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.

July 19, 2017

A systematic review of measurement tools for the proactive assessment of patient safety in general practice.

June 14, 2017

Workplace factors associated with burnout of family physicians.

May 31, 2017

Primary care collaboration to improve diagnosis and screening for colorectal cancer.

May 3, 2017

Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement.

April 12, 2017

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

December 14, 2016

How to monitor patient safety in primary care? Healthcare professionals' views.

October 19, 2016

Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study.

September 28, 2016

Understanding and responding when things go wrong: key principles for primary care educators.

September 28, 2016

Communicating findings of delayed diagnostic evaluation to primary care providers.

July 27, 2016

Nonrandomized intervention study of naloxone coprescription for primary care patients receiving long-term opioid therapy for pain.

June 29, 2016

Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors.

June 15, 2016

Measuring patient safety in primary care: the development and validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC).

June 1, 2016

See More About The Topic

Ambulatory Care

Health Care Providers

Risk Managers

Primary Care

Medication Safety

Medication complexity, medication number, and their relationships to medication discrepancies.

The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Medication complexity, medication number, and their relationships to medication discrepancies.

The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

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