Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

Gildasio S. De Oliveira; Lucas J. Castro-Alves; Mark C. Kendall; Robert McCarthy

Review

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

July 19, 2017

De Oliveira GS, Castro-Alves LJ, Kendall MC, et al. J Patient Saf. 2021;17(5):375-380.

View more articles from the same authors.

Care transitions increase risk for medication errors. This meta-analysis found that pharmacist support during care transitions reduced medication errors and postdischarge emergency department visits. These results support a role for pharmacists in medication safety interventions for patients undergoing care transitions.

PubMed citation

Available at

Related Resources From the Same Author(s)

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial.

June 8, 2016

Association between physician burnout and self-reported errors: meta-analysis.

January 26, 2022

Shortage of perioperative drugs: implications for anesthesia practice and patient safety.

June 8, 2011

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.

September 29, 2021

Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis.

August 4, 2021

Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial.

October 13, 2021

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training.

February 20, 2013

Flexibilization of science, cognitive biases, and the COVID-19 pandemic.

September 23, 2020

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

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

August 7, 2019

Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs.

March 10, 2021

The patient perspective on errors in cancer care: results of a cross-sectional survey.

December 1, 2019

Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis.

October 14, 2020

February 2, 2022

Prescribing errors with low-molecular-weight heparins.

October 13, 2021

Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?

August 25, 2021

High-risk medication in home care nursing: a Delphi study.

September 7, 2022

Patient Safety Innovations

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

April 7, 2022

Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care.

April 28, 2021

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

Finding diagnostic errors in children admitted to the PICU.

February 8, 2017

Intersystem medical error discovery: a document analysis of ethical guidelines.

January 12, 2022

Healing our own: a randomized trial to assess benefits of peer support.

February 2, 2022

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.

April 27, 2022

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation.

June 9, 2021

How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.

December 2, 2020

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.

January 31, 2006

The Canadian interprofessional patient safety competencies: their role in health-care professionals' education.

March 7, 2012

Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident.

July 22, 2020

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.

January 12, 2022

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies.

November 30, 2022

Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis.

March 29, 2023

What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports.

May 18, 2022

Adverse events associated with patient isolation: a systematic literature review and meta-analysis.

January 19, 2022

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.

November 30, 2022

Surgery is in itself a risk factor for the patient.

June 1, 2022

Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.

May 26, 2021

Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study.

December 23, 2020

A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes.

November 4, 2020

US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019.

December 15, 2021

Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients.

December 8, 2021

Long-term impacts faced by patients and families after harmful healthcare events.

December 15, 2021

Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial.

October 26, 2022

Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors.

April 11, 2018

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.

June 16, 2021

Rates of surgical consultations after emergency department admission in Black and White Medicare patients.

October 26, 2022

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

June 22, 2022

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery.

August 10, 2022

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis.

January 25, 2023

Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial.

September 7, 2022

US emergency department visits attributed to medication harms, 2017-2019.

October 20, 2021

The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial.

May 18, 2022

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

March 26, 2008

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?

January 8, 2020

Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

December 9, 2020

Medication order errors at hospital admission among children with medical complexity

July 8, 2020

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care.

May 25, 2022

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study.

November 18, 2020

The problem with making Safety-II work in healthcare.

April 13, 2022

The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis.

February 3, 2021

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

January 18, 2023

Errors during resuscitation: the impact of perceived authority on delivery of care.

March 25, 2020

Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators.

July 28, 2021

Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk.

November 11, 2020

Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis.

September 28, 2022

August 19, 2020

Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare.

October 20, 2021

Characteristics of critical incident reporting systems in primary care: an international survey.

January 19, 2022

Economic impact of medication error: a systematic review.

May 17, 2017

Handoffs and teamwork: a framework for care transition communication.

June 29, 2022

Intravenous smart pumps at the point of care: a descriptive, observational study.

October 12, 2022

Explaining ethnic disparities in patient safety: a qualitative analysis.

March 3, 2010

Identifying health information technology usability issues contributing to medication errors across medication process stages.

July 7, 2021

Pediatric trainee perspectives on the decision to disclose medical errors.

March 30, 2022

Diagnostic errors in pediatric critical care: a systematic review.

April 28, 2021

Medication errors in intensive care units: an umbrella review of control measures.

August 17, 2022

Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies.

May 19, 2021

Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis.

March 8, 2023

Clinical decision support improves the appropriateness of laboratory test ordering in primary care without increasing diagnostic error: the ELMO cluster randomized trial.

December 2, 2020

Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis.

February 17, 2021

The trigger tool as a method to measure harmful medication errors in children.

May 13, 2015

A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.

March 2, 2022

Institution of just culture physician peer review in an academic medical center.

October 13, 2021

Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial.

March 1, 2023

Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study.

March 15, 2017

The barriers and enhancers to trust in a just culture in hospital settings: a systematic review.

August 17, 2022

What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness.

March 2, 2022

Allergic adverse drug events after alert overrides in hospitalized patients.

September 21, 2022

Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation.

May 11, 2022

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis.

May 25, 2022

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.

July 8, 2020

Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience.

April 14, 2021

Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis.

December 14, 2022

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

August 4, 2021

Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies.

August 18, 2021

Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis.

May 19, 2021

Related Resources

Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative systematic review.

November 1, 2023

WebM&M Cases

The Danger of 10% Intravenous Calcium Chloride Extravasation.

April 26, 2023

Making polypharmacy safer for children with medical complexity.

April 5, 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

Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety.

February 22, 2023

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.

February 15, 2023

Survey results from pharmacists provide support to enhance the organizational response to codes.

October 26, 2022

Medication Safety Certificate Program.

August 24, 2022

Differences in medication reconciliation interventions between six hospitals: a mixed method study.

June 29, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions.

March 30, 2022

Sources of medication omissions among hospitalized older adults with polypharmacy.

March 9, 2022

February 2, 2022

Medication safety issues with newly authorized PAXLOVID.

January 12, 2022

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

June 9, 2021

Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients.

April 28, 2021

The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents.

April 21, 2021

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

Longitudinal medication reconciliation at hospital admission, discharge and post-discharge.

August 26, 2020

August 19, 2020

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

August 12, 2020

Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review.

July 22, 2020

Global drug shortages due to COVID-19: impact on patient care and mitigation strategies.

July 8, 2020

Fighting against COVID-19: innovative strategies for clinical pharmacists.

May 6, 2020

Clinical and economic impact of medication reconciliation in cancer patients: a systematic review.

April 22, 2020

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care.

November 6, 2019

Pharmacist linkage in care transitions: from academic medical center to community.

October 30, 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

The opioid crisis: origins, trends, policies, and the roles of pharmacists.

April 10, 2019

See More About The Topic

Hospitals

Pharmacists

Facility and Group Administrators

Medicine

Discontinuities, Gaps, and Hand-Off Problems

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

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

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

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

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