Narrow Results Clear All
- Communication Improvement
- Culture of Safety 1
- Education and Training 1
- Quality Improvement Strategies 1
- Specialization of Care 1
- Technologic Approaches
Search results for ""
Journal Article > Review
Wong ICK, Wong LYL, Cranswick NE. Arch Dis Child. 2009;94:161-164.
This review identifies factors that contribute to medication errors in pediatric care and describes risk reduction strategies.
Journal Article > Study
Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.
Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.
This study found a remarkably high incidence of medication errors—nearly two errors per patient—in skilled nursing facilities. Interviews with staff revealed several underlying factors: polypharmacy, overworked staff, poor communication between nursing home staff and physicians, lack of a culture of safety, and lack of reliable systems for medication ordering and administration. Recognition of the high potential for medication errors in nursing facilities has led to the development of toolkits for improving medication safety. A serious medication administration error at a nursing facility is discussed in this AHRQ WebM&M case commentary.
Journal Article > Study
Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages.
Pontefract SK, Hodson J, Marriott JF, Redwood S, Coleman JJ. PLoS One. 2016;11:e0160075.
Although electronic health records (EHRs) with computerized provider order entry are known to improve medication safety, experts have raised concerns that EHRs adversely affect interprofessional communication by reducing personal interactions among providers. This study examined unidirectional computerized messages from pharmacists and physicians within the EHR. Investigators found that less than half of messages from pharmacists were acknowledged by the prescribing physicians. Among the messages in which pharmacists requested a specific action, physicians completed the action about one-third of the time. Messages were more likely to be acknowledged and acted upon when pharmacists and physicians had an existing working relationship. The authors suggest that EHRs should be better designed to foster interprofessional collaboration. A PSNet perspective highlighted the role of pharmacists in interprofessional care and safety.