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Search results for "Information Professionals"
Journal Article > Study
Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands.
Dequito AB, Mol PG, van Doormaal JE, et al. Drug Saf. 2011;34:1089-1100.
More than half of hospitalized patients in this Dutch study experienced an adverse drug event, most of which were not preventable and had minimal clinical consequences.
Journal Article > Review
Meyer-Massetti C, Cheng CM, Schwappach DL, et al. Am J Health Syst Pharm. 2011;68:227-240.
Preventing medication errors requires efficient and effective methods to detect them. From incident reporting (IR) systems to trigger tools to MEDMARX, limitations in whether these systems provide a true representation of the problem remain. This systematic review compared different detection methods and found that direct observation captured the greatest number of drug-related problems while IR systems generated the least. However, IR systems demonstrated a higher specificity for severe problems and were generally the least expensive. Trigger tools were the least labor-intensive and most sensitive strategy. The authors conclude that the various detection strategies all have strengths and limitations; however, they seem to capture different drug-related problems, which suggests the need for more than one lens for medication safety detection.
Journal Article > Study
Boockvar KS, Livote EE, Goldstein N, Nebeker JR, Siu A, Fried T. Qual Saf Health Care. 2010;19:e16.
Addressing handoffs in patient care is a continued challenge, particularly around medication safety. Medication reconciliation was seen as a preventive strategy to handle such concerns, though the lack of proven strategies led The Joint Commission to soften its previous National Patient Safety Goal. A commonly held belief is that electronic health records (EHRs) provide solutions to communicating health information. This study compared medication reconciliation events for patient handoffs within a computerized VA system to a paper-based system outside the VA. Interestingly, there was no significant difference between medication discrepancies and adverse drug events (ADEs) in the highly computerized system. The authors suggest that their findings support a need for specialized tools to facilitate medication review at times of transfer. A past AHRQ WebM&M commentary discussed medication reconciliation after an avoidable error.