The epidemiology of medication errors: the methodological difficulties

被引:48
作者
Ferner, Robin E. [1 ,2 ]
机构
[1] City Hosp, W Midlands Ctr Adverse Drug React, Birmingham B18 7QH, W Midlands, England
[2] Univ Birmingham, Sch Med, Dept Clin Pharmacol, Birmingham, W Midlands, England
关键词
epidemiology; medication errors; methodological difficulties; patient safety; review; ADVERSE DRUG EVENTS; IN-HOSPITAL INPATIENTS; PRESCRIBING ERRORS; ADMINISTRATION ERRORS; PATIENT SAFETY; DEFINITIONS; CLASSIFICATION; MANSLAUGHTER; UK;
D O I
10.1111/j.1365-2125.2009.03417.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
2. There are formidable difficulties in establishing the rates of medication errors. 3. There is no agreement on a clear operational definition of the condition. 4. The methods used to enumerate cases so far have been unreliable or incomplete or both. 5. There is disagreement about whether cases of error that do not cause harm should be included in calculations of error rates. 6. When harm occurs in association with drug therapy, it is often unclear whether the harm might have been prevented, and its occurrence should therefore be considered to result from error. 7. The denominator for calculating the rate of error is both ill-defined and inconsistently measured. Better definitions, more complete evaluation, and more thorough impact assessment may improve matters.
引用
收藏
页码:614 / 620
页数:7
相关论文
共 69 条
[1]   FUNDAMENTALS OF MEDICATION ERROR RESEARCH [J].
ALLAN, EL ;
BARKER, KN .
AMERICAN JOURNAL OF HOSPITAL PHARMACY, 1990, 47 (03) :555-571
[2]   DIFFERENCE BETWEEN THE MEASURED AND ORDERED DOSE OF CATECHOLAMINE INFUSIONS [J].
ALLEN, EM ;
VANBOERUM, DH ;
OLSEN, AF ;
DEAN, JM .
ANNALS OF PHARMACOTHERAPY, 1995, 29 (11) :1095-1100
[3]   Medication errors observed in 36 health care facilities [J].
Barker, KN ;
Flynn, EA ;
Pepper, GA ;
Bates, DW ;
Mikeal, RL .
ARCHIVES OF INTERNAL MEDICINE, 2002, 162 (16) :1897-1903
[4]   MEDICATION ERRORS IN NURSING-HOMES AND SMALL HOSPITALS [J].
BARKER, KN ;
MIKEAL, RL ;
PEARSON, RE ;
ILLIG, NA ;
MORSE, ML .
AMERICAN JOURNAL OF HOSPITAL PHARMACY, 1982, 39 (06) :987-991
[5]   INCIDENCE OF ADVERSE DRUG EVENTS AND POTENTIAL ADVERSE DRUG EVENTS - IMPLICATIONS FOR PREVENTION [J].
BATES, DW ;
CULLEN, DJ ;
LAIRD, N ;
PETERSEN, LA ;
SMALL, SD ;
SERVI, D ;
LAFFEL, G ;
SWEITZER, BJ ;
SHEA, BF ;
HALLISEY, R ;
VANDERVLIET, M ;
NEMESKAL, R ;
LEAPE, LL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 274 (01) :29-34
[6]   The epidemiology of prescribing errors - The potential impact of computerized prescriber order entry [J].
Bobb, A ;
Gleason, K ;
Husch, M ;
Feinglass, J ;
Yarnold, PR ;
Noskin, GA .
ARCHIVES OF INTERNAL MEDICINE, 2004, 164 (07) :785-792
[7]   Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process [J].
Bonnabry, P ;
Cingria, L ;
Ackermann, M ;
Sadeghipour, F ;
Bigler, L ;
Mach, N .
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2006, 18 (01) :9-16
[8]   INCIDENCE OF ADVERSE EVENTS AND NEGLIGENCE IN HOSPITALIZED-PATIENTS - RESULTS OF THE HARVARD MEDICAL-PRACTICE STUDY-I [J].
BRENNAN, TA ;
LEAPE, LL ;
LAIRD, NM ;
HEBERT, L ;
LOCALIO, AR ;
LAWTHERS, AG ;
NEWHOUSE, JP ;
WEILER, PC ;
HIATT, HH .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (06) :370-376
[9]   An epistemology of patient safety research: a framework for study design and interpretation. Part 3. End points and measurement [J].
Brown, C. ;
Hofer, T. ;
Johal, A. ;
Thomson, R. ;
Nicholl, J. ;
Franklin, B. D. ;
Lilford, R. J. .
QUALITY & SAFETY IN HEALTH CARE, 2008, 17 (03) :170-177
[10]   Reporting of unintended events in an intensive care unit: Comparison between staff and observer [J].
Capuzzo M. ;
Nawfal I. ;
Campi M. ;
Valpondi V. ;
Verri M. ;
Alvisi R. .
BMC Emergency Medicine, 5 (1)