ArticleQuality & safety in health care2007
Preventing medication errors in community pharmacy: root-cause analysis of transcription errors.
Article in Quality & safety in health care, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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Who cites it
36 citing papers in PubMed.
- Effectiveness and sustainment of a tailored over-the-counter medication safety intervention in community pharmacies: A randomized controlled trial.Research in social & administrative pharmacy : RSAP · 2022Trial
- Near-miss dispensing errors in Japanese community pharmacies: error types and associated factors across dispensing stages.International journal of clinical pharmacy · 2026Article
- A retrospective study on prevalence, characteristics, and outcomes of transcribing error: analysis of data from the National Medication Error Reporting System in Malaysia.Journal of pharmaceutical policy and practice · 2025Article
- Trends in dispensing errors reported in Finnish community pharmacies in 2015-2020: a national retrospective register-based study.BMC primary care · 2024Article
- Impact of implementing the aseptic compounding management system, Medcura, on internal error rates within an oncology pharmacy aseptic unit: a mixed methods evaluation.European journal of hospital pharmacy : science and practice · 2024Article
- Exploring Patient Safety Culture: A Study of Community Pharmacies in Karachi, Pakistan.Cureus · 2024Article
- Evaluation of medication errors in patients with kidney diseases in Quetta, Pakistan.PloS one · 2023Article
- A nationwide assessment of community pharmacists' attitudes towards dispensing errors: A cross-sectional study.Journal of Taibah University Medical Sciences · 2022Article
- Article
- Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study.European journal of clinical pharmacology · 2021Observational
- Community Pharmacists' Opinions towards Poor Prescription Writing in Jazan, Saudi Arabia.Healthcare (Basel, Switzerland) · 2021Article
- A Retrospective Study of Pediatric Medication Errors in Saudi Arabia.Hospital pharmacy · 2021Article
- Assessing automated product selection success rates in transmissions between electronic prescribing and community pharmacy platforms.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Article
- Dispensing errors and self-medication practice observed by community pharmacists in Jordan.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2020Article
- Impact of Live Training on Medication Errors in a Community-Based Pharmacy Setting.Innovations in pharmacy · 2020Article
- Perception of Community Pharmacists towards Dispensing Errors in Community Pharmacy Setting in Gondar Town, Northwest Ethiopia.BioMed research international · 2017Article
- Describing interruptions, multi-tasking and task-switching in community pharmacy: a qualitative study in England.International journal of clinical pharmacy · 2015Article
- Root Cause Analysis Design and Its Application to Pharmacy Education.American journal of pharmaceutical education · 2015Article
- Medication Error Disclosure and Attitudes to Reporting by Healthcare Professionals in a Sub-Saharan African Setting: A Survey in Uganda.Drugs - real world outcomes · 2015Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedication errors can have serious consequences for patients, and medication safety is essential to pharmaceutical care. Insight is needed into the vulnerability of the working process at community pharmacies to identify what causes error incidents, so that the system can be improved to enhance patient safety.
methods40 randomly selected Danish community pharmacies collected data on medication errors. Cases that reached patients were analysed, and the most serious cases were selected for root-cause analyses by an interdisciplinary analysis team.
results401 cases had reached patients and a substantial number of them had possible clinical significance. Most of these errors were made in the transcription stage, and the most serious were errors in strength and dosage. The analysis team identified four root causes: handwritten prescriptions; "traps" such as similarities in packaging or names, or strength and dosage stated in misleading ways; lack of effective control of prescription label and medicine; and lack of concentration caused by interruptions.
conclusionA substantial number of the medication errors identified at pharmacies that reach patients have possible clinical significance. Root-cause analysis shows potential for identifying the underlying causes of the incidents and for providing a basis for action to improve patient safety.
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