Evidence map›Paper›PMID 19594536›Full record

ArticleBritish journal of clinical pharmacology2009

Medication errors: the importance of an accurate drug history.

Richard J Fitzgerald

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed.

  1. Trial
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    Review
  12. Observational
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Richard J FitzgeraldDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, UK. richard.fitzgerald@liverpool.ac.uk

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

1. Medication histories are important in preventing prescription errors and consequent risks to patients. Apart from preventing prescription errors, accurate medication histories are also useful in detecting drug-related pathology or changes in clinical signs that may be the result of drug therapy. A good medication history should encompass all currently and recently prescribed drugs, previous adverse drug reactions including hypersensitivity reactions, any over-the counter medications, including herbal or alternative medicines, and adherence to therapy. 2. Medication history errors, such as omitting drugs erroneously, are common and often have the potential to harm the patient. Hypersensitivity reactions are often poorly documented or not explored in detail, which may lead to unnecessary avoidance of a drug. Accurate documentation of concomitant herbal or alternative therapies is rare, despite the importance they may have in causing adverse effects or drug-drug interactions. Polypharmacy, specific drugs, and clinical specialty can affect the risk of medication history errors. 3. There are various strategies to reduce medication history errors. Pharmacists are better at taking an accurate medication history than many physicians or nurses. In the context of acute hospital admissions they reduce error, the risks of adverse drug reactions, and prescription costs. Electronic prescribing may reduce transcription errors, but it can facilitate other errors and still depends on an accurate medication history. 4. Education of prescribers, both in clinical pharmacology and in taking accurate medication histories is vitally important in reducing errors.

Indexed as

Drug InteractionsDrug PrescriptionsDrug UtilizationHumansMedical History TakingMedication ErrorsPolypharmacyRisk Factors

Identifiers

PMID19594536
PMCPMC2723207

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.