Evidence map›Paper›PMID 23050954›Full record

ArticleScandinavian journal of primary health care2012

Poor communication on patients' medication across health care levels leads to potentially harmful medication errors.

Karin Frydenberg, Mette Brekke

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Identifying and Comparing Communication Challenges Between Nurses and Resident Physicians.Journal of community hospital internal medicine perspectives · 2026
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  13. Threats to Narcotic Safety-A Narrative Review of Narcotic Incidents, Discrepancies and Near-Misses Within a Large Canadian Health System.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2022
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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

2 authors.

Karin FrydenbergSkreia Medical Center, Skreia, Norway. frydrein@online.no
Mette Brekke

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGeneral practitioners have a key role in updating their patients' medication. Poor communication regarding patients' drug use may easily occur when patients cross health care levels. We wanted to explore whether such inadequate communication leads to errors in patients' medication on admission, during hospital stay, and after discharge, and whether these errors were potentially harmful.

designExploratory case study of 30 patients.

settingGeneral practices in central Norway and medical ward of Innlandet Hospital Trust Gjøvik, Norway. SUBJECTS: 30 patients urgently admitted to the medical ward, and using three or more drugs on admission.

main outcome measuresDiscrepancies between the patients' actual drugs taken and what was recorded on admission to hospital, during hospitalization, at discharge, and five weeks after hospital stay. The discrepancies were grouped according to the NCC Merp Index for Categorizing Medication Errors to assess their potential harm.

resultsThe 30 patients used a total of 250 drugs, and 50 medication errors were found, affecting 18 of the patients; 27 errors were potentially harmful, according to NCC Merp Index: 23 in category E, four in category F. Half of the errors originated from an incomplete medication list in the referral letter.

conclusionThe majority of the medication errors were made when the patients were admitted to hospital, and a substantial proportion were potentially harmful. The medication list should be reviewed together with the patient on admission, and each patient should carry an updated medication list provided by his or her general practitioner.

Indexed as

AdultAgedAged, 80 and overContinuity of Patient CareDrug PrescriptionsFemaleHumansInterdisciplinary CommunicationMaleMedical History TakingMedication ErrorsMiddle AgedNorwayPatient AdmissionPatient Discharge

Identifiers

PMID23050954
PMCPMC3520418

What OpenQuestion holds

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Registered trials

None linked

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.