Observational studyInternational journal of clinical pharmacy2016
Exploring discharge prescribing errors and their propagation post-discharge: an observational study.
Observational study in International journal of clinical pharmacy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and Nature of Medication Errors and Medication-Related Harm Following Discharge from Hospital to Community Settings: A Systematic Review.Drug safety · 2020Pooled it
- The impact of collaborative pharmaceutical care on hospital discharge medication error prevalence: A stepped-wedge cluster randomised trial.Exploratory research in clinical and social pharmacy · 2025Article
- Medication information completeness in discharge summaries from a Norwegian rural hospital - a cross-sectional study.BMC health services research · 2025Article
- Article
- Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS.BMJ quality & safety · 2024Article
- Intervention for a correct medication list and medication use in older adults: a non-randomised feasibility study among inpatients and residents during care transitions.International journal of clinical pharmacy · 2024Article
- Interdisciplinary videoconference model for identifying potential adverse transition of care events following hospital discharge to postacute care.BMJ open quality · 2024Article
- Exploring the Use of Persuasive System Design Principles to Enhance Medication Incident Reporting and Learning Systems: Scoping Reviews and Persuasive Design Assessment.JMIR human factors · 2024Article
- Development and evaluation of pharmacist-provided teach-back medication counselling at hospital discharge.International journal of clinical pharmacy · 2023Article
- Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study.Therapeutic advances in drug safety · 2023Article
- Economic evaluation of a collaborative model of pharmaceutical care in an Irish hospital: cost-utility analysis.HRB open research · 2023Article
- Pharmaceutical Interventions on Hospital Discharge Prescriptions: Prospective Observational Study Highlighting Challenges for Community Pharmacists.Drugs - real world outcomes · 2022Article
- Prescribing errors in post - COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post - COVID-19 outpatient clinic.BMC emergency medicine · 2022Observational
- Medication-Related Readmissions: Documentation of the Medication Involved and Communication in the Care Continuum.Frontiers in pharmacology · 2022Article
- Assessment of an electronic patient record system on discharge prescribing errors in a Tertiary University Hospital.BMC medical informatics and decision making · 2021Article
- Article
- Barriers and facilitators of medicines reconciliation at transitions of care in Ireland - a qualitative study.BMC family practice · 2020Article
- The Role of the Nurse in the Management of Medicines During Transitional Care: A Systematic Review.Journal of multidisciplinary healthcare · 2020Review
- The Patient-Held Active Record of Medication Status (PHARMS) study: a mixed-methods feasibility analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Improving the quality of insulin prescribing for people with diabetes being discharged from hospital.BMJ open quality · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Discharge prescribing error is common. Little is known about whether it persists post-discharge. Objective To explore the relationship between discharge prescribing error and post-discharge medication error. Setting This was a prospective observational study (March-May 2013) at an adult academic hospital in Ireland. Method Patients using three or more chronic medications pre-admission, with a clinical pharmacist documented gold-standard pre-admission medication list, having a chronic medication stopped or started in hospital and discharged to home were included. Within 10-14 days after discharge a gold standard discharge medication was prepared and compared to the discharge prescription to identify differences. Patients were telephoned to identify actual medication use. Community pharmacists, general practitioners and hospital prescribers were contacted to corroborate actual and intended medication use. Post-discharge medication errors were identified and the relationship to discharge prescribing error was explored. Main outcome measured Incidence, type, and potential severity of post-discharge medication error, and the relationship to discharge prescribing. Results Some 36 (43 %) of 83 patients experienced post-discharge medication error(s), for whom the majority (n = 31, 86 %) were at risk of moderate harm. Most (58 of 66) errors were discharge prescribing errors that persisted post-discharge. Unintentional prescription of an intentionally stopped medication; error in the dose, frequency or formulation and unintentional omission of active medication are the error types most likely to persist after discharge. Conclusion There is a need to implement discharge medication reconciliation to support medication optimisation post-hospitalisation.
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