ArticleDrug safety2016
Prevention of Medication Errors in Hospitalized Patients: The Japan Adverse Drug Events Study.
Article in Drug safety, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 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
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Effectiveness of double checking to reduce medication administration errors: a systematic review.BMJ quality & safety · 2020Pooled it
- Multicenter prospective observational study on hospital pharmacist interventions to reduce inappropriate medications.Frontiers in pharmacology · 2023Article
- Prevalence and incidence rate of hospital admissions related to medication between 2008 and 2013 in The Netherlands.Pharmacoepidemiology and drug safety · 2020Article
- Nurse empowerment through Pharmacogenetics.Revista latino-americana de enfermagem · 2020Article
- Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care.Advanced pharmaceutical bulletin · 2019Article
- Adverse Drug Event Discovery Using Biomedical Literature: A Big Data Neural Network Adventure.JMIR medical informatics · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe nature of medication errors (MEs) and the frequency of identified or intercepted MEs are not being scrutinized in daily practice in Japan.
objectivesThe aim of this study was to clarify the epidemiology of MEs and the risk factors for non-intercepted and unidentified MEs.
methodsThe Japan Adverse Drug Events (JADE) study was a prospective cohort study carried out at three tertiary-care teaching hospitals in Japan. Participants were consecutive patients (N = 3459) aged ≥15 years who were admitted to the study wards. MEs were identified by on-site reviews of all medical charts, self-reports, and prescription queries by pharmacists. Two independent physicians reviewed and classified all MEs and adverse drug events and determined the stages at which the MEs occurred and whether there was interception or identification of the MEs.
resultsA total of 514 MEs were observed among 433 patients. Sixty-four percent of MEs occurred at the ordering stage. Among these, 60 % were due to duplicate drug orders. Overall, 63 % and 45 % of MEs were not intercepted or identified during hospitalization, respectively. The independent risk factors for non-intercepted MEs were hospitalization in the surgical ward (odds ratio [OR] 2.94) and the intensive care unit (OR 3.57). MEs by resident physicians were more likely to be intercepted (OR 0.52 for non-intercepted MEs).
conclusionsMEs frequently occurred and most at the ordering stage. Almost half of MEs were not intercepted or identified. Many MEs at the later stages were less likely to be intercepted and resulted in actual patient harm. Systems to improve the identification and interception of MEs should be implemented.
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