Evidence map›Paper›PMID 27918623›Full record

SynthesisBritish journal of clinical pharmacology2017

The effect of prescriber education on medication-related patient harm in the hospital: a systematic review.

Jacqueline M Bos, Patricia M L A van den Bemt, Peter A G M de Smet, Cornelis Kramers

Abstract readSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
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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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Tackling medication errors: how a systems approach improves patient safety.European journal of hospital pharmacy : science and practice · 2026
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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

4 authors.

Jacqueline M BosDepartment of Clinical Pharmacy, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands.
Patricia M L A van den BemtDepartment of Clinical Pharmacy, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Peter A G M de SmetDepartment of Clinical Pharmacy and Scientific Institute for Quality of Healthcare, Radboud University Medical Centre, Nijmegen, the Netherlands.
Cornelis KramersDepartment of Clinical Pharmacy, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsEducating prescribers is a strategy to reduce prescription errors in hospitals. The present systematic review gives an overview of original research papers on the education of prescribers and reporting outcomes on (potential) patient harm.

methodsA search of the databases Embase and Medline, using the Ovid interface, was performed. Research on the effect of physician education in order to prevent medication-related problems in inpatients, and on reporting original data and outcomes on prescribing errors and/or (potential) patient harm, was included. The assessment of methodological quality and risk of bias was performed using the Methodological Index for Non-Randomized studies (MINORS) checklist and the suggested risk of bias criteria for Effective Practice and Organization of Care (EPOC) reviews.

resultsEight studies investigated an intervention on education alone, and in seven studies education was the main part of a multifaceted intervention. All studies were small and had short follow-up periods. The educational programmes varied and were given to physicians of different specialties and levels of experience. Most studies reported intermediate process parameters as the outcome. The risk of performance and reporting bias were high.

conclusionAll included studies suffered from poor methodology. The majority, especially studies in which education was part of a multifaceted intervention, reported effectiveness on intermediate outcome markers as prescription errors and potential adverse drug events. However, we found no firm evidence that educating prescribers in the hospital leads to a decrease in patient harm. Further work is needed to develop educational programmes, accompanied by more high-quality research with outcomes on the improvement of patient care.

Indexed as

Drug-Related Side Effects and Adverse ReactionsEducation, Medical, ContinuingHospitalsHumansInpatientsMedication ErrorsPatient HarmPhysiciansPractice Patterns, Physicians'Research Designhospitalmedical educationmedication errorspatient harmprescribing

Identifiers

PMID27918623
PMCPMC5401976

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.