Evidence map›Paper›PMID 31633827›Full record

ArticleBritish journal of clinical pharmacology2020

Preventable adverse drug events: Descriptive epidemiology.

Stephanie A Woo, Amber Cragg, Maeve E Wickham, Diane Villanyi, Frank Scheuermeyer, Jeffrey P Hau, Corinne M Hohl

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Trial
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  3. Observational
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  5. Review
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  16. Observational
  17. Article
  18. Evaluation of patient safety culture in community pharmacies.Exploratory research in clinical and social pharmacy · 2023
    Article
  19. Article
  20. Observational
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

7 authors.

Stephanie A WooVancouver General Hospital, Vancouver, British Columbia, Canada.
Amber CraggDepartment of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Maeve E WickhamDepartment of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Diane VillanyiVancouver General Hospital, Vancouver, British Columbia, Canada.
Frank ScheuermeyerVancouver General Hospital, Vancouver, British Columbia, Canada.
Jeffrey P HauDepartment of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-3656-6538
Corinne M HohlVancouver General Hospital, Vancouver, British Columbia, Canada.ORCID 0000-0002-9210-7838

Funding

CIHR
6 · The paper itself

Abstract

aimOur objective was to identify preventable adverse drug events and factors contributing to their development.

methodsWe performed a retrospective chart review combining data from three prospective multicentre observational studies that assessed emergency department patients for adverse drug events. A clinical pharmacist and physician independently reviewed the charts, extracted data and rated the preventability of each adverse drug event. A third reviewer adjudicated all discordant or uncertain cases. We calculated the proportion of adverse drug events that were deemed preventable, performed multivariable logistic regression to explore the characteristics of patients with preventable events, and identified contributing factors.

resultsWe reviewed the records of 1 356 adverse drug events in 1 234 patients. Raters considered 869 (64.1%) of adverse drug events probably or definitely preventable. Patients with mental health diagnoses (OR 1.8; 95% CI 1.3-2.5) and diabetes (OR 1.7; 95% CI 1.2-2.4) were more likely to present with preventable events. The medications most commonly implicated in preventable events were warfarin (9.4%), hydrochlorothiazide (4.5%), furosemide (4.0%), insulin (3.9%) and acetylsalicylic acid (2.7%). Common contributing factors included inadequate patient instructions, monitoring and follow-up, and reassessments after medication changes had been made.

conclusionsOur study suggests that patients with mental health conditions and diabetes require close monitoring. Efforts to address the identified contributing factors are needed.

Indexed as

Drug-Related Side Effects and Adverse ReactionsEmergency Service, HospitalHumansPharmacistsProspective StudiesRetrospective Studiesadverse drug eventscontributing factorsmedication safetypreventability

Identifiers

PMID31633827
PMCPMC7015751

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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.