ArticleJournal of the American Heart Association2020
Medication Errors and Blood Pressure Control Among Patients Managed for Hypertension in Public Ambulatory Care Clinics in Botswana.
Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- High Burden and Trend in Nonadherence to Blood Pressure-Lowering Medications: Meta-Analysis of Data From Over 34 000 Adults With Hypertension in Sub-Saharan Africa.Journal of the American Heart Association · 2025Pooled it
- Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Supportive supervision visits in a large community hypertension programme in Nigeria: implementation methods and outcomes.BMJ open quality · 2025Trial
- Global disparities in realized stroke prevention attributable to antihypertensive treatment: a population-level analysis of 198 countries, 1990-2019.European journal of epidemiology · 2026Article
- Barriers to Blood Pressure Control in Treated Patients Attending Public Primary Healthcare Clinics in Gaborone, Botswana.Public health challenges · 2025Article
- Article
- Nurses and emergency nursing care in Botswana.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Development and psychometric assessment of self-reported patient medication safety scale (SR-PMSS).Therapeutic advances in drug safety · 2023Article
- Health-related reasons patients transfer from a clinic or health post to the Emergency Department in a District Hospital in Botswana.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Evidence for an expanded hypertension care cascade in low- and middle-income countries: a scoping review.BMC health services research · 2022Article
- Medication discrepancies among hospitalized patients with hypertension: assessment of prevalence and risk factors.BMC health services research · 2021Observational
- May Measurement Month 2019: an analysis of blood pressure screening results from Botswana.European heart journal supplements : journal of the European Society of Cardiology · 2021Article
- Pharmacists' perceptions of the use of internet-based medication information by patients: A cross-sectional survey.PloS one · 2021Article
- Medication Errors and Blood Pressure Control Among Patients Managed for Hypertension in Public Ambulatory Care Clinics in Botswana.Journal of the American Heart Association · 2020Article
Corrections and comments
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Authors and funding
15 authors at 5 institutions in 4 countries.
Funding
Abstract
Background The prevalence of hypertension in low- and middle-income countries is rapidly increasing, with most cases undiagnosed and many poorly controlled among those diagnosed. Medication reconciliation studies from high-income countries have demonstrated a high occurrence of antihypertensive medication errors and a strong association between medication errors and inadequate blood pressure control, but data from low- and middle-income countries are lacking. Methods and Results We conducted a cross-sectional study from April to October 2018 of adult patients on pharmacologic management for known hypertension at 7 public health facilities in Kweneng East District, Botswana. Our aims included to evaluate the frequency of uncontrolled hypertension, the frequency and type of medication errors causing discrepancies between patient-reported and prescribed antihypertensive medications, and the association between medication errors and uncontrolled hypertension. Descriptive analyses and multivariable logistic regression were used. The prevalence of uncontrolled hypertension was 55% among 280 enrolled adult patients, and 95 (34%) had ≥1 medication error. The most common errors included patients taking medications incorrectly (11.1%; 31/280), patients omitting medications (7.9%; 22/280), and unfilled prescriptions caused by pharmacy stock outs (7.5%%; 21/280). Uncontrolled hypertension was significantly associated with having ≥1 medication error compared with no errors (adjusted odds ratio, 3.26; 95% CI, 1.75-6.06;
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