ArticleJournal of the American Pharmacists Association : JAPhA
Medication prescribing checklists and their impact on patient safety: A scoping review.
Article in Journal of the American Pharmacists Association : JAPhA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Wise Prescriptions: Prevalence and Predictors of Polypharmacy in Patients with Type 2 Diabetes Mellitus in Primary Care: A Retrospective Cross-Sectional Study.Journal of clinical medicine · 2026Article
- High-risk medications in pediatric dentistry: Patterns, outcomes, and clinical implications.Journal of the American Dental Association (1939) · 2025Article
- Implementation and Feasibility of the VALORA Checklist for Structured Anamnesis in Oral Contraceptive Counseling in Spain: Results from a Survey-Based Pilot Study.Women's health reports (New Rochelle, N.Y.)Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundMedication prescribing checklists and the impact on patient safety remain unexplored.
objectivesThis scoping review aimed to identify key elements of these checklists and evaluate their impact on patient safety outcomes.
methodsWe searched PubMed and Embase for studies reporting checklists in medication prescribing practices and the impact on patient safety outcomes as of October 23, 2024. We applied Fisher's exact test to evaluate the association between checklist effectiveness (based on patient safety outcomes) with study design (randomized controlled trials [RCTs] vs non-RCTs) and intervention type (bundled intervention vs checklist-only intervention).
resultsAfter full-text review, 53 articles met inclusion criteria for data extraction and analysis, including 4 (7.5%) RCTs, 25 (47.2%) quasi-experimental designs, and 24 (45.3%) observational studies. Medication prescribing checklists commonly include elements such as prescription accuracy, drug interaction checks, education, and adherence to guidelines. Twenty-nine (54.7%) studies assessed checklist effectiveness, including 11 with bundled intervention and 18 with checklist-only intervention. Among the 29 effectiveness studies, 25 (86.2%) found the checklist to be effective (23 quasi-experiment studies, one retrospective study, and one RCT), while 4 (13.8%) reported no benefit or inferior outcomes. Barriers to implementation include usability and clinical workflow integration. Notably, studies without an RCT design were more likely to be effective (P = 0.004). The likelihood of effectiveness was not significantly different between studies implementing checklists as part of a bundled intervention and studies with checklists as a single implementation strategy (P = 0.622).
conclusionChecklists are an effective tool in improving the safety of medication prescribing practices. However, checklist effectiveness is potentially influenced by several factors such as usability and integration into the workflow. RCTs were more likely to find checklists to be ineffective than non-RCTs. Further research is necessary to confirm checklist effectiveness and refine their design and implementation strategies.
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