Literature DB >> 19894081

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.

Balthasar L Hug1, Daniel J Witkowski, Colin M Sox, Carol A Keohane, Diane L Seger, Catherine Yoon, Michael E Matheny, David W Bates.   

Abstract

CONTEXT: Medications represent a major cause of harm and are costly for hospitalized patients, but more is known about these issues in large academic hospitals than in smaller hospitals.
OBJECTIVE: To assess the incidence of adverse drug events (ADEs) in six community hospitals.
DESIGN: Multicenter, retrospective cohort study.
SETTING: Six Massachusetts community hospitals with 100 to 300 beds. PATIENTS: From 109,641 adult patients hospitalized from January 2005 through August 2006, a random sample of 1,200 patients was drawn, 200 per site. MAIN OUTCOME MEASURES: ADEs and preventable ADEs.
METHODS: Presence of an ADE was evaluated using an adaptation of a trigger instrument developed by the Institute for Health Care Improvement. Independent reviewers classified events by preventability, severity, and potential for preventability by computerized physician order entry (CPOE).
RESULTS: A total of 180 ADEs occurred in 141 patients (rate, 15.0/100 admissions). Overall, 75% were preventable. ADEs were rated as serious in 49.4% and life threatening in 11.7%. Patients with ADEs were older (mean age, 74.6 years, p < 0.001), more often female (60.3%, p = 0.61), and more often Caucasian (96.5%, p < 0.001) than patients without ADEs. Of the preventable ADEs, 81.5% were judged potentially preventable by CPOE.
CONCLUSIONS: The incidence of ADEs in these community hospital admissions was high, and most ADEs were preventable, mostly through CPOE. These data suggest that CPOE may be beneficial in this setting.

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Year:  2009        PMID: 19894081      PMCID: PMC2811587          DOI: 10.1007/s11606-009-1141-3

Source DB:  PubMed          Journal:  J Gen Intern Med        ISSN: 0884-8734            Impact factor:   5.128


  23 in total

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Journal:  Pediatrics       Date:  2003-04       Impact factor: 7.124

Review 2.  Linking laboratory and pharmacy: opportunities for reducing errors and improving care.

Authors:  Gordon D Schiff; David Klass; Josh Peterson; Gaurav Shah; David W Bates
Journal:  Arch Intern Med       Date:  2003-04-28

3.  Pediatric medication errors: what do we know? What gaps remain?

Authors:  Rainu Kaushal; Tonushree Jaggi; Kathleen Walsh; Elizabeth B Fortescue; David W Bates
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Review 4.  Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.

Authors:  Rainu Kaushal; Kaveh G Shojania; David W Bates
Journal:  Arch Intern Med       Date:  2003-06-23

5.  Medication errors and adverse drug events in pediatric inpatients.

Authors:  R Kaushal; D W Bates; C Landrigan; K J McKenna; M D Clapp; F Federico; D A Goldmann
Journal:  JAMA       Date:  2001-04-25       Impact factor: 56.272

6.  Adverse drug event trigger tool: a practical methodology for measuring medication related harm.

Authors:  J D Rozich; C R Haraden; R K Resar
Journal:  Qual Saf Health Care       Date:  2003-06

7.  Computerized medication monitoring system.

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8.  Adverse drug events and medication errors: detection and classification methods.

Authors:  T Morimoto; T K Gandhi; A C Seger; T C Hsieh; D W Bates
Journal:  Qual Saf Health Care       Date:  2004-08

9.  Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.

Authors:  T A Brennan; L L Leape; N M Laird; L Hebert; A R Localio; A G Lawthers; J P Newhouse; P C Weiler; H H Hiatt
Journal:  N Engl J Med       Date:  1991-02-07       Impact factor: 91.245

10.  Systems analysis of adverse drug events. ADE Prevention Study Group.

Authors:  L L Leape; D W Bates; D J Cullen; J Cooper; H J Demonaco; T Gallivan; R Hallisey; J Ives; N Laird; G Laffel
Journal:  JAMA       Date:  1995-07-05       Impact factor: 56.272

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  39 in total

Review 1.  Frequency and Nature of Medication Errors and Adverse Drug Events in Mental Health Hospitals: a Systematic Review.

Authors:  Ghadah H Alshehri; Richard N Keers; Darren M Ashcroft
Journal:  Drug Saf       Date:  2017-10       Impact factor: 5.606

2.  Impact of vendor computerized physician order entry in community hospitals.

Authors:  Alexander A Leung; Carol Keohane; Mary Amato; Steven R Simon; Michael Coffey; Nathan Kaufman; Bismarck Cadet; Gordon Schiff; Eyal Zimlichman; Diane L Seger; Catherine Yoon; Peter Song; David W Bates
Journal:  J Gen Intern Med       Date:  2012-01-21       Impact factor: 5.128

3.  Incidence of adverse drug events and medication errors in Japan: the JADE study.

Authors:  Takeshi Morimoto; Mio Sakuma; Kunihiko Matsui; Nobuo Kuramoto; Jinichi Toshiro; Junji Murakami; Tsuguya Fukui; Mayuko Saito; Atsushi Hiraide; David W Bates
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Review 4.  Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions.

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5.  Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records.

Authors:  Shobha Phansalkar; Heleen van der Sijs; Alisha D Tucker; Amrita A Desai; Douglas S Bell; Jonathan M Teich; Blackford Middleton; David W Bates
Journal:  J Am Med Inform Assoc       Date:  2012-09-25       Impact factor: 4.497

6.  Different black box warning labeling for same-class drugs.

Authors:  Orestis A Panagiotou; Despina G Contopoulos-Ioannidis; Panagiotis N Papanikolaou; Evangelia E Ntzani; John P A Ioannidis
Journal:  J Gen Intern Med       Date:  2011-02-01       Impact factor: 5.128

7.  Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.

Authors:  Kevin Haynes; Darren R Linkin; Neil O Fishman; Warren B Bilker; Brian L Strom; Eric A Pifer; Sean Hennessy
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8.  Preventability analysis of adverse drug reactions detected in two internal medicine departments in Romania.

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9.  Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting.

Authors:  Amber Porterfield; Kate Engelbert; Alberto Coustasse
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10.  Performance of trigger tools in identifying adverse drug events in emergency department patients: a validation study.

Authors:  Andrei Karpov; Catherine Parcero; Catherine P Y Mok; Chandima Panditha; Eugenia Yu; Linda Dempster; Corinne M Hohl
Journal:  Br J Clin Pharmacol       Date:  2016-07-08       Impact factor: 4.335

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