Improving Medication Error Reporting in Hospice Care

被引:11
作者
Boyer, Rachel [1 ]
McPherson, Mary Lynn [2 ]
Deshpande, Guarav [1 ]
Smith, Sheila Weiss [1 ]
机构
[1] Univ Maryland, Sch Pharm, Baltimore, MD 21201 USA
[2] Univ Maryland, Dept Pharm Practice & Sci, Baltimore, MD 21201 USA
关键词
medication error reporting; hospice; quality assurance; education; ADVERSE DRUG EVENTS;
D O I
10.1177/1049909109335145
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The aims of this study are to determine the incidence of medication errors, characterize the type/severity of errors, and estimate the impact of an educational intervention on medication error processes in a hospice population. Medication errors from 2 hospice organizations were collected and cooled for type of error/outcome severity. The educational intervention included a 2-hour in-service and twice weekly reminders. A Survey to assess participants' change in knowledge and attitudes regarding medication error reporting through the study period and was administered at 3 different time points. Data analysis revealed that medication error reporting increased in one hospice program, that participants' ability to correctly identify medication errors increased (P < .001), and awareness of medication errors in hospice care increased (P < .01) after the intervention.
引用
收藏
页码:361 / 367
页数:7
相关论文
共 12 条
[1]  
[Anonymous], 2004, NAT PAT SAF GOALS
[2]  
[Anonymous], PREV MED ERR QUAL CH
[3]   Preventing medication errors: A summary [J].
Bates, David W. .
AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY, 2007, 64 :S3-S9
[4]  
HARDEN S, ONE DEATH PER DAY DU
[5]  
*JCAHO, MED MAN STAND
[6]   Reporting medical errors to improve patient safety - Survey of physicians in teaching hospitals [J].
Kaldjian, Lauris C. ;
Jones, Elizabeth W. ;
Wu, Barry J. ;
Forman-Hoffman, Valerie L. ;
Levi, Benjamin H. ;
Rosenthal, Gary E. .
ARCHIVES OF INTERNAL MEDICINE, 2008, 168 (01) :40-46
[7]  
KIRKMAN TW, STAT US 1996
[8]   Serious adverse drug events reported to the food and drug administration, 1998-2005 [J].
Moore, Thomas J. ;
Cohen, Michael R. ;
Furberg, Curt D. .
ARCHIVES OF INTERNAL MEDICINE, 2007, 167 (16) :1752-1759
[9]   Adverse drug events and medication errors: detection and classification methods [J].
Morimoto, T ;
Gandhi, TK ;
Seger, AC ;
Hsieh, TC ;
Bates, DW .
QUALITY & SAFETY IN HEALTH CARE, 2004, 13 (04) :306-314
[10]  
*NCC MERP, 1998, MED ERR