Chronology of prescribing error during the hospital stay and prediction of pharmacist's alerts overriding: a prospective analysis.

Abstract:

BACKGROUND:Drug prescribing errors are frequent in the hospital setting and pharmacists play an important role in detection of these errors. The objectives of this study are (1) to describe the drug prescribing errors rate during the patient's stay, (2) to find which characteristics for a prescribing error are the most predictive of their reproduction the next day despite pharmacist's alert (i.e. override the alert). METHODS:We prospectively collected all medication order lines and prescribing errors during 18 days in 7 medical wards' using computerized physician order entry. We described and modelled the errors rate according to the chronology of hospital stay. We performed a classification and regression tree analysis to find which characteristics of alerts were predictive of their overriding (i.e. prescribing error repeated). RESULTS:12 533 order lines were reviewed, 117 errors (errors rate 0.9%) were observed and 51% of these errors occurred on the first day of the hospital stay. The risk of a prescribing error decreased over time. 52% of the alerts were overridden (i.e error uncorrected by prescribers on the following day. Drug omissions were the most frequently taken into account by prescribers. The classification and regression tree analysis showed that overriding pharmacist's alerts is first related to the ward of the prescriber and then to either Anatomical Therapeutic Chemical class of the drug or the type of error. CONCLUSIONS:Since 51% of prescribing errors occurred on the first day of stay, pharmacist should concentrate his analysis of drug prescriptions on this day. The difference of overriding behavior between wards and according drug Anatomical Therapeutic Chemical class or type of error could also guide the validation tasks and programming of electronic alerts.

journal_name

BMC Health Serv Res

authors

Caruba T,Colombet I,Gillaizeau F,Bruni V,Korb V,Prognon P,Bégué D,Durieux P,Sabatier B

doi

10.1186/1472-6963-10-13

subject

Has Abstract

pub_date

2010-01-12 00:00:00

pages

13

issn

1472-6963

pii

1472-6963-10-13

journal_volume

10

pub_type

杂志文章
  • Organisation and financing of the health care systems of Bulgaria and Greece -- what are the parallels?

    abstract:BACKGROUND:The Bulgarian and Greek Medical Care systems have been reformated the last fifteen years. The aim of this study was an examination and comparison of the Bulgarian and Greek Medical Care Systems. METHODS:This study was prepared by using all the published data related to both Bulgarian and Greek Medical Care ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-5-41

    authors: Exadaktylos NM

    更新日期:2005-05-28 00:00:00

  • Prevention of mother-to-child transmission of HIV in Kenya: challenges to implementation.

    abstract:BACKGROUND:The prevention of mother-to-child transmission of human immunodeficiency virus (HIV) is lauded as one of the more successful HIV prevention measures. However, despite some gains in the prevention of mother-to-child transmission of HIV (PMTCT) in sub-Saharan Africa, mother-to-child transmission rates are stil...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-14-S1-S10

    authors: du Plessis E,Shaw SY,Gichuhi M,Gelmon L,Estambale BB,Lester R,Kimani J,Avery LS

    更新日期:2014-01-01 00:00:00

  • Treatment incidence of and medical utilization for hospitalized subjects with pathologic fractures in Taiwan-Survey of the 2008 National Health Insurance data.

    abstract:BACKGROUND:Almost all studies of pathologic fractures have been conducted based on patients with tumours and hospital-based data; however, in the present study, a nationwide epidemiological survey of pathologic fractures in Taiwan was performed and the medical utilization was calculated. METHODS:All claimants of Taiwa...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-11-230

    authors: Lee YH,Hsu YN,Yu IL,Phan DV,Chou P,Chan CL,Yang NP

    更新日期:2011-09-22 00:00:00

  • Patient satisfaction, patients leaving hospital against medical advice and mortality in Italian university hospitals: a cross-sectional analysis.

    abstract:BACKGROUND:Healthcare systems are increasingly focusing on outcomes that are the endpoints of care: patient health status and patient satisfaction. The availability of patient satisfaction (PS) data has encouraged research on its relationship with other outcomes, such as mortality. In Italy, an inter-regional performan...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-018-2846-y

    authors: Grillo Ruggieri T,Berta P,Murante AM,Nuti S

    更新日期:2018-01-29 00:00:00

  • Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis.

    abstract:BACKGROUND:The objective of this paper is to identify the key conditions that positively affect the use of e-health services in Central Eastern Europe (CEE) countries. CEE countries after the political and economic transformation in 1989/90 implemented slightly different national health care models. The research questi...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-5034-9

    authors: Ćwiklicki M,Schiavone F,Klich J,Pilch K

    更新日期:2020-03-04 00:00:00

  • Managerial features and outcome in neonatal intensive care units: results from a cluster analysis.

    abstract:BACKGROUND:Healthcare organisations differ in performance even if they are located in the same country or region. Suitable managerial practices and organisational processes can lead to better health outcomes. As a result, hospitals are constantly looking for managerial arrangements that can improve outcomes and keep co...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05796-0

    authors: Fanelli S,Bellù R,Zangrandi A,Gagliardi L,Zanini R

    更新日期:2020-10-16 00:00:00

  • Determinants of adherence to wrap-around care in child and family services.

    abstract:BACKGROUND:The aim of this study is to understand the determinants of adherence to wrap-around care (WAC) by professional care providers working in child and family services. WAC is a care coordination method targeting families with complex needs. The core components of WAC involve activating family members and the soc...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3774-6

    authors: Pannebakker NM,Fleuren MAH,Vlasblom E,Numans ME,Reijneveld SA,Kocken PL

    更新日期:2019-01-28 00:00:00

  • Determinants of client satisfaction with family planning services in public health facilities of Jigjiga town, Eastern Ethiopia.

    abstract:BACKGROUND:Client satisfaction is the best indicator of quality service provision and has been found to correlate with continuity of care perceived by the client. The measurement of client satisfaction helps in understanding willingness and decisions to return for future services. Thus, this study aimed at assessing th...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4475-5

    authors: Gebreyesus A

    更新日期:2019-09-02 00:00:00

  • 'A lifebuoy' and 'a waste of time': patients' varying experiences of multidisciplinary pain centre treatment- a qualitative study.

    abstract:BACKGROUND:The recognition of chronic pain as a biopsychosocial phenomenon has led to the establishment of multidisciplinary pain treatment facilities, such as pain centres. Previous studies have focussed on inpatient, group-based or time-limited multidisciplinary pain programmes. The aim was to investigate variation i...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4876-5

    authors: Nøst TH,Steinsbekk A

    更新日期:2019-12-30 00:00:00

  • A systematic review of the care coordination measurement landscape.

    abstract:BACKGROUND:Care coordination has increasingly been recognized as an important aspect of high-quality health care delivery. Robust measures of coordination processes will be essential tools to evaluate, guide and support efforts to understand and improve coordination, yet little agreement exists among stakeholders about...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/1472-6963-13-119

    authors: Schultz EM,Pineda N,Lonhart J,Davies SM,McDonald KM

    更新日期:2013-03-28 00:00:00

  • Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries.

    abstract:BACKGROUND:Different service characteristics are known to influence mental health care delivery. Much less is known about the impact of contextual factors, such as the socioeconomic circumstances, on the provision of care to socially marginalized groups.The objectives of this work were to assess the organisational char...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-49

    authors: Costa D,Matanov A,Canavan R,Gabor E,Greacen T,Vondráčková P,Kluge U,Nicaise P,Moskalewicz J,Díaz-Olalla JM,Straßmayr C,Kikkert M,Soares JJ,Gaddini A,Barros H,Priebe S

    更新日期:2014-02-03 00:00:00

  • Patient satisfaction in an acute medicine department in Morocco.

    abstract:BACKGROUND:Patients' satisfaction is an important indicator for quality of care. Measuring healthcare quality and improving patient satisfaction have become increasingly prevalent, especially among healthcare providers and purchasers of healthcare. This is mainly due to the fact that consumers are becoming increasingly...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-149

    authors: Soufi G,Belayachi J,Himmich S,Ahid S,Soufi M,Zekraoui A,Abouqal R

    更新日期:2010-06-02 00:00:00

  • Immigrants' use of primary health care services for mental health problems.

    abstract:BACKGROUND:Equity in health care across all social groups is a major goal in health care policy. Immigrants may experience more mental health problems than natives, but we do not know the extent to which they seek help from primary health care services. This study aimed to determine a) the rate immigrants use primary h...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-341

    authors: Straiton M,Reneflot A,Diaz E

    更新日期:2014-08-13 00:00:00

  • Considering the case for an antidepressant drug trial involving temporary deception: a qualitative enquiry of potential participants.

    abstract:BACKGROUND:Systematic reviews of randomised placebo controlled trials of antidepressant medication show small and decreasing differences between pharmacological and placebo arms. In part this finding may relate to methodological problems with conventional trial designs, including their assumption of additivity between ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-64

    authors: Dowrick CF,Hughes JG,Hiscock JJ,Wigglesworth M,Walley TJ

    更新日期:2007-04-30 00:00:00

  • Mapping oral health related quality of life to generic health state values.

    abstract:BACKGROUND:A summary utility index is useful for deriving quality-adjusted life years (QALY) for cost analyses or disability weights for burden of disease studies. However, many quality of life instruments provide descriptive profiles rather than a single utility index. Transforming quality of life instruments to a uti...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-6-96

    authors: Brennan DS,Spencer AJ

    更新日期:2006-08-07 00:00:00

  • "Invisible" visual impairments. A qualitative study of stroke survivors` experience of vision symptoms, health services and impact of visual impairments.

    abstract:BACKGROUND:Visual impairments (VIs) have a negative impact on life and affect up to 60% of stroke survivors. Despite this, VIs are often overlooked. This paper explores how persons with VIs experience vision care within stroke health services and how VIs impact everyday life the first 3 months post stroke. METHODS:Ind...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05176-8

    authors: Falkenberg HK,Mathisen TS,Ormstad H,Eilertsen G

    更新日期:2020-04-15 00:00:00

  • Physicians' use of the 5As in counseling obese patients: is the quality of counseling associated with patients' motivation and intention to lose weight?

    abstract:BACKGROUND:Physicians are encouraged to counsel obese patients to lose weight, but studies measuring the quality of physicians' counseling are rare. We sought to describe the quality of physicians' obesity counseling and to determine associations between the quality of counseling and obese patients' motivation and inte...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-159

    authors: Jay M,Gillespie C,Schlair S,Sherman S,Kalet A

    更新日期:2010-06-09 00:00:00

  • Data verification at health centers and district health offices in Xiengkhouang and Houaphanh Provinces, Lao PDR.

    abstract:BACKGROUND:Routine health information is an essential health system building block. In low and low-middle income countries however, concerns about the quality of routine administrative data have often undermined their use. The purpose of the present study was to verify the data availability, and consistency of six key ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-255

    authors: Sychareun V,Hansana V,Phengsavanh A,Chaleunvong K,Eunyoung K,Durham J

    更新日期:2014-06-14 00:00:00

  • Association of waiting and consultation time with patient satisfaction: secondary-data analysis of a national survey in Peruvian ambulatory care facilities.

    abstract:BACKGROUND:Research suggested that waiting time and consultation time are associated with overall patient satisfaction concerning health services. However, there is a lack of information regarding this subject in Latin American countries, where particular aspects of health systems and population characteristics could m...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4288-6

    authors: Alarcon-Ruiz CA,Heredia P,Taype-Rondan A

    更新日期:2019-07-01 00:00:00

  • Is there a volume-quality relationship within the independent treatment centre sector? A longitudinal analysis.

    abstract:BACKGROUND:The number of independent treatment centres (ITCs) has grown substantially. However, little is known as to whether the volume-quality relationship exists within this sector and whether other possible organisational factors mediate this relationship. The aim of this study is to gain a better understanding of ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4467-5

    authors: Kruse FM,van Nieuw Amerongen MC,Borghans I,Groenewoud AS,Adang E,Jeurissen PPT

    更新日期:2019-11-21 00:00:00

  • Facilitated patient experience feedback can improve nursing care: a pilot study for a phase III cluster randomised controlled trial.

    abstract:BACKGROUND:England's extensive NHS patient survey programme has not fulfilled government promises of widespread improvements in patients' experiences, and media reports of poor nursing care in NHS hospitals are increasingly common. Impediments to the surveys' impact on the quality of nursing care may include: the fact ...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-13-259

    authors: Reeves R,West E,Barron D

    更新日期:2013-07-04 00:00:00

  • NGOs and government partnership for health systems strengthening: a qualitative study presenting viewpoints of government, NGOs and donors in Pakistan.

    abstract:BACKGROUND:Health systems are expected to serve the population needs in an effective, efficient and equitable manner. Therefore, the importance of strengthening of public, private and community health systems has been emphasized time and again. In most of the developing countries, certain weaknesses and gaps in the gov...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-11-122

    authors: Ejaz I,Shaikh BT,Rizvi N

    更新日期:2011-05-24 00:00:00

  • Impact of periodic health examination on surgical treatment for uterine fibroids in Beijing: a case-control study.

    abstract:BACKGROUND:During the past 2 decades, there has been a rapid proliferation of "health examination center (HEC)" across China. The effects of their services on public's health have not been systemically investigated. This study aimed to assess the impact of periodic health examination (PHE) at HEC on surgical treatment ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-329

    authors: Wu HY,Yang LL,Zhou S

    更新日期:2010-12-07 00:00:00

  • Identifying MSM-competent physicians in China: a national online cross-sectional survey among physicians who see male HIV/STI patients.

    abstract:BACKGROUND:Men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV) infection and sexually transmitted infection (STI) in China. Inadequate clinical services and poor clinical competency among physicians are major barriers to improving the sexual health of MSM. This study aims to understan...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3781-7

    authors: Zhao P,Cao B,Bien-Gund CH,Tang W,Ong JJ,Ding Y,Chen W,Tucker JD,Luo Z

    更新日期:2018-12-13 00:00:00

  • The dominance of the private sector in the provision of emergency obstetric care: studies from Gujarat, India.

    abstract:BACKGROUND:India has experienced a steep rise in institutional childbirth. The relative contributions of public and private sector facilities to emergency obstetric care (EmOC) has not been studied in this setting. This paper aims to study in three districts of Gujarat state, India:(a) the availability of EmOC faciliti...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1473-8

    authors: Salazar M,Vora K,De Costa A

    更新日期:2016-07-07 00:00:00

  • Impact evaluation of a healthy lifestyle intervention to reduce cardiovascular disease risk in health centers in San José, Costa Rica and Chiapas, Mexico.

    abstract:BACKGROUND:Previous healthy lifestyle interventions based on the Salud para Su Corazón curriculum for Latinos in the United States, and a pilot study in Guatemala, demonstrated improvements in patient knowledge, behavior, and clinical outcomes for adults with hypertension. This article describes the implementation of a...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-1248-7

    authors: Fort MP,Murillo S,López E,Dengo AL,Alvarado-Molina N,de Beausset I,Castro M,Peña L,Ramírez-Zea M,Martínez H

    更新日期:2015-12-28 00:00:00

  • Fetal Down syndrome screening models for developing countries; Part II: Cost-benefit analysis.

    abstract:BACKGROUND:To identify the most cost-beneficial model as a national policy of screening and diagnosis of fetal Down syndrome (DS) in developing countries. METHODS:Cost-benefit analysis (CBA) was performed based on the effectiveness and probabilities derived from a large prospective study on MSS (maternal serum screeni...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4699-4

    authors: Wanapirak C,Buddhawongsa P,Himakalasa W,Sarnwong A,Tongsong T

    更新日期:2019-11-27 00:00:00

  • An outreach intervention to implement evidence based practice in residential care: a randomized controlled trial [ISRCTN67855475].

    abstract:BACKGROUND:The aim of this project was to assess whether outreach visits would improve the implementation of evidence based clinical practice in the area of falls reduction and stroke prevention in a residential care setting. METHODS:Twenty facilities took part in a randomized controlled trial with a seven month follo...

    journal_title:BMC health services research

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1186/1472-6963-4-6

    authors: Crotty M,Whitehead C,Rowett D,Halbert J,Weller D,Finucane P,Esterman A

    更新日期:2004-04-06 00:00:00

  • The effects of oral clefts on hospital use throughout the lifespan.

    abstract:BACKGROUND:Oral clefts are one of the most common birth defects worldwide. They require multiple healthcare interventions and add significant burden on the health and quality of life of affected individuals. However, not much is known about the long term effects of oral clefts on health and healthcare use of affected i...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-58

    authors: Wehby GL,Pedersen DA,Murray JC,Christensen K

    更新日期:2012-03-09 00:00:00

  • The impact of facility audits, evaluation reports and incentives on motivation and supply management among family planning service providers: an interventional study in two districts in Maputo Province, Mozambique.

    abstract:BACKRGOUND:Good progress is being made towards universal access to contraceptives, however stock-outs still jeopardize progress. A seldom considered but important building block in optimizing supply management is the degree to which health workers feel motivated and responsible for monitoring supply. We explored how an...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2222-3

    authors: Vermandere H,Galle A,Griffin S,de Melo M,Machaieie L,Van Braeckel D,Degomme O

    更新日期:2017-05-02 00:00:00