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Lessons learned: using adverse incident reports to investigate the characteristics and causes of prescribing errors.

Natalie M LaneIan Hunter
Published in: BMJ open quality (2021)
This study establishes that systematic analysis of adverse incident reports can efficiently identify the characteristics and contributing factors of common prescribing errors, in a manner useful for targeting quality improvement. Furthermore, this study produced a number of salient findings. First, a narrow range of drugs were implicated in the majority of incidents. Second, a small number of error types were highly recurrent. Lastly, a range of contributing factors were evident, with those related to the working environment contributing to the majority of prescribing errors analysed.
Keyphrases
  • adverse drug
  • patient safety
  • primary care
  • quality improvement
  • cardiovascular disease
  • emergency department
  • type diabetes
  • electronic health record
  • drug induced
  • drug delivery
  • cancer therapy