Outpatient Prescription Errors: Detection, Analysis, and Impact on Safety

2014-07-23 21:47:00 | BioPortfolio


The purpose of this study is to better understand outpatient prescribing errors through clinic and pharmacy-based error reporting systems.


Medication errors cause substantial morbidity and mortality in the United States. However, relatively little is known about medication errors in the outpatient setting. The broad goal of this proposal is to improve outpatient safety. Specifically, this research plan promotes the understanding of the causes of outpatient prescription errors. The specific aims of this project are:

1. To develop and evaluate a novel reporting system in physicians' offices for detecting prescription errors

2. To develop and evaluate a novel improvement system in community pharmacies to increase prescription error reporting by pharmacists

3. To analyze reports of outpatient prescription errors and understand their root causes

To achieve these specific aims, statewide research will be conducted utilizing qualitative and quantitative methods including root cause analysis, failure mode and effects analysis, and surveys. This research plan will promote patient safety by furthering the understanding of the causes of outpatient prescription errors in all outpatient populations, including rural, women, children, elderly, low income, and the chronically ill.

Study Design

Additional Descriptors: Convenience Sample, Observational Model: Natural History, Time Perspective: Cross-Sectional, Time Perspective: Retrospective/Prospective


Medication Errors


reporting system


University of Vermont, Division of General Internal Medicine
United States


Active, not recruiting


University of Vermont

Results (where available)

View Results


Published on BioPortfolio: 2014-07-23T21:47:00-0400

Clinical Trials [629 Associated Clinical Trials listed on BioPortfolio]

Reduce Medication Errors by Translating AESOP Model Into CPOE Systems

Medication errors are common, life-threatening, costly but preventable. Information technology and automated systems are highly efficient for preventing medication errors and therefore wid...

Improving Parental Understanding of Medication Instructions Through a Pictogram-Based Intervention

Liquid medication administration errors are common, and place children at risk for adverse events. Caregivers with low socioeconomic status (SES), low education and poor health literacy s...


Background: The incidents related to medication are an important cause of avoidable health damage in the perioperative environment. Objectives: Describe the incidents related to medicatio...

Impact of Vendor Systems on Ambulatory Medication Safety

Our objective is to determine the effects of electronic prescribing on medication safety including medication errors, near misses and preventable adverse drug events in the ambulatory sett...

Serious Medication Errors in Pediatrics: Evaluation of Prevention Strategies

The purpose of this study is to determine how effective ward-based clinical pharmacists and computerized physician order entry systems are in reducing serious medication errors in pediatri...

PubMed Articles [11181 Associated PubMed Articles listed on BioPortfolio]

Student perceptions of faculty feedback following medication errors - A descriptive study.

Nursing students make medication errors as they progress through educational programs. It is important that faculty feedback is such that students feel comfortable reporting subsequent medication erro...

Nurses' identification and reporting of medication errors.

The purpose of the study was to investigate hospital nurses' involvement in the identification and reporting of medication errors in Turkey.

Understanding the human and system factors involved in medication errors.

Medication errors involving patients are a serious concern in healthcare practice. Nurses, more than any other healthcare professional group, are principally involved in medicines administration. This...

Prevention of medication errors at hospital admission: a single-centre experience in elderly admitted to internal medicine.

Background Transition of care on admission to the hospital and between clinical areas are risk points for medication errors. All type of medication errors can be reduced by improving communication at ...

Specifications of Computerized Provider Order Entry and Clinical Decision Support Systems for Cancer Patients Undergoing Chemotherapy: A Systematic Review.

Chemotherapy medication errors are catastrophic. The prescription phase in the chemotherapy process plays a key role in the creation of medication errors, and therefore the use of computerized physici...

Medical and Biotech [MESH] Definitions

Errors or mistakes committed by health professionals which result in harm to the patient. They include errors in diagnosis (DIAGNOSTIC ERRORS), errors in the administration of drugs and other medications (MEDICATION ERRORS), errors in the performance of surgical procedures, in the use of other types of therapy, in the use of equipment, and in the interpretation of laboratory findings. Medical errors are differentiated from MALPRACTICE in that the former are regarded as honest mistakes or accidents while the latter is the result of negligence, reprehensible ignorance, or criminal intent.

Errors in prescribing, dispensing, or administering medication with the result that the patient fails to receive the correct drug or the indicated proper drug dosage.

A measure of PATIENT SAFETY considering errors or mistakes which result in harm to the patient. They include errors in the administration of drugs and other medications (MEDICATION ERRORS), errors in the performance of procedures or the use of other types of therapy, in the use of equipment, and in the interpretation of laboratory findings and preventable accidents involving patients.

The formal process of obtaining a complete and accurate list of each patient's current home medications including name, dosage, frequency, and route of administration, and comparing admission, transfer, and/or discharge medication orders to that list. The reconciliation is done to avoid medication errors.

Overall systems, traditional or automated, to provide medication to patients in hospitals. Elements of the system are: handling the physician's order, transcription of the order by nurse and/or pharmacist, filling the medication order, transfer to the nursing unit, and administration to the patient.

More From BioPortfolio on "Outpatient Prescription Errors: Detection, Analysis, and Impact on Safety"

Quick Search


Relevant Topics

Pharmacy is the science and technique of preparing as well as dispensing drugs and medicines. It is a health profession that links health sciences with chemical sciences and aims to ensure the safe and effective use of pharmaceutical drugs. The scope of...

Public Health
Alternative Medicine Cleft Palate Complementary & Alternative Medicine Congenital Diseases Dentistry Ear Nose & Throat Food Safety Geriatrics Healthcare Hearing Medical Devices MRSA Muscular Dyst...

Women's Health
Women's Health - key topics include breast cancer, pregnancy, menopause, stroke Follow and track Women's Health News on BioPortfolio: Women's Health News RSS Women'...

Searches Linking to this Trial