U.S. Department of Health & Human Services
Outpatient adverse drug events identified by screening electronic health records.
Gandhi TK, Seger AC, Overhage JM, et al. J Patient Saf. 2010;6;91-96.
Adverse drug events (ADEs) are common in
. One classic
estimated the incidence of medication errors in outpatients at 27 per 100 patients over a 4-week period, higher than in hospitalized patients. However, ADEs may be difficult to identify in routine practice, as patients are not monitored as closely as in the inpatient setting. This study screened electronic medical records for evidence of ADEs using several different algorithms, and identified one ADE for every seven patient-years, most of which were not considered preventable. The highest yield screening algorithms were
that identified patients with abnormal lab values in combination with high-risk medications. An outpatient medication error due to a pharmacy dispensing error is discussed in an AHRQ WebM&M
Predictive value of alert triggers for identification of developing adverse drug events.
Moore C, Li J, Hung CC, Downs J, Nebeker JR. J Patient Saf. 2009;5:223-228.
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.
Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.
Assessing the value of electronic prescribing in ambulatory care: A focus group study.
Weingart SN, Massagli M, Cyrulik A, et al. Int J Med Inform. 2009;78:571-578.
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