A Randomized Trial of the Effectiveness and Efficiency of Interventions to Reduce Potential Drug Interactions in Primary Care

López-Picazo, J.J.; Ruiz, Juan Cámara; Sánchez, José Félix Baselga; Ariza, Angeles; Aguilera, Belén

doi:10.1177/1062860610380898

Cited by 14 publications

(53 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thirty-six studies evaluating interventions to prevent errors in primary care were reviewed -computerisation including provider order entry systems, electronic prescribing, clinical decision support/clinical alerts and electronic health records, [12,13,59,[61][62][63][64][65][66][70][71][72]89] personal digital assistants, [67] educational outreach and prescribing support, [14,65,[74][75][76][77][78][79]90] formularies, [74,75] pharmacist-led interventions, [72,74,[80][81][82] barcode systems, [84] medication reconciliation and patient engagement, [85,86,91,92] and quality management strategies [87] (Table 3).…”

Section: Interventions To Reduce Medication Errors In Primary Carementioning

confidence: 99%

Safety of medication use in primary care

Olaniyan

Ghaleb

Dhillon

et al. 2014

International Journal of Pharmacy Practice

View full text Add to dashboard Cite

Keywords AbstractBackground Medication errors are one of the leading causes of harmin health care. Review and analysis of errors have often emphasized their preventable nature and potential for reoccurrence. Of the few error studies conducted in primary care to date, most have focused on evaluating individual parts of the medicines management system. Studying individual parts of the system does not provide a complete perspective and may further weaken the evidence and undermine interventions. Aim and Objectives The aim of this review is to estimate the scale of medication errors as a problem across the medicines management system in primary care. Objectives were: 1. To review studies addressing the rates of medication errors, and 2. To identify studies on interventions to prevent medication errors in primary care. Methods A systematic search of the literature was performed in PubMed (MEDLINE), International Pharmaceutical Abstracts (IPA), Embase, PsycINFO, PASCAL, Science Direct, Scopus, Web of Knowledge, and CINAHL PLUS from 1999 to November, 2012. Bibliographies of relevant publications were searched for additional studies. Key findings Thirty-three studies estimating the incidence of medication errors and thirty-six studies evaluating the impact of error-prevention interventions in primary care were reviewed. This review demonstrated that medication errors are common, with error rates between <1% and >90%, depending on the part of the system studied, and the definitions and methods used. The prescribing stage is the most susceptible, and that the elderly (over 65 years), and children (under 18 years) are more likely to experience significant errors. Individual interventions demonstrated marginal improvements in medication safety when implemented on their own. Conclusion Targeting the more susceptible population groups and the most dangerous aspects of the system may be a more effective approach to error management and prevention. Co-implementation of existing interventions at points within the system may offer time-and cost-effective options to improving medication safety in primary care.

show abstract

Section: Interventions To Reduce Medication Errors In Primary Carementioning

confidence: 99%

Safety of medication use in primary care

Olaniyan

Ghaleb

Dhillon

et al. 2014

International Journal of Pharmacy Practice

View full text Add to dashboard Cite

show abstract

“…We identified 3338 potentially eligible studies of which 38 met criteria for inclusion (eFigure 1 in the Supplement ). 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 These studies enrolled more than 15 659 health care professionals (median, 180.5; IQR, 68-353; 28 studies reporting this information) and collected data on more than 1 963 197 patients (median, 4763; IQR, 1622-169 447; 16 studies reporting). Three studies 40 , 42 , 62 were translated from a non-English language (2 German and 1 Spanish).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies 40 , 42 , 62 were translated from a non-English language (2 German and 1 Spanish). Five studies included more than 2 arms, 31 , 33 , 48 , 54 , 59 resulting in more than 1 relevant comparison per study. After describing overall study features and quality, we report educational costs, health care cost impact, and educational costs combined with effectiveness outcomes (cost-effectiveness and net benefit).…”

Section: Resultsmentioning

confidence: 99%

“…Table 1 reports a summary of key features, and eTable 1 in the Supplement contains detailed information for each study. We distinguished studies that evaluated the cost of (expenses incurred in implementing) the CPD activity (12 studies 31 , 32 , 38 , 46 , 47 , 48 , 54 , 56 , 59 , 60 , 63 , 66 ) and studies that evaluated health care costs after a CPD activity (35 studies 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 61 , 62 , 63 , 64 , 65 , 67 ).…”

Section: Resultsmentioning

confidence: 99%

“…Instructional modalities included paper materials (26 studies 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 41 , 45 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 60 , 61 , 63 , 64 , 67 ), face-to-face small groups or 1-on-1 outreach (22 studies 30 , 31 , 33 , 35 , 36 , 40 , 42 , 43 , 44 , 46 , 48 , 49 , 50 , 53 , 54 , 56 , 58 , 59 , 60 , 62 , 63 , 65 ), performance audit and feedback (19 studies 35 , 37 , 38 , 39 , 42 , 43 , 44 , 45 , 46 , 49 , 51 ,…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Cost-effectiveness and Economic Benefit of Continuous Professional Development for Drug Prescribing

et al. 2022

View full text Add to dashboard Cite

Key Points Question What are the comparative costs and benefits of physician continuous professional development (CPD) for drug prescribing? Findings In this systematic review of 38 studies, CPD was associated with reduced health care costs (median drug cost savings of $79 373) compared with no training. More intensive CPD (compared with no training or less intensive interventions) was associated with improved effectiveness (prescribing) outcomes but incurred greater education costs (incremental cost of $3 to $4105 per physician per standardized effectiveness change). Meaning These results suggest that physician CPD for drug prescribing is associated with reduced health care costs and that both effectiveness outcomes and costs should be considered when making education decisions.

show abstract