Interventions to improve reporting of medication errors in hospitals: a systematic review and narrative synthesis

dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorGleeson, Laura
dc.contributor.authorDalton, Kieran
dc.contributor.authorO'Mahony, Denis
dc.contributor.authorByrne, Stephen
dc.description.abstractBackground: In 2017, the World Health Organisation pledged to halve medication errors by 2022. In order to learn from medication errors and prevent their recurrence, it is essential that medication errors are reported when they occur. Objectives: The aim of this systematic review was to identify studies in which interventions were carried out in hospitals to improve medication error reporting, to summarise the findings of these studies, and to make recommendations for future investigations. Methods: A comprehensive search of five electronic databases (PubMed, Medline (OVID), Embase (OVID), Web of Science, and CINAHL) was conducted from inception up to and including December 2018. Studies were included if they described an intervention aiming to increase the reporting of medication errors by healthcare providers in hospitals and excluded if there was no full-text English language version available, or if the reporting rate in the hospital prior to the intervention was not available. Data extracted from included studies were described using narrative synthesis. Results: Of 12,025 identified studies, seventeen were included in this review - fifteen uncontrolled before versus after studies, one survey and one non-equivalent group controlled trial. Five studies carried out a single intervention and twelve studies conducted multifaceted interventions. The most common intervention types were critical incident reporting, implemented in fifteen studies, and audit and feedback, implemented in seven studies. Other intervention types included educational materials, educational meetings, and role expansion and task shifting. As only one study compared a control and intervention group, the effectiveness of the different intervention types could not be evaluated. Conclusion: This is the first review to address the evidence on medication error reporting in hospitals on a global scale. The review has identified interventions to improve medication error reporting that were implemented without evidence of their effectiveness. Due to the essential role played by incident reporting in learning from and preventing the recurrence of medication errors more research needs to be done in this area.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.identifier.citationGleeson, L., Dalton, K., O'Mahony, D. and Byrne, S. (2019) 'Interventions to improve reporting of medication errors in hospitals: A systematic review and narrative synthesis', Research in Social and Administrative Pharmacy, (9 pp). doi: 10.1016/j.sapharm.2019.12.005en
dc.identifier.journaltitleResearch In Social And Administrative Pharmacyen
dc.rights© 2019 Elsevier Inc. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 licence.en
dc.subjectMedication errorsen
dc.subjectInappropriate medicationen
dc.subjectPatient harmen
dc.subjectSafety cultureen
dc.subjectHealthcare errorsen
dc.titleInterventions to improve reporting of medication errors in hospitals: a systematic review and narrative synthesisen
dc.typeArticle (peer-reviewed)en
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