Fréquence des erreurs médicamenteuses

MacKenna, B., Curtis, H. J., Walker, A. J., Bacon, S., Croker, R., & Goldacre, B. (2020). Suboptimal prescribing behaviour associated with clinical software design features: a retrospective cohort study in English NHS primary care. British Journal of General Practice, 70(698), e636-e643

Koyama AK, Maddox CS, Li L, et al Effectiveness of double checking to reduce medication administration errors: a systematic review BMJ Quality & Safety 2020;29:595-603.

De Baetselier E, Van Rompaey B, Batalha LM, et al EUPRON: nurses’ practice in interprofessional pharmaceutical care in Europe. A cross-sectional survey in 17 countries

BMJ Open 2020;10:e036269. doi:10.1136/bmjopen-2019-036269

Sunshine, J. E., Meo, N., Kassebaum, N. J., Collison, M. L., Mokdad, A. H., & Naghavi, M. (2019). Association of adverse effects of medical treatment with mortality in the United States: A secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors Study. JAMA network open, 2(1), e187041-e187041.

Huckels-Baumgart, S., Baumgart, A., Buschmann, U., Schüpfer, G., & Manser, T. (2021). Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study. Journal of patient safety, 17(3), e161-e168.

Luetsch K, Rowett D, Twigg MJ A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why ? BMJ Quality & Safety 2021;30:418-430.

Procaccini D, Kim JM, Lobner K, Rowcliffe M & Mollenkopf N (2022). Medication Errors in Overweight and Obese Pediatric Patients : A Narrative Review. Joint Commission Journal on Quality and Patient Safety, 48(3), 154-164.

Shawahna R, Jaber M, Jumaa E, & Antari B (2022). Preventing Medication Errors in Pediatric Anesthesia : A Systematic Scoping Review. Journal of Patient Safety, 18(7), e1047-e1060.

Feather C, Appelbaum N, Darzi A, et al Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis BMJ Quality & Safety Published Online First: 14 February 2023. doi: 10.1136/bmjqs-2022-015452.

Nurek, M., Hay, A. D., & Kostopoulou, O. (2023). Comparing GPs’ antibiotic prescribing decisions to a clinical prediction rule: an online vignette study. British Journal of General Practice, 73(728), e176-e185.

Schnipper JL, Reyes Nieva H, Yoon C, et al What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study BMJ Quality & Safety 2023;32:457-469

Doherty, A. S., Boland, F., Moriarty, F., Fahey, T., & Wallace, E. (2023). Adverse drug reactions and associated patient characteristics in older community-dwelling adults: a 6-year prospective cohort study. British Journal of General Practice, 73(728), e211-e219.

Bates, D., Cullen, D., Laird, N. & al. Incidence of adverse drug events and potential adverse drug events: implication for prevention. 1995, JAMA, 274, 29-34.

Fasting S, Gisvold SE. Adverse drug errors in anesthesia, and the impact of coloured syringe labels. Can J Anaesth. 2000 Nov;47(11):1060-7.

Orser B., Chen R. Yee D Medication errors in anesthetic practice: a survey of 687 practitioners, Can J Anaesth. 2001 Feb;48(2):139-46.

Bégaud, B., Martin, K. Haramburu, F., Moore, N. Rates of Spontaneous Reporting of Adverse Drug Reactions in France, 2002, JAMA, 288: 1588

Teichman PG, Caffee AE (2002) Prescription writing to maximize patient safety, Family Pract Manag. 9(7):27-30.

Van Den Bemt P., Fijn R., Van der Voort P., Gossen A ; Egberts T., Brouwers J. Frequency and determinants of drug administration errors in the intensive care unit, Crit Care Med 2002 Vol.

Barker ,K. Flynn,E.; Pepper,G., Bates, D.,  Mikeal, R. Medication Errors Observed in 36 Health Care Facilities, Arch Intern Med. 2002; 162:1897-1903

Runciman WB, Roughead EE, Semple SJ, Adams RJ (2003) Adverse drug events and medications errors in Australia. Int J Quality in Health Care. 15: i49-i59.

Guignard E, Schneider M-P, Favrat B, « et al » (2004) Erreurs médicamenteuses en ambulatoire : problématique, prévention autour de l’ordonnance et amélioration de l’information aux patients. Revue Médicale Suisse. 499

Ellenbecker C., Frazier S., Vzerney, S., Nurses’ observations and experiences of problems and Advese effects of medication Management in Home Care, Geriatr Nurs 2004, 25 :164-70

Spinewine A, Swine C, Dhillon S, et al. Inappropriate use of medicines in acute care for the elderly related to a focus on acute care, providers’ passive attitudes about learning, and paternalistic decision making BMJ 2005;331:935.

Sorensen L., Stokes J., Purdie D., Woodward M., Roberts M. Medication management at home: medication-related risk factors associated with poor health outcomes, Age and Ageing 2005; 34: 626–632

Hansen LB, Fernald D, Araya-Guerra R, “et al.” (2006) Pharmacy clarification of prescriptions ordered in primary care : a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. J Am Board Fam Med. 19(1):24-30.

Royal S, Smeaton L, Avery AJ, “et al.” (2006) Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis. Qual Saf Health Care. 15(1):23-31

Ruscin J.M., The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use Am J Geriatr Pharmacother. 2006 Dec;4(4):297-305.

Mallet L., Spinewine A,. The challenge of managing drug interactions in elderly people, Lancet, 2008 370(9582): 185-91

Spinewine A, Schmader K., Barber N., Hughes C. Swine C, Hanlon J.. appropriate prescribing in elderly people : how well can it be measured and optimized?Lancet, 2008, 370(9582): 173-84

Spinewine A. Adverse Drug Reactions in Elderly People : the challenge of safer prescribing, BMJ 2008, 336 : 956

Gallagher P., O’Mahony D., STOPP (Screening Tool of Older Persons’ potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers’ criteria Age and Ageing 2008; 37: 673–679

Cecile  M, Seux S, Pauly V, Tassy S, Reynaud-Levy O, Dalco O, Thirion X, Soubeyrand J, Retornaz  F.c, Accidents iatrogènes médicamenteux chez le sujet âgé hospitalisé en court séjour gériatrique : étude de prévalence et des facteurs de risques La revue de médecine interne Volume 30, numéro 5 : 393-400 (mai 2009)

Wesell M., Litvin C., Jenkins R., Nietert P., Nemeth L. Ornstein S. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner, Research Network, Qual Saf Health Care doi:10.1136/qshc.2009.034678, published on line

Greene S., Williams C., Pierson S., Hansen R., Carey T. Medication error reporting in nursing homes: identifying targets for patient safety improvement, Qual Saf Health Care 2010;19:218-222

Kane-Gill  S., Kowiatek J., Weber R. A comparison of voluntarily reported medication errors in intensive care and general care units, Qual Saf Health Care 2010;19:55-59

Lisby M., Nielsen L., Brock B. Mainz J. How are medication errors defined? A systematic literature review of definitions and characteristics, Int J. Qual Health Care, 2010, 22, 507-18

O’Mahony D., Gallagher P., Ryan C., Byrne S., Hamilton H., P. Barry a, M. O’Connor a, J. Kennedy STOPP & START criteria: A new approach to detecting potentially inappropriate prescribing in old age, European Geriatric Medicine 1 (2010) 45–51

Scobie A., Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults Int. Journal for Quality in Health Care 2011, Volume23, Issue2 182-186

Piazza G, Nguyen TN, Cios D, Labreche M, Hohlfelder B, Fanikos J, et al. Anticoagulation-associated Adverse Drug Events. The American Journal of Medicine. 2011 déc;124(12):1136–42.

Deen R. Use of Direct Observed Therapy to Confirm Compliance in a Warfarin Clinic. Journal of Patient Safety. 2011 déc;7(4):232–3.

Le Du S., Chopard P., Dessard-Choupay G. Les évènements déclencheurs ou triggers, Congrès international 2011 Bâle, PPT  libre d’accès

Kripalani S.,Roumie C., Dalal A.,  Cawthon C., Businger A., Eden S.,  Shintani, A.,  Cunningham Sponsler K., Harris, J., Theobald, C.- Huang, R., Scheurer, D., Hunt, S. , Jacobson, T. Rask, T., Vaccarino,  V. , Gandhi, T., Bates, D.; Williams, M.,  Schnipper,  for the PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group* Effect of a Pharmacist Intervention on Clinically Important Medication Errors After Hospital Discharge Ann Intern Med. 2012;157:1-10

Ahmad A., Nijpels G., Dekker J. Kostense P., Hugtenburg J. Effect of a Pharmacist Medication Review in Elderly Patients Discharged
From the Hospital, ARCH INTERN MED/VOL 172 (NO. 17), SEP 24, 2012 : 1346-47

Smith R., Gargon E., Kirkam J., Cresswell L., Golder S., Smyth R., Williamson P., Adverse drug reactions in children-a systematic review, PLoS One, 2012, 7, 3: é24061-1-10

102 études incluses dans la revue. 61% des études parlent des causes des erreurs, 34% évaluent la sévérité des conséquences. Seulement 19% évaluent l’évitabilité. Les taux d’incidences vont de 0,4% à 10,3% tous âges et lieux confondus (moyenne estimée à 2,9%), et 0,6 à 16,1% à l’hôpital. Les antibiotiques et les antiépileptiques étaient la source la plus importante d’erreurs à l’hôpital, alors que les antibiotiques et les anti-inflammatoires non-stéroïdiens étaient les molécules les plus souvent incriminées en soins primaires.

Linsky, Amy, et Steven R. Simon. « Medication Discrepancies in Integrated Electronic Health Records ». BMJ Quality & Safety (octobre 25, 2012).

Mueller S., Sponsler Cunningham K., Kripalani S., Schnipper L., Hospital-based medication reconciliation practices, a systematic reviex, Arch Int Med 2012, 172 (14) 1057-1069

Thorpe C., Lassila H., O’Neil C., Thorpe J., Hanlon J., Maher R. Reconsideration of key articles regarding medication related problem in older adults from 2011, Am J Geriatr Pharmacother . 2012 February ; 10(1): 2–13

2012_the American Geriatrics society 2012 Beers criteria Update Expert panel American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults

Rennke S., Nguyen O., Shoeb M., Magan Y., Watcher R., RNaji S. Hospital-Initiated Transitional Care Interventions as a Patient Safety Strategy : A Systematic Review ; Ann Intern Med. 2013;158:433-440.

Kwan J., Lo L., Sampson M., Shojana K. Medication Reconciliation During Transitions of Care as a Patient Safety Strategy A Systematic Review, Ann Intern Med. 2013;158:397-403.

Spinewine A., Claeys C.n Foulon V., Chevalier P. Approaches for improving continuity of care in medication management : a systematic review, Int J. Quality Helath Care, 2013, 25, 4, 403-10

Raban M., Westbrook J. Are interventions to reduce interruptions and errors during medication administration effective? a systematic review, BMJQS, online august

Raban M., Westbrook J., Are interventions to reduce interruptions and errors during medication administration effective ? a sysztematic review, BMJ QUal Saf 2014, 23:414-421

Wittich, C.,. Burkle C., et Lanier W. Medication Errors: An Overview for Clinicians. Mayo Clinic Proceedings 89, no 8 (1 août 2014): 1116 25.

Linder J., Doctor J., Friedberg M., Reyes Nieva H., Birks C., Meeker D., Fox C.   TIme of day and the decision to prescribe antibiotics  JAMA Internal Medicine, 6 octobre 2014.

Smith M., Spiller H., Casavant M., Chounthirath T., Brophy T., Xiang H..  Out-of-Hospital Medication Errors Among Young Children in the United States, 2002–2012 Pediatrics 134, no 5 (11 janvier 2014): 867 76.

Checci K., Huybrechts K., Avorn J., Kesselheim A., Electronic Medication packaging devices and medication adherence, A systematic review, JAMA, 2014, 312 (12) 1237-47
 

Jolivot, P., Hindlet P., Pichereau C., Fernandez C., Maury E., Guidet B., Hejblum G.. A Systematic Review of Adult Admissions to ICUs Related to Adverse Drug Events . Critical Care 18, no 6 (25 novembre 2014): 643.

Prakash V., Koczmara C., Savage P., Trip K., Stewart J., Mc Curdie T., Cafazzo J., Trbovich P., Mitigating errors caused by interruptions during medication verification and administration : interventions in a simulated ambulatory chemotherapy setting, BMJ Qual Saf, 2014, 23 :884-92

Westbrook J., Li L., Lehbom E., Baysari M., Braithwayte J., Burke R., Conn C., Day R., What are incidents reports telling us ? a comparative study of two Australian Hospitals of medication  errors identified at audit, detected by staff, and reported to an incident system, IJQHC, 2015, 27(1), 1-9

Haut, E. R., Lau, B. D., Kraus, P. S., Hobson, D. B., Maheshwari, B., Pronovost, P. J., & Streiff, M. B. (2015). Preventability of Hospital-Acquired Venous Thromboembolism. JAMA surgery. 

Schroeder, S., Salomon M., Galanter W., Schiff G., Vaida A., Gaunt M., Bryson M., Rash C., Falck S., Lambert B. Cognitive Tests Predict Real-World Errors: The Relationship between Drug Name Confusion Rates in Laboratory-Based Memory and Perception Tests and Corresponding Error Rates in Large Pharmacy Chains  BMJ Quality & Safety, 18 mai 2016, bmjqs-2015-005099.

Krzyzaniak N., Bajorek B.  Medication Safety in Neonatal Care: A Review of Medication Errors among Neonates. Therapeutic Advances in Drug Safety 7, n^o 3 (1 juin 2016): 102‑19.

Truitt E., Thompson R., Blazey-Martin D., NiSai D., Salem D. Effect of the Implementation of Barcode Technology and an Electronic Medication Administration Record on Adverse Drug Events. Hospital PharmacyJune 2016, Vol. 51, No. 6, pp. 474-483.

Shane R.. Why ‘Universal Precautions’ Are Needed for Medication Lists. BMJ Quality & Safety 25, no. 9 (September 1, 2016): 731–32.

Sheha, N., Lovegrove M., Geller A., Rose K., Weidle N., Budnitz D. US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. JAMA 316, no. 20 (November 22, 2016): 2115–25.

Piriou V., Collomp R., Theissen A. Prévention des erreurs médicamenteuses en anesthésie et en réanimation. Synthèse des recommandations de la SFAR en partenariat avec la SFPC. Actualisation 2016, Risques & Qualité – Volume XIV – n°1 – Mars 2017

Meyer D., Letalon E., Mechin C., Rocatcher P., Circuit du médicament en établissement de santé : état d’urgence ? Risques & Qualité – Volume XIV – n°1 – Mars 2017

Tamma P., Avdic E., Li D. Association of Adverse Events With Antibiotic Use in Hospitalized Patients JAMA Intern Med. 2017;177(9):1308-1315. doi:10.1001/jamainternmed.2017.1938

Storms H., Marquet K., Aertgeerts B. Claes N. Prevalence of inappropriate medication use in residential long-term care facilities for the elderly: A systematic review, European Journal of General Practice, 23:1, 69-77, (2017) DOI: 10.1080/13814788.2017.1288211

Lauffenburger JC, Choudhry NK. A Call for a Systems-Thinking Approach to Medication AdherenceStop Blaming the Patient. JAMA Intern Med. 2018;178(7):950–951. doi:10.1001/jamainternmed.2018.0790

Lunevicius R., Haagsma J.; Incidence and mortality from adverse effects of medical treatment in the UK, 1990–2013: levels, trends, patterns and comparisons, International Journal for Quality in Health Care, Volume 30, Issue 7, 1 August 2018, Pages 558–564, 

Schnipper, J. L., Mixon, A., Stein, J., Wetterneck, T. B., Kaboli, P. J., Mueller, S., .& Goldstein, J. (2018). Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. BMJ Qual Saf, 27(12), 954-964.doi:10.1136/bmjqs-2018-008233 

Hayhoe B.,  Cespedes J.,  Foley K.,  Majeed A.,  Ruzangi J.,  Greenfield G. Impact of integrating pharmacists into primary care teams on health systems indicators: a systematic review British Journal of General Practice 2019; 69 (687): e665-e674. DOI: 10.3399/bjgp19X705461

Sheikh A Realising the potential of health information technology to enhance medication safety BMJ Quality & Safety  Published Online First: 13 September 2019. doi: 10.1136/bmjqs-2019-010018