The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data
نویسندگان
چکیده
Objective: We used MEDMARX, the national medication error-reporting program, to compare medication errors reported by critical access hospitals (CAHs) to those reported by non-Federal, general community hospitals. Methods: We used the availability of pharmacist support to represent the structure and process of medication use and within-cluster resampling to account for the correlation of error reports within hospitals. Results: CAHs with 15 or fewer hours of pharmacist support per week were significantly less likely to report “near miss” errors—a characteristic of high-reliability organizations—than general community hospitals with 24-hour pharmacist support. Conclusion: The severity of voluntarily reported medication errors is associated with the structure and process of medication use as indicated by the availability of pharmacist support. MEDMARX is a potential data source for patient safety organizations (PSO). PSOs must consider varying structure and process within reporting organizations and account for the correlation of data within clusters.
منابع مشابه
The need for organizational change in patient safety initiatives
OBJECTIVES This study describes a computer simulation model that has been developed to explore organizational changes required to improve patient safety based on a medication error reporting system. METHODS Model parameters for the simulation model were estimated from data submitted to the MEDMARX medication error reporting system from 570 healthcare facilities in the U.S. The model's results...
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