A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Problems such as inaccurate allergy coding, spurious alerts that frustrate users and prompt inappropriate clinical responses, and workarounds that bypass safety features have been identified.
“inaccurate coding of allergies, 9 spurious alerts incurring user frustration and inappropriate clinical responses, 10 19 and workarounds which bypass intrinsic safety features 15 have been identified.”
From ‘Too much, too late’: mixed methods multi-channel video recording study of computerized decision support systems and GP prescribing (2013) · cites this paper as [10]
Cites
Incidence of Adverse Drug Events and Potential Adverse Drug Events: Implications for Prevention
Bates, D. W. (1995) · JAMA · doi:10.1001/jama.1995.03530010043033 · Cited by 2,127 · see citing works
Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors
Koppel, R. (2005) · JAMA · doi:10.1001/jama.293.10.1197 · Cited by 2,126 · see citing works
Adverse events in British hospitals: preliminary retrospective record review
Vincent, C. A., Neale, G., & Woloshynowych, M. (2001) · BMJ · doi:10.1136/bmj.322.7285.517 · Cited by 2,075 · see citing works
Medication Errors and Adverse Drug Events in Pediatric Inpatients
Kaushal, R. (2001) · JAMA · doi:10.1001/jama.285.16.2114 · Cited by 1,917 · see citing works
Relationship between medication errors and adverse drug events
Bates, D. W., Boyle, D. L., Vliet, M. B. V., Schneider, J., & Leape, L. (1995) · Journal of General Internal Medicine · doi:10.1007/bf02600255 · Cited by 981 · see citing works
Preventable adverse drug events in hospitalized patients
Cullen, D. J., Sweitzer, B. J., Bates, D. W., Burdick, E., Edmondson, A. C., & Leape, L. L. (1997) · Critical Care Medicine · doi:10.1097/00003246-199708000-00014 · Cited by 611 · see citing works
Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities
Flynn, E. A., Barker, K. N., Pepper, G. A., Bates, D. W., & Mikeal, R. L. (2002) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/59.5.436 · Cited by 449 · see citing works
Incidence and preventability of adverse drug events in hospitalized adults
Bates, D. W., Leape, L. L., & Petrycki, S. (1993) · Journal of General Internal Medicine · doi:10.1007/bf02600138 · Cited by 373 · see citing works
The Frequency and Potential Causes of Dispensing Errors in a Hospital Pharmacy
Beso, A., Franklin, B. D., & Barber, N. (2005) · Pharmacy World & Science · doi:10.1007/s11096-004-2270-8 · Cited by 184 · see citing works
Medication errors in paediatric practice: insights from a continuous quality improvement approach
Wilson, D. G., McArtney, R. G., Newcombe, R. G., McArtney, R., Gracie, J., Kirk, R., & Stuart, G. (1998) · European Journal of Pediatrics · doi:10.1007/s004310050932 · Cited by 178 · see citing works
Pharmacist participation in medical rounds reduces medication errors
Scarsi, K. K., Fotis, M. A., & Noskin, G. A. (2002) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/59.21.2089 · Cited by 141 · see citing works
Errors in the Use of Medication Dosage Equations
Lesar, T. S. (1998) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.152.4.340 · Cited by 129 · see citing works
Marx, D. A. (2003) · BMJ Quality & Safety · doi:10.1136/qhc.12.suppl_2.ii33 · Cited by 121 · see citing works
Effect of reactive pharmacy intervention on quality of hospital prescribing.
Hawkey, C. J., Hodgson, S., Norman, A., Daneshmend, T. K., & Garner, S. T. (1990) · BMJ · doi:10.1136/bmj.300.6730.986 · Cited by 117 · see citing works
A safer place for patients: learning to improve patient safety
Terry, A., Mottram, C., Round, J. A., Firman, E., Step, J., & Bourne, J. (2005) · White Rose Research Online (University of Leeds, The University of Sheffield, University of York) · Cited by 114 · see citing works
Hospital drug distribution systems in the UK and Germany--a study of medication errors.
Taxis, K., Franklin, B. D., & Barber, N. (1999) · Pharmacy World & Science · doi:10.1023/a:1008616622472 · Cited by 106 · see citing works
The Impact of Dedicated Medication Nurses on the Medication Administration Error Rate
Greengold, N. L., Shane, R. R., Schneider, P. J., Flynn, E., ELASHOFF, J. D., Hoying, C. L., Barker, K. N., & Bolton, L. B. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.19.2359 · Cited by 82 · see citing works
Assessing risk: the role of probabilistic risk assessment (PRA) in patient safety improvement
Wreathall, J. (2004) · BMJ Quality & Safety · doi:10.1136/qshc.2003.006056 · Cited by 79 · see citing works
1992 National Clinical Pharmacy Services Study
Bond, C., Raehl, C. L., & Pitterle, M. E. (1994) · Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy · doi:10.1002/j.1875-9114.1994.tb02822.x · Cited by 51 · see citing works
Prescribing errors on medical wards and the impact of clinical pharmacists
Dale, M., Copeland, R., & Barton, R. E. (2003) · International Journal of Pharmacy Practice · doi:10.1211/002235702829 · Cited by 44 · see citing works
Use of Bar Codes in Inpatient Drug Distribution
Meyer, G. E., Brandell, R., Smith, J. E., Milewski, F. J., Brucker, P. C., & Coniglio, M. P. (1991) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/48.5.953 · Cited by 36 · see citing works
Flagged first, then by citations
1 of the 22 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Marhavilas, P. K., Koulouriotis, D. E., & Gemeni, V. (2011) · Journal of Loss Prevention in the Process Industries · doi:10.1016/j.jlp.2011.03.004 · Cited by 440 · see citing works
“48 A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions (Karnon et al., 2007) PHIA Quantitative Facts Medicine JSS”
MethodOriginal Research: Nurses' Presenteeism and Its Effects on Self-Reported Quality of Care and Costs
Letvak, S. A., Ruhm, C. J., & Gupta, S. N. (2012) · AJN, American Journal of Nursing · doi:10.1097/01.naj.0000411176.15696.f9 · Cited by 322 · see citing works
Reducing Hospital Errors: Interventions that Build Safety Culture
Singer, S. J., & Vogus, T. J. (2013) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031912-114439 · Cited by 200 · see citing works
Calibrating Models in Economic Evaluation: A Seven-Step Approach
Vanni, T., Karnon, J., Madan, J., White, R. G., Edmunds, W. J., Foss, A. M., & Legood, R. (2011) · PharmacoEconomics · doi:10.2165/11584600-000000000-00000 · Cited by 173 · see citing works
Karnon, J. D., Campbell, F., & Czoski‐Murray, C. (2009) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2008.01000.x · Cited by 134 · see citing works
Karnon, J., & Vanni, T. (2011) · PharmacoEconomics · doi:10.2165/11584610-000000000-00000 · Cited by 67 · see citing works
Modelling the Expected Net Benefits of Interventions to Reduce the Burden of Medication Errors
Karnon, J. D., McIntosh, A., Dean, J., Bath, P. A., Hutchinson, A., Oakley, J. E., Thomas, N., Pratt, P., Freeman-Parry, L., Karsh, B., et al. (2008) · Journal of Health Services Research & Policy · doi:10.1258/jhsrp.2007.007011 · Cited by 53 · see citing works
Hayward, J., Thomson, F., Milne, H., Buckingham, S., Sheikh, A., Fernando, B., Cresswell, K., Williams, R., & Pinnock, H. (2013) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2012-001484 · Cited by 48 · see citing works
Informing disinvestment through cost-effectiveness modelling
Karnon, J. D., Carlton, J., Czoski‐Murray, C., & Smith, K. (2009) · Applied Health Economics and Health Policy · doi:10.1007/bf03256137 · Cited by 31 · see citing works
Human factors and ergonomics methods for pharmacy research and clinical practice
Holden, R. J., Abebe, E., Russ, A. L., & Chui, M. A. (2021) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2021.04.024 · Cited by 26 · see citing works
FitzHenry, F., Doran, J., Lobo, B., Sullivan, T. M., Potts, A. L., Feldott, C. C., Matheny, M. E., McCulloch, G., Deppen, S. A., & Doulis, J. (2011) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp090666 · Cited by 18 · see citing works
Karnon, J. D., Carlton, J., Czoski‐Murray, C., & Smith, K. (2009) · RePEc: Research Papers in Economics · Cited by 11 · see citing works
Hesselgreaves, H., Watson, A., Crawford, A., Lough, M., & Bowie, P. (2011) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2011.01763.x · Cited by 8 · see citing works
“A greater understanding of why medicine-related safety incidents occur is improving through the use of human error theories [16,17] and models of system failures [18].”
BackgroundMethodThe possibility of patient involvement in prevention of medication error
Brabcová, I., Bártlová, S., Tóthová, V., & Prokešová, R. (2014) · Kontakt · doi:10.1016/j.kontakt.2014.05.003 · Cited by 8 · see citing works
“Anglická studie [6] prokázala, že zdraví každého desátého hospitalizovaného pacienta ve Velké Británii je poškozeno a k velkému počtu omylů dochází v průběhu medikačního procesu.”
BackgroundJones, M. D., Franklin, B. D., Raynor, D. K., Thom, H. H. Z., Watson, M. C., & Kandiyali, R. (2021) · Applied Health Economics and Health Policy · doi:10.1007/s40258-021-00675-z · Cited by 8 · see citing works
Tabibzadeh, M., & Patel, Z. (2021) · Journal of Patient Safety and Risk Management · doi:10.1177/25160435211044608 · Cited by 6 · see citing works
Human Reliability Analysis in Healthcare: A Scenario Analysis
Kop, Y., Gürbüz, T., & Albayrak, Y. E. (2019) · Advances in intelligent systems and computing · doi:10.1007/978-3-030-23756-1_161 · Cited by 3 · see citing works
A Proactive Risk Assessment Framework to Enhance Patient Safety in Operating Rooms
Tabibzadeh, M., & Jahangiri, G. (2017) · Advances in intelligent systems and computing · doi:10.1007/978-3-319-60483-1_26 · Cited by 3 · see citing works
Tabibzadeh, M., & Jahangiri, G. (2020) · Proceedings of the Human Factors and Ergonomics Society Annual Meeting · doi:10.1177/1071181320641152 · Cited by 2 · see citing works
“Some of the previous studies on proactive risk assessment primarily focus on hazards – or “risk factors” that increase the probability of errors or injuries in healthcare settings (e.g. Carayon et al., 2006; Carayon et al., 2014; Karnon et al., 2007; Wooldridge et al., 2017).”
BackgroundTabibzadeh, M., & Patel, Z. (2020) · Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care · doi:10.1177/2327857920091050 · Cited by 2 · see citing works
“Some of the previous studies on proactive risk assessment primarily focus on hazards – or “risk factors” that increase the probability of errors or injuries in healthcare settings (e.g. Carayon et al., 2006; Carayon et al., 2014; Karnon et al., 2007; Wooldridge et al., 2017).”
BackgroundFitzHenry, F., Wells, N. L., Doran, J., Hughart, K., Levy, M. A., & Doulis, J. (2013) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000020 · Cited by 1 · see citing works
“Bar code administration had a small impact on reducing PADEs according to the model, reducing the rate by about 250 to 650 events per year.(1)”
Efecto de Intervenciones para Reducir Errores de Medicación en una Unidad de Emergencia de Adultos
de Ciencias, D., & Farmacéuticas, T. (2014)
Advancing clinical pharmacy practice
Onatade, R. (2019) · Middlesex University Research Repository (Middlesex University Of London)
Remembering Ben-Tzion Karsh's scholarship, impact, and legacy
Valdez, R. S., Holden, R. J., Rivera, A. J., Ho, C. H., Madray, C. R., Bae, J., Wetterneck, T. B., Beasley, J. W., & Carayon, P. (2020) · Applied Ergonomics · doi:10.1016/j.apergo.2020.103308
Applying human factors and ergonomics methods to pharmaceutical health services research
Holden, R. J., Abebe, E., Russ, A. L., & Chui, M. A. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-91888-6.00007-7
- Authors
- Karnon, J., McIntosh, A., Dean, J., Bath, P., Hutchinson, A., Oakley, J., Thomas, N., Pratt, P., Freeman-Parry, L., Karsh, B.-T., Gandhi, T., & Tappenden, P.
- Affiliations
- University of Sheffield (GB)
- Royal Hallamshire Hospital (GB)
- Sheffield Health and Social Care NHS Foundation Trust (GB)
- University of Wisconsin–Madison (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Karnon, Jonathan
- Venue
- Safety Science
- Publisher
- Elsevier BV
- Published
- 2007-04
- Volume
- 45
- Issue
- 4
- Pages
- 523-539
- ISSN
- 0925-7535 (ISSN-L)
- OpenAlex
- W2014696618
- Cited by
- 26
- References
- 22
- Citations by year
- 2022: 1 · 2021: 3 · 2020: 3 · 2019: 2 · 2017: 1 · 2014: 2 · 2013: 3 · 2012: 2
- FWCI
- 1.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Safety Science (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Pharmacovigilance and Adverse Drug Reactions
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Keywords
- medication errors, adverse drug reactions, hazard analysis, quantitative modeling, computerized physician order entry, ward pharmacists, secondary care, medication process, undetected errors, research prioritization
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
