Interventions to reduce the incidence of medical error and its financial burden in health care systems: a systematic review of systematic reviews
Open accessAbstract
Background and aim: Improving health care quality and ensuring patient safety is impossible without addressing medical errors that adversely affect patient outcomes. Therefore, it is essential to correctly estimate the incidence rates and implement the most appropriate solutions to control and reduce medical errors. We identified such interventions. Methods: We conducted a systematic review of systematic reviews by searching four databases (PubMed, Scopus, Ovid Medline, and Embase) until January 2021 to elicit interventions that have the potential to decrease medical errors. Two reviewers independently conducted data extraction and analyses. Results: Seventysix systematic review papers were included in the study. We identified eight types of interventions based on medical error type classification: overall medical error, medication error, diagnostic error, patients fall, healthcare-associated infections, transfusion and testing errors, surgical error, and patient suicide. Most studies focused on medication error (66%) and were conducted in hospital settings (74%). Conclusions: Despite a plethora of suggested interventions, patient safety has not significantly improved. Therefore, policymakers need to focus more on the implementation considerations of selected interventions.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
More than one in four people over the age of 65 suffer a fall each year.
“Each year, more than one in four people over the age of 65 suffer a fall”
From Application of zero trust model in preventing medical errors (2024) · cites this paper as [18]
The Results section on patients’ falls discusses hospital fall-prevention interventions, not the annual proportion of people over 65 who fall. Searches for the age group and a one-in-four (25%) annual rate found no passage stating the claimed estimate. (LLM, conf=0.74)
Experimental — accuracy not yet measuredOne-third of falls in people over the age of 65 cause injuries.
“one-third of these falls cause injuries (18).”
From Application of zero trust model in preventing medical errors (2024) · cites this paper as [18]
The Results section on patients’ falls discusses fall-prevention interventions and changes in fall counts, but does not report what proportion of falls cause injuries. Searches for one-third, fall-related injuries, and people over 65 found no passage in our copy addressing that statistic. (LLM, conf=0.75)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
To Err is Human: Building a Safer Health System
Hendee, W. R. (2001) · Journal of Vascular and Interventional Radiology · doi:10.1016/s1051-0443(01)70072-3 · Cited by 10,122 · see citing works
Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., Morton, S. C., & Shekelle, P. G. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-10-200605160-00125 · Cited by 3,159 · see citing works
Interprofessional education: effects on professional practice and healthcare outcomes
Reeves, S., Perrier, L., Goldman, J., Freeth, D., & Zwarenstein, M. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002213.pub3 · Cited by 1,946 · see citing works
The relationship between nursing leadership and patient outcomes: a systematic review update
Wong, C. A., Cummings, G. G., & Ducharme, L. (2013) · Journal of Nursing Management · doi:10.1111/jonm.12116 · Cited by 858 · see citing works
Scott, R. D. (2009) · Cited by 757 · see citing works
Ammenwerth, E., Schnell‐Inderst, P., Machan, C., & Siebert, U. (2008) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2667 · Cited by 669 · see citing works
Association between organisational and workplace cultures, and patient outcomes: systematic review
Braithwaite, J., Herkes, J., Ludlow, K., Testa, L., & Lamprell, G. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-017708 · Cited by 560 · see citing works
Nuckols, T. K., Smith-Spangler, C., Morton, S. C., Asch, S. M., Patel, V. M., Anderson, L. J., Deichsel, E. L., & Shekelle, P. G. (2014) · Systematic Reviews · doi:10.1186/2046-4053-3-56 · Cited by 340 · see citing works
Prgomet, M., Georgiou, A., & Westbrook, J. I. (2009) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m3215 · Cited by 319 · see citing works
Mekonnen, A. B., McLachlan, A. J., & Brien, J.-A. E. (2016) · Journal of Clinical Pharmacy and Therapeutics · doi:10.1111/jcpt.12364 · Cited by 309 · see citing works
Eslami, S., de Keizer, N. F., & Abu–Hanna, A. (2007) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2007.10.001 · Cited by 272 · see citing works
Schedlbauer, A., Prasad, V., Mulvaney, C., Phansalkar, S., Stanton, W., Bates, D. W., & Avery, A. J. (2009) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2910 · Cited by 262 · see citing works
The economics of health care quality and medical errors.
Andel, C., Davidow, S. L., Hollander, M., & Moreno, D. A. (2012) · PubMed · Cited by 254 · see citing works
Prgomet, M., Li, L., Niazkhani, Z., Georgiou, A., & Westbrook, J. I. (2016) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocw145 · Cited by 243 · see citing works
Evidence‐based strategies for preventing drug administration errors during anaesthesia
Jensen, L. S., Merry, A., Webster, C. S., Weller, J. M., & Larsson, L. (2004) · Anaesthesia · doi:10.1111/j.1365-2044.2004.03670.x · Cited by 231 · see citing works
Impact of Medication Reconciliation and Review on Clinical Outcomes
Lehnbom, E. C., Stewart, M. J., Manias, E., & Westbrook, J. I. (2014) · Annals of Pharmacotherapy · doi:10.1177/1060028014543485 · Cited by 225 · see citing works
Braithwaite, J., Herkes, J., Ludlow, K., Lamprell, G., & Testa, L. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-013758 · Cited by 225 · see citing works
Overview of medical errors and adverse events
Garrouste-Orgeas, M., Philippart, F., Bruel, C., Max, A., Lau, N., & Misset, B. (2012) · Annals of Intensive Care · doi:10.1186/2110-5820-2-2 · Cited by 223 · see citing works
Doupnik, S. K., Rudd, B., Schmutte, T., Worsley, D., Bowden, C. F., McCarthy, E., Eggan, E., Bridge, J. A., & Marcus, S. C. (2020) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2020.1586 · Cited by 222 · see citing works
The Impact of CPOE Medication Systems’ Design Aspects on Usability, Workflow and Medication Orders
Jaspers, M., & Khajouei, R. (2009) · Methods of Information in Medicine · doi:10.3414/me0630 · Cited by 187 · see citing works
Benefits and Risks of Using Smart Pumps to Reduce Medication Error Rates: A Systematic Review
Ohashi, K., Dalleur, O., Dykes, P. C., & Bates, D. W. (2014) · Drug Safety · doi:10.1007/s40264-014-0232-1 · Cited by 176 · see citing works
Aboelela, S. W., Stone, P. W., & Larson, E. (2007) · Journal of Hospital Infection · doi:10.1016/j.jhin.2006.10.019 · Cited by 164 · see citing works
Surgical never events in the United States
Mehtsun, W. T., Ibrahim, A. M., Diener‐West, M., Pronovost, P. J., & Makary, M. A. (2012) · Surgery · doi:10.1016/j.surg.2012.10.005 · Cited by 163 · see citing works
Alsabri, M., Boudi, Z., Lauque, D., Dias, R. D., Whelan, J. S., Östlundh, L., Alinier, G., Onyeji, C., Michel, P., Liu, S. W., et al. (2020) · Journal of Patient Safety · doi:10.1097/pts.0000000000000782 · Cited by 155 · see citing works
Healthcare equipment as a source of nosocomial infection: a systematic review
Schabrun, S. M., & Chipchase, L. S. (2006) · Journal of Hospital Infection · doi:10.1016/j.jhin.2005.10.013 · Cited by 145 · see citing works
McDowell, S. E., Mt‐Isa, S., Ashby, D., & Ferner, R. E. (2010) · BMJ Quality & Safety · doi:10.1136/qshc.2008.029785 · Cited by 143 · see citing works
Effect of clinical pharmacists on care in the emergency department: A systematic review
Cohen, V., Jellinek, S. P., Hatch, A., & Motov, S. M. (2009) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp080304 · Cited by 142 · see citing works
Manias, E., Kusljic, S., & Wu, A. (2020) · Therapeutic Advances in Drug Safety · doi:10.1177/2042098620968309 · Cited by 140 · see citing works
Roumeliotis, N., Sniderman, J., Adams-Webber, T., Addo, N., Anand, V., Rochon, P., Taddio, A., & Parshuram, C. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05236-8 · Cited by 137 · see citing works
The Effects of Clinical Decision Support Systems on Medication Safety: An Overview
Jia, P., Zhang, L., Chen, J., Zhao, P., & Zhang, M. (2016) · PLoS ONE · doi:10.1371/journal.pone.0167683 · Cited by 134 · see citing works
Bowers, L., Banda, T., & Nijman, H. L. I. (2010) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3181da47e2 · Cited by 133 · see citing works
Hospital-acquired infections related to contaminated substances
Vonberg, R., & Gastmeier, P. (2006) · Journal of Hospital Infection · doi:10.1016/j.jhin.2006.09.018 · Cited by 132 · see citing works
Educational interventions for prevention of healthcare-associated infection: A systematic review
Safdar, N., & Abad, C. L. R. (2008) · Critical Care Medicine · doi:10.1097/ccm.0b013e318165faf3 · Cited by 119 · see citing works
A Systematic Review of Clinical Decision Support Systems for Clinical Oncology Practice
Pawloski, P. A., Brooks, G. A., Nielsen, M. E., & Olson‐Bullis, B. A. (2019) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2018.7104 · Cited by 119 · see citing works
Nosocomial pneumonia: State of the science
Flanders, S. A., Collard, H. R., & Saint, S. K. (2006) · American Journal of Infection Control · doi:10.1016/j.ajic.2005.07.003 · Cited by 114 · see citing works
Evaluation of Patient and Family Engagement Strategies to Improve Medication Safety
Kim, J. M., Suarez‐Cuervo, C., Berger, Z. D., Lee, J. L.-Y., Gayleard, J. L., Rosenberg, C., Nagy, N. H., Weeks, K. R., & Dy, S. M. (2017) · Patient · doi:10.1007/s40271-017-0270-8 · Cited by 114 · see citing works
An update on modifiable factors to reduce the risk of surgical site infections
Savage, J. W., & Anderson, P. A. (2013) · The Spine Journal · doi:10.1016/j.spinee.2013.03.051 · Cited by 113 · see citing works
Human‐simulation‐based learning to prevent medication error: A systematic review
Sarfati, L., Ranchon, F., Vantard, N., Schwiertz, V., Larbre, V., Parat, S., Faudel, A., & Rioufol, C. (2019) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12883 · Cited by 113 · see citing works
Surgical technology and operating-room safety failures: a systematic review of quantitative studies
Weerakkody, R. A., Cheshire, N. J. W., Riga, C., Lear, R., Hamady, M., Moorthy, K., Darzi, A. W., Vincent, C. A., & Bicknell, C. D. (2013) · BMJ Quality & Safety · doi:10.1136/bmjqs-2012-001778 · Cited by 105 · see citing works
Hourly Rounding to Improve Nursing Responsiveness
Mitchell, M. D., Lavenberg, J. G., Trotta, R. L., & Umscheid, C. A. (2014) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000000101 · Cited by 101 · see citing works
Double checking the administration of medicines: what is the evidence? A systematic review
Alsulami, Z., Conroy, S., & Choonara, I. (2012) · Archives of Disease in Childhood · doi:10.1136/archdischild-2011-301093 · Cited by 97 · see citing works
Medical Errors Cause Harm in Veterinary Hospitals
Wallis, J., Fletcher, D. J., Bentley, A. M., & Ludders, J. W. (2019) · Frontiers in Veterinary Science · doi:10.3389/fvets.2019.00012 · Cited by 96 · see citing works
Barriers to Implementation of Evidence Based Practice in Zahedan Teaching Hospitals, Iran, 2014
Khammarnia, M., Mohammadi, M. H., Amani, Z., Rezaeian, S., & Setoodehzadeh, F. (2015) · Nursing Research and Practice · doi:10.1155/2015/357140 · Cited by 90 · see citing works
Avanecean, D., Calliste, D., Contreras, T., Lim, Y., & Fitzpatrick, A. (2017) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2016-003331 · Cited by 90 · see citing works
Keers, R. N., Williams, S. D., Cooke, J., Walsh, T., & Ashcroft, D. M. (2014) · Drug Safety · doi:10.1007/s40264-014-0152-0 · Cited by 85 · see citing works
Wang, T., Benedict, N. J., Olsen, K. M., Luan, R., Zhu, X. D., Zhou, N., Tang, H., Yan, Y., Yao, P., & Shi, L. (2015) · Journal of Critical Care · doi:10.1016/j.jcrc.2015.06.018 · Cited by 83 · see citing works
Amaratunga, T., & Dobranowski, J. (2016) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2016.02.033 · Cited by 83 · see citing works
Safety and Risk Management Interventions in Hospitals
Dückers, M., Faber, M. J., Cruijsberg, J. K., Grol, R. P. T. M., Schoonhoven, L., & Wensing, M. (2009) · Medical Care Research and Review · doi:10.1177/1077558709345870 · Cited by 82 · see citing works
Etchells, E. E., Koo, M., Daneman, N., McDonald, A. C., Baker, M., Matlow, A., Krahn, M. D., & Mittmann, N. (2012) · BMJ Quality & Safety · doi:10.1136/bmjqs-2011-000585 · Cited by 79 · see citing works
The efficacy of computer-enabled discharge communication interventions: a systematic review
Motamedi, M., Posadas-Calleja, J. G., Straus, S. E., Bates, D. W., Lorenzetti, D., Baylis, B. W., Gilmour, J., Kimpton, S., & Ghali, W. A. (2011) · BMJ Quality & Safety · doi:10.1136/bmjqs.2009.034587 · Cited by 79 · see citing works
Naseralallah, L. M. A., Hussain, T. A., Jaam, M. J., & Pawluk, S. A. (2020) · International Journal of Clinical Pharmacy · doi:10.1007/s11096-020-01034-z · Cited by 79 · see citing works
Snyder, S. R., Favoretto, A. M., Derzon, J. H., Christenson, R. H., Kahn, S. E., Shaw, C. S., Baetz, R. A., Mass, D., Fantz, C. R., Raab, S. S., et al. (2012) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2012.06.019 · Cited by 78 · see citing works
Ahtiainen, H. K., Kallio, M. M., Airaksinen, M., & Holmström, A.-R. (2020) · European Journal of Hospital Pharmacy · doi:10.1136/ejhpharm-2018-001791 · Cited by 78 · see citing works
FMEA and RCA: the mantras; of modern risk management
Senders, J. W. (2004) · BMJ Quality & Safety · doi:10.1136/qshc.2004.010868 · Cited by 70 · see citing works
Barriers to medical error reporting
Aghighi, N., Poorolajal, J., & Rezaie, S. (2015) · International Journal of Preventive Medicine · doi:10.4103/2008-7802.166680 · Cited by 63 · see citing works
Ahmadian, L., Salehinejad, S., & Khajouei, R. (2015) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2015.02.002 · Cited by 57 · see citing works
The impact of the pharmacist on continuity of care during transitions of care: A systematic review
Bethishou, L., Herzik, K. A., Fang, N., Abdo, C., & Tomaszewski, D. M. (2019) · Journal of the American Pharmacists Association · doi:10.1016/j.japh.2019.06.020 · Cited by 55 · see citing works
Ojeleye, O., Avery, A. J., Gupta, V., & Boyd, M. (2013) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-13-69 · Cited by 54 · see citing works
Association Between Physician Burnout and Self-reported Errors: Meta-analysis
Owoc, J., Mańczak, M., Jabłońska, M., Tombarkiewicz, M., & Olszewski, R. (2020) · Journal of Patient Safety · doi:10.1097/pts.0000000000000724 · Cited by 53 · see citing works
Lee, S. E., & Quinn, B. L. (2018) · Nurse Education Today · doi:10.1016/j.nedt.2018.11.004 · Cited by 52 · see citing works
Ostini, R., Roughead, E. E., Kirkpatrick, C. M. J., Monteith, G. R., & Tett, S. E. (2012) · International Journal of Pharmacy Practice · doi:10.1111/j.2042-7174.2012.00210.x · Cited by 51 · see citing works
Cumbler, E., Simpson, J. R., Rosenthal, L. D., & Likosky, D. J. (2013) · The Neurohospitalist · doi:10.1177/1941874412470665 · Cited by 50 · see citing works
Systematic review of computerized prescriber order entry and clinical decision support
Vélez-Díaz-Pallarés, M., Pérez-Menéndez-Conde, C., & Bermejo-Vicedo, T. (2018) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp170870 · Cited by 50 · see citing works
Effects of pharmacist prescribing on patient outcomes in the hospital setting: a systematic review
Poh, E. W., McArthur, A., Stephenson, M., & Roughead, E. E. (2018) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2017-003697 · Cited by 49 · see citing works
Medication safety strategies in hospitals – A systematic review
Acheampong, F., Anto, B. P., & Koffuor, G. A. (2014) · International Journal of Risk & Safety in Medicine · doi:10.3233/jrs-140623 · Cited by 46 · see citing works
Kim, C. W., Myung, S. J., Eo, E. K., & Chang, Y. (2017) · BMC Medical Education · doi:10.1186/s12909-017-0880-9 · Cited by 46 · see citing works
Boyd, J. M., Wu, G., & Stelfox, H. T. (2017) · Journal of Hospital Medicine · doi:10.12788/jhm.2788 · Cited by 46 · see citing works
Schroers, G. (2018) · Journal of Clinical Nursing · doi:10.1111/jocn.14587 · Cited by 46 · see citing works
Vardi, A., Efrati, O., Levin, I., Matok, I., Rubinstein, M., Paret, G., & Barzilay, Z. (2007) · Resuscitation · doi:10.1016/j.resuscitation.2006.10.016 · Cited by 45 · see citing works
Role and Services of a Pharmacist in the Prevention of Medication Errors: A Systematic Review
Gillani, S. W., Gulam, S. M., Thomas, D., Gebreigziabher, F. B., Al-Salloum, J., Assadi, R. A., & Sam, K. G. (2020) · Current Drug Safety · doi:10.2174/1574886315666201002124713 · Cited by 45 · see citing works
Clinical and economic impacts of clinical pharmacists’ interventions in Iran: a systematic review
Noormandi, A., Karimzadeh, I., Mirjalili, M., & Khalili, H. (2019) · DARU Journal of Pharmaceutical Sciences · doi:10.1007/s40199-019-00245-8 · Cited by 42 · see citing works
Relationship Between Nurse Certification and Clinical Patient Outcomes
Coelho, P. (2019) · Journal of Nursing Care Quality · doi:10.1097/ncq.0000000000000397 · Cited by 38 · see citing works
Charles, K., Cannon, M., Hall, R. S., & Coustasse, A. (2014) · Europe PMC (PubMed Central) · Cited by 37 · see citing works
Prevention of nosocomial infections in developing countries, a systematic review
Murni, I. K., Duke, T., Triasih, R., Kinney, S., Daley, A. J., & Soenarto, Y. (2013) · Paediatrics and International Child Health · doi:10.1179/2046905513y.0000000054 · Cited by 37 · see citing works
Benimana, C., Small, M. J., & Rulisa, S. (2018) · PLoS ONE · doi:10.1371/journal.pone.0195711 · Cited by 36 · see citing works
Devin, J. E., Cleary, B., & Cullinan, S. (2020) · Systematic Reviews · doi:10.1186/s13643-020-01510-7 · Cited by 36 · see citing works
Chiewchantanakit, D., Meakchai, A., Pituchaturont, N., Dilokthornsakul, P., & Dhippayom, T. (2019) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2019.10.004 · Cited by 35 · see citing works
Asgaridastjerdi, H., Khorasani, E., Yarmohammadian, M. H., & Ahmadzade, M. S. (2016) · Journal of Injury and Violence Research · doi:10.5249/jivr.v9i1.794 · Cited by 33 · see citing works
Kaushal, R., Shojania, K. G., & Bates, D. W. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.12.1409 · Cited by 30 · see citing works
Tanaka, M., Tanaka, K., Takano, T., Kato, N., Watanabe, M., & Miyaoka, H. (2012) · BMJ Quality & Safety · doi:10.1136/bmjqs-2010-048330 · Cited by 29 · see citing works
The patient perspective on the effects of medical record accessibility: a systematic review
Vermeir, P., Degroote, S., Vandijck, D. M., Tiggelen, H. V., Peleman, R. A., Verhaeghe, R., Mariman, A., & Vogelaers, D. (2017) · Acta Clinica Belgica · doi:10.1080/17843286.2016.1275375 · Cited by 29 · see citing works
Bain, A., Hasan, S. S., & Babar, Z. (2019) · Diabetic Medicine · doi:10.1111/dme.13982 · Cited by 26 · see citing works
Improving medication safety in a neonatal intensive care unit
Lucas, A. J. (2004) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/61.1.33 · Cited by 24 · see citing works
Schnock, K. O., Biggs, B., Fladger, A., Bates, D. W., & Rozenblum, R. (2017) · Journal of Patient Safety · doi:10.1097/pts.0000000000000365 · Cited by 24 · see citing works
Interventions to Reduce Wrong Blood in Tube Errors in Transfusion: A Systematic Review
Cottrell, S., Watson, D. M., Eyre, T. A., Brunskill, S. J., Doree, C. J., & Murphy, M. F. (2013) · Transfusion Medicine Reviews · doi:10.1016/j.tmrv.2013.08.003 · Cited by 23 · see citing works
Poh, E. W., McArthur, A., & Roughead, E. E. (2015) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2015-2411 · Cited by 23 · see citing works
Impact of electronic prescribing on patient safety in hospitals: implications for the UK
(2016) · Clinical pharmacist · doi:10.1211/cp.2016.20201013 · Cited by 21 · see citing works
Morrison, M., Cope, V. C., & Murray, M. (2018) · International Journal of Mental Health Nursing · doi:10.1111/inm.12475 · Cited by 20 · see citing works
Interprofessional Clinical Rounding: Effects on Processes and Outcomes of Care
Ashcraft, S., Bordelon, C., Fells, S., George, V., Thombley, K., & Shirey, M. R. (2016) · Journal for Healthcare Quality · doi:10.1097/jhq.0000000000000039 · Cited by 19 · see citing works
Medical Errors and Barriers to Reporting in Ten Hospitals in Southern Iran.
Khammarnia, M., Ravangard, R., Barfar, E., & Setoodehzadeh, F. (2015) · Europe PMC (PubMed Central) · Cited by 19 · see citing works
Identification of Common Themes from Never Events Data Published by NHS England
Omar, I., Graham, Y. N. H., Singhal, R., Wilson, M. S. J., Madhok, B., & Mahawar, K. K. (2020) · World Journal of Surgery · doi:10.1007/s00268-020-05867-7 · Cited by 19 · see citing works
Wimpenny, P., & Kirkpatrick, P. (2010) · JBI Library of Systematic Reviews · doi:10.11124/jbisrir-2010-123 · Cited by 17 · see citing works
Wimpenny, P., & Kirkpatrick, P. (2010) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/01938924-201008100-00001 · Cited by 15 · see citing works
Errors in Medical Imaging and Radiography Practice: A Systematic Review
Zhou, Y., Boyd, L., & Lawson, C. (2015) · Journal of medical imaging and radiation sciences · doi:10.1016/j.jmir.2015.09.002 · Cited by 13 · see citing works
Preventing Healthcare-Associated Infections: Beyond Best Practice
Sreeramoju, P., & Palmer, B. F. (2012) · The American Journal of the Medical Sciences · doi:10.1097/maj.0b013e31824435e6 · Cited by 8 · see citing works
Mikrani, R., Naveed, M., Mikrani, A., Yasmeen, S., Akabar, M., & Xiaohui, Z. (2019) · Journal of Public Health · doi:10.1007/s10389-019-01042-y · Cited by 6 · see citing works
Yang, C., Yang, L., Xiang, X., Tang, Y., Wang, H., Bobai, N., & Zhang, X. (2012) · Drug Information Journal · doi:10.1177/0092861512454417 · Cited by 5 · see citing works
Development and validation of a Self-assessment Instrument for Perioperative Patient Safety (SIPPS)
Heideveld-Chevalking, A. J., Calsbeek, H., Griffioen, I. P. M., Damen, J., Meijerink, W. J. H. J., & Wolff, A. P. (2018) · BJS Open · doi:10.1002/bjs5.82 · Cited by 5 · see citing works
Abdullah, A., Alomar, M., Aldosari, H., Awad, S., & Bakheet, A. (2018) · Studies in health technology and informatics · doi:10.3233/978-1-61499-880-8-223 · Cited by 5 · see citing works
Medication Error in Hospitals and Effective Intervention Strategies: A Systematic Review
Shitu, Z., Aung, M. M. T., Kamauzaman, T. H. T., Bhagat, V., & Rahman, A. F. A. (2019) · Research Journal of Pharmacy and Technology · doi:10.5958/0974-360x.2019.00804.7 · Cited by 5 · see citing works
A review on the impact of systematic safety processes for the control of error in medicine.
Damiani, G., Pinnarelli, L., Scopelliti, L., Sommella, L., & Ricciardi, W. (2009) · PubMed · Cited by 4 · see citing works
A Medical Informatics Perspective on Clinical Decision Support Systems
Lamy, J.-B., & Jacques Bouaud, A. (2013) · Yearbook of Medical Informatics · doi:10.1055/s-0038-1638844 · Cited by 4 · see citing works
(2019) · European Journal of Preventive Cardiology · doi:10.1177/2047487319860048 · Cited by 1 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Artificial Intelligence in Cardiac Surgery: Transforming Outcomes and Shaping the Future
Leivaditis, V., Beltsios, E. T., Papatriantafyllou, A., Grapatsas, K., Mulita, F., Kontodimopoulos, N., Baikoussis, N. G., Tchabashvili, L., Tasios, K., Maroulis, I., et al. (2025) · Clinics and Practice · doi:10.3390/clinpract15010017 · Cited by 70 · see citing works
Palma, G. D., Scendoni, R., Ferorelli, D., Benedictis, A. D., Tambone, V., & Micco, F. D. (2025) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s544523 · Cited by 28 · see citing works
Medication errors in community pharmacies: a systematic review of the international literature
Hajj, M. E. E., Asiri, R., Husband, A., & Todd, A. (2024) · PLoS ONE · doi:10.1371/journal.pone.0322392 · Cited by 17 · see citing works
Disclosing medical errors: how do we prepare our students?
Swinfen, D., Labuschagne, M. J., & Joubert, G. (2023) · BMC Medical Education · doi:10.1186/s12909-023-04125-3 · Cited by 13 · see citing works
Dealing with complications in interventional radiology
Oseni, A. O., Chun, J.-Y., Morgan, R., & Ratnam, L. (2024) · CVIR Endovascular · doi:10.1186/s42155-024-00442-w · Cited by 15 · see citing works
Evaluating the outcomes of patient safety education programs in nursing education: a scoping review
Kim, J., Lee, M., & Hong, E. (2025) · BMC Nursing · doi:10.1186/s12912-025-02858-8 · Cited by 13 · see citing works
Sallam, M., & Hamdan, A. (2023) · Journal of Integrated Health · doi:10.51219/jih/mohammed-sallam/13 · Cited by 12 · see citing works
Caicedo, M. A. R., Obando, A. F. M., Hernández-Páez, D. A., Fiorillo-Moreno, O., Galván-Barrios, J. P., Delgado, P., & Lozada-Martínez, I. D. (2025) · Medicine · doi:10.1097/md.0000000000042985 · Cited by 9 · see citing works
Recognition of medical error: It is not too late for an open disclosure – a narrative review
Miziara, I. D., & Miziara, C. S. M. G. (2025) · Clinics · doi:10.1016/j.clinsp.2025.100622 · Cited by 8 · see citing works
Kogan, L. R., Low, R. M., Baldwin, J., & Brown, E. (2024) · Journal of the American Veterinary Medical Association · doi:10.2460/javma.24.09.0620 · Cited by 7 · see citing works
HELIOT: LLM-Based CDSS for adverse drug reaction management
Vito, G. D., Ferrucci, F., & Angelakis, A. (2025) · Knowledge-Based Systems · doi:10.1016/j.knosys.2025.114184 · Cited by 7 · see citing works
Shawaqfeh, M. S., Alangari, D., Aldamegh, G., Almotairi, J., Orayer, L. B., Albekairy, N. A., Abdel-Razaq, W. S., Mardawi, G. H. A., Almuqbil, F., Aldebasi, T. M., et al. (2023) · Saudi Pharmaceutical Journal · doi:10.1016/j.jsps.2023.101789 · Cited by 5 · see citing works
Organizational factors affecting employee silence behavior: does psychological empowerment matter?
Albdareen, R., Aljawarneh, N. M., Al-Jedaiah, M. N., Alomari, K. A. K., & Alrousan, A. (2025) · Cogent Business & Management · doi:10.1080/23311975.2025.2512819 · Cited by 5 · see citing works
Pediatric emergency care: Determinants and systematic barriers
Soni, P., & Agrawal, A. (2025) · World Journal of Clinical Pediatrics · doi:10.5409/wjcp.v14.i3.108140 · Cited by 5 · see citing works
Thurston, H., Boyd, R., Wolf, J. P., & Freisthler, B. (2025) · Families in Society The Journal of Contemporary Social Services · doi:10.1177/10443894241299309 · Cited by 4 · see citing works
Aksu, M., & Basit, G. (2025) · Journal of Nursing Education · doi:10.3928/01484834-20250129-04 · Cited by 4 · see citing works
Luankongsomchit, V., Boonma, C., Soboon, B., Ranron, P., Isaranuwatchai, W., Pimsarn, N., Limpanyalert, P., Sukkul, A.-C., Panmon, N., & Teerawattananon, Y. (2023) · Healthcare · doi:10.3390/healthcare11081121 · Cited by 4 · see citing works
Application of zero trust model in preventing medical errors
Sood, N., Parlapalli, R., Sharma, P., & Kashyap, R. (2024) · Frontiers in Health Services · doi:10.3389/frhs.2024.1453804 · Cited by 3 · see citing works
“Each year, more than one in four people over the age of 65 suffer a fall, and one-third of these falls cause injuries (18).”
BackgroundRisk Management of Medication Errors: Improving the Quality of Pharmacotherapeutic Practice
Despott, R. A., Bonanno, P. V., & Gauci, C. (2025) · Pharmacology Research & Perspectives · doi:10.1002/prp2.70093 · Cited by 3 · see citing works
Care Team Model and Diagnostic Error Risk in Medical Patients Who Transferred to the ICU or Died
Knees, M., Hubbard, C. C., Burden, M. A., Raffel, K. E., Schnipper, J. L., & Auerbach, A. D. (2026) · Journal of General Internal Medicine · doi:10.1007/s11606-026-10224-w · Cited by 3 · see citing works
Mhaidat, N. M., Alshogran, O. Y., Altawalbeh, S. M., Jaber, J., Banat, H. A., Ahmad, D. S., & Alabsi, W. (2023) · Expert Opinion on Drug Safety · doi:10.1080/14740338.2023.2223957 · Cited by 3 · see citing works
Anjum, M., Min, H., & Ahmed, Z. (2024) · Bioengineering · doi:10.3390/bioengineering11060539 · Cited by 3 · see citing works
Osarenmwinda, M. I., & Akpoavoere, V. O. (2024) · Dutse Journal of Pure and Applied Sciences · doi:10.4314/dujopas.v10i2c.22 · Cited by 3 · see citing works
Drennan, J. C., Sheehan, T. O., Schroeder, T., & Haller, J. T. (2024) · Journal of Neuroscience Nursing · doi:10.1097/jnn.0000000000000785 · Cited by 3 · see citing works
Recognizing and preventing unacknowledged prescribing errors associated with polypharmacy
Gentile, G., CASALE, A. D., Luca, O. D., Salerno, G., Spirito, S., Regiani, M., Regiani, M., Preißner, S., Rocco, M., Preißner, R., et al. (2024) · Archives of Public Health · doi:10.1186/s13690-024-01381-7 · Cited by 3 · see citing works
Cytogenetic and ISSR-Markers Polymorphism in the Population of Local Ukrainian Lebedyn Cows
Starodub, L. F., Mokhnachova, N. B., & Zhukorskyi, О. (2024) · OBM Genetics · doi:10.21926/obm.genet.2404269 · Cited by 3 · see citing works
Sergi, C. M. (2024) · Archives of Medical Science · doi:10.5114/aoms/192727 · Cited by 2 · see citing works
Medical errors in Ukraine: a retrospective review of court decisions from 2007 to 2024
Франчук, В. В., Selskyy, P. R., Kalyniuk, N. M., Slyva, A., Крулик, Н. В., & Miroshnyk, V. A. (2025) · EMERGENCY MEDICINE · doi:10.22141/2224-0586.21.5.2025.1917 · Cited by 2 · see citing works
Lean six sigma improves performance not outcomes: Past limitations, potential solutions
Gomez, L. E. (2025) · Journal of the National Medical Association · doi:10.1016/j.jnma.2025.09.003 · Cited by 2 · see citing works
Colin, M. N., Octaviany, S. T., DARMAWAN, M., Anggi, J. F., Kusuma, C. F., & Kautsar, A. P. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-02127-7 · Cited by 2 · see citing works
Exploring the potential impact of medical errors research on population health
Rivera, M. A. S., Hernández-Páez, D. A., Galván-Barrios, J. P., Barceló-Martinez, E., Narvaez‐Rojas, A. R., & Lozada-Martínez, I. D. (2026) · PLoS ONE · doi:10.1371/journal.pone.0340153 · Cited by 2 · see citing works
Deo, S. D., Barnes, E., & Arnold-Smith, P. (2024) · British Journal of Healthcare Management · doi:10.12968/bjhc.2023.0087 · Cited by 2 · see citing works
Exploring factors affecting the severity of medical errors: A cross-sectional study in Iran
Ahsani-Estahbanati, E., Bevrani, H., Gordeev, V. S., & Doshmangir, L. (2024) · International Journal of Risk & Safety in Medicine · doi:10.1177/09246479241300127 · Cited by 2 · see citing works
Promoting dental patient safety toward judicious medication usage: a review
Cruz, A. J. S., Reis‐Oliveira, J., Garcez, W. E. P. B., Borges‐Oliveira, A. C., Martins, M. A. P., & de Abreu, M. H. N. G. (2024) · Brazilian Journal of Health Review · doi:10.34119/bjhrv7n3-233 · Cited by 1 · see citing works
Ishak, M. S., & Ibrahim, M. I. (2025) · BMC Nursing · doi:10.1186/s12912-025-03579-8 · Cited by 1 · see citing works
Herold, G., Justickis, V., Maneikienė, V. V., Maneikis, K., Trinkauskas, P., & Palkova, K. (2025) · Healthcare · doi:10.3390/healthcare13172248 · Cited by 2 · see citing works
Seong, S. M., Oh, H., Park, J. S., Bae, S. H., Nam, K. C., Park, S. Y., Kwon, B. S., & Kim, B. H. (2025) · Japan Journal of Nursing Science · doi:10.1111/jjns.70024 · Cited by 1 · see citing works
Potential of artificial intelligence in cardiac surgery: a systematic review
Shatskiy, A. S., Masyutina, S. E., & Mamalyga, M. L. (2026) · Russian Journal of Cardiology · doi:10.15829/1560-4071-2026-6878 · Cited by 1 · see citing works
Shafiei, M., Nasiri, T., Amiri-Ara, M., & Zaboli, R. (2026) · International Journal of Health Care Quality Assurance · doi:10.1108/ijhcqa-11-2025-0181 · Cited by 1 · see citing works
Komkov, A. A., Mazaev, V. P., Ryazanova, S. V., Kobak, A. A., Bazaeva, E. V., Samochatov, D. N., Koshkina, E. V., Bushueva, E. V., & Drapkina, O. M. (2023) · CARDIOVASCULAR THERAPY AND PREVENTION · doi:10.15829/1728-8800-2022-3458 · Cited by 1 · see citing works
Brunner, L., Siebert, J. N., Ehrler, F., Manzano, S., & Marti, J. (2024) · Journal of Medical Internet Research · doi:10.2196/52077 · Cited by 1 · see citing works
Implementation and Evaluation of the Patient Reported Incident Management System (PRIM)
D’Souza, B., Sugunan, A., Ranjitha, N. V., Shetty, A., Swathi, K. S., Mundkur, S. C., Rao, B., Panchalingam, S. S., & Moreira, P. (2025) · International Journal of Reliable and Quality E-Healthcare · doi:10.4018/ijrqeh.368854 · Cited by 1 · see citing works
Fang, J., Zhang, Z., Zhang, Q., Jia, W., Chen, X., & Li, Y. (2025) · BMC Nursing · doi:10.1186/s12912-025-03678-6 · Cited by 1 · see citing works
The ART of Electronic Prescribing
Martin, P. M. (2022) · Journal of Medical Systems · doi:10.1007/s10916-022-01884-2 · Cited by 1 · see citing works
PRIEŽASTYS, GALINČIOS TRUKDYTI PRANEŠTI IR REGISTRUOTI NEPAGEIDAUJAMUS ĮVYKIUS BEI NEATITIKTIS
Martinkutė, A., Gedrimė, L., & Istomina, N. (2023) · Health Sciences · doi:10.35988/sm-hs.2023.073
González, M. F. M., Martínez, F. D. V., & Valerio, M. S. L. (2024) · UVserva · doi:10.25009/uvs.vi17.2926
Back to Basics: A Clinical Medicine to Safeguard International Cooperation
Montero, J. A., Fortes, P. O., & Pascual, C. B. (2024) · Clinical Pediatrics · doi:10.1177/00099228241274915
Impact Evaluation of Surgical Errors on the Healthcare—A Systematic Review
Bhattacharya, K., Chatterjee, S., Ghosh, A., & Pal, R. (2025) · Indian Journal of Surgery · doi:10.1007/s12262-025-04291-2
Arpag, N., Gür, S., Katran, H. B., & Huzur, F. (2025) · İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi · doi:10.38079/igusabder.1591324
Matin, R., King, B. R., Mehta, A. M., Fenton, S. H., Hoot, N. R., Robinson, D. J., Maddow, C. L., & Franklin, A. (2025) · Journal of Patient Safety · doi:10.1097/pts.0000000000001394
Esene, H., Ehis, B., Sule, Z., Agbon-ojeme, G., Otuomagie, F., & Adam, V. Y. (2025) · doi:10.38124/ijisrt/25oct618
White, S. C., Harris, C. H., Gopaul, R., & Smyth, J. M. (2025) · PLOS mental health. · doi:10.1371/journal.pmen.0000489 · Cited by 1 · see citing works
Risk factors for unexpected death in patients identified by a communication and resolution program
Lodato, P., Goldstein, N. D., Mapp, A. M., Gbadebo, A., & Pearlman, S. A. (2025) · Frontiers in Health Services · doi:10.3389/frhs.2025.1712574
Al-Hadidi, T., Al-Khalidi, N., & Al-Nsour, Y. (2025) · Asian Journal of Individual and Organizational Behavior · doi:10.51847/z8g6e4jxuc
Additional file 2 of Disclosing medical errors: how do we prepare our students?
Swinfen, D., Labuschagne, M., & Joubert, G. (2024) · Figshare · doi:10.6084/m9.figshare.26578424
Additional file 1 of Disclosing medical errors: how do we prepare our students?
Swinfen, D., Labuschagne, M., & Joubert, G. (2024) · Figshare · doi:10.6084/m9.figshare.26578421
Alenezi, M. M. K., Alanazi, A. A. H., Alanazi, A. N. F., Alrashdi, B. S. G., Alenezi, A. T. M. A., Aldhabyan, G. B., Alharbi, M. M. S., Algader, N. A. M., Lreshidi, N. D. N., Alqahtani, A. M. G., et al. (2024) · International Journal of Computational and Experimental Science and Engineering · doi:10.22399/ijcesen.4427
Leibold, A., Kimmerling, V., Vogl, S., Dorn, C., Eissnert, C., Kraus, R. F., Kees, M. G., & Dejaco, A. (2026) · BMC Anesthesiology · doi:10.1186/s12871-025-03574-1
Large Language Models (LLMs) in Medical Error Detection and Correction: A Comprehensive Review
Chandru, R., Kadusabe, P., Qureshi, A. M., Sharma, S., & Kaushik, A. (2025) · Springer eBooks · doi:10.1007/978-3-032-07267-2_6
Alan, H., Polat, Ş., Bilgin, O., & Sen, H. T. (2026) · BMC Nursing · doi:10.1186/s12912-026-04327-2
Valladales‐Restrepo, L. F., Díaz-Arteaga, C., Navarrete-Santa, L. F., Santander-Pai, M. J., Zapata-Orozco, J. M., Villa-Arroyave, G., & Machado‐Alba, J. E. (2026) · Revista de Neurología · doi:10.31083/rn46355
Anesthetic error. Part 3 (review)
Kravets, O. V., Lavrova, H. I., Yu.O., P., Седінкін, В. А., Stanin, D. M., & Yekhalov, V. V. (2026) · Український медичний часопис · doi:10.32471/umj.1680-3051.273106
Avidan, Y., Weizman, B., Zahra, S., Mizrahi, O., Sliman, H., Katalan, H., Stein, N., Khoury, R., Danon, A., & Kassem, S. (2026) · BMC Emergency Medicine · doi:10.1186/s12873-026-01574-z
Impact of Digitalization on Reducing Medication Prescription Errors in Critical Care Environments
Gulati, S., Taneja, M., Chakravarthi, R., Agarwal, V., Senthil Kumar, R., & Sahoo, S. K. (2025) · International Conference on Computational Intelligence, Security, and Artificial Intelligence (IntelliSecAI) · doi:10.1109/intellisecai66368.2025.11472820
Correlation Between Medication Safety and Work Dynamics with Nursing Medication Error
Nazari, N., & Pazokian, M. (2026) · Hospital Topics · doi:10.1080/00185868.2026.2646612
Supporting Safer Surgery: System-Level Interventions to Enhance Pediatric Perioperative Safety
Natarus, M. E., Li, C. N., Studer, A., Shaw, A., Raval, M. V., Dsida, R. M., Olmstead, J., Pytel, C., Stuart, H., Inge, T. H., et al. (2026) · PEDIATRICS · doi:10.1542/peds.2025-072662
Elmi, A. H., Ibrahim, R. K., & Mohamed, N. A. (2026) · BMC Nursing · doi:10.1186/s12912-026-05012-0
Choi, H.-Y., Keil, M., Rai, A., & Maruping, L. M. (2026) · Information & Management · doi:10.1016/j.im.2026.104408
Medical errors among nurses: understanding the impact of work–family conflict and burnout
Balogun, A. G. (2026) · Psychology Health & Medicine · doi:10.1080/13548506.2026.2747164
Arredondo-Nontol, M. R., Villegas, D. G., Gonzaga, R., Marchan, J. J. I., Ramos-Salina, R. A., Castromonte-Izquierdo, C. J., Arredondo-Nontol, R., & Reto, N. (2026) · Cadernos de Saúde Pública · doi:10.1590/0102-311xen259025
- Authors
- Ahsani-Estahbanati, E., Sergeevich Gordeev, V., & Doshmangir, L.
- Affiliations
- Tabriz University of Medical Sciences (IR)
- Corresponding author
- Doshmangir, Leila
- ORCID
- Doshmangir, Leila
- Venue
- Frontiers in Medicine
- Publisher
- Frontiers Media SA
- Published
- 2022-07-27
- Volume
- 9
- Pages
- 875426-875426
- ISSN
- 2296-858X (ISSN-L)
- PMC
- PMC9363709
- OpenAlex
- W4288033606
- Cited by
- 71
- References
- 103
- Citations by year
- 2026: 15 · 2025: 29 · 2024: 19 · 2023: 7 · 2022: 1
- FWCI
- 3.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Tabriz University of Medical Sciences
- University of Tabriz
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- medical errors, patient safety, error prevention interventions, medication errors, diagnostic errors, patient falls, nosocomial infections, transfusion errors, surgical errors, patient suicide, quality of care
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
