Improving medication safety in primary care. A review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care

The European Journal of General Practice
Miriam LainerAndreas Sönnichsen

Abstract

Drug treatment is an important clinical process in primary care that is associated with risk of error and adverse events. To review currently available research evidence on the topic and to develop a framework, which can help to guide improvement of medication safety. Systematic reviews were performed on adverse drug events (ADE), their preventability, and on available tools and methods to improve medication safety with a particular focus on information technology. Consensus methods were used to develop a framework to guide the improvement of medication safety based on the findings of our literature review. The median prevalence rate of ADEs in primary care patients was 12.8%. Only a median of 16.5% of ADEs were preventable and thus could be classified as medication errors. Our review of information technology interventions found that only about half of the studies found a reduction of medication errors. In both reviews, the wide range between studies emphasizes the necessity of a validated medication error classification system. Another important aspect of medication safety appears to be a general lack of safety culture in primary care, which led us to the development of the Salzburg medication safety framework (SaMSaF), based...Continue Reading

References

Apr 1, 1995·Journal of General Internal Medicine·D W BatesL Leape
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Apr 27, 2007·Journal of the American Medical Informatics Association : JAMIA·Saeid EslamiNicolette F de Keizer
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Nov 8, 2012·Family Practice·Dara KoperAndreas Sönnichsen
Jun 19, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Miriam LainerAndreas Sönnichsen
May 7, 2014·Journal of Evaluation in Clinical Practice·Katarzyna KosiekMaciek Godycki-Cwirko

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Citations

Jun 20, 2017·JBI Database of Systematic Reviews and Implementation Reports·Hanan Khalil, Libby Roughead
Mar 27, 2018·Journal of Clinical Nursing·Hanan Khalil, Sarah Lee
Jan 21, 2020·Annals of Internal Medicine·Ryan CrowleyUNKNOWN Health and Public Policy Committee of the American College of Physicians
Jan 25, 2020·Scandinavian Journal of Primary Health Care·Rita FernholmCaroline Wachtler
Oct 17, 2017·JBI Database of Systematic Reviews and Implementation Reports·Hanan KhalilLibby Roughead
Apr 30, 2020·The International Journal of Pharmacy Practice·Ajay Mahendrarai KariaRuth Webster
Sep 12, 2019·American Journal of Pharmaceutical Education·Mark L GraberAndrew Olson

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Software Mentioned

SaMSaF
MaPSaF
LINNEAUS

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