A systematic review of patient medication error on self-administering medication at home

Bibliography

• Kohn L, Corrigan J, Donaldson M. To err is human: building a safer health system. National Academy Press; Washington, DC: 2000
   Google Scholar
• Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care - mapping the problem, working to a solution: a systematic review of the literature. BMC Med 2009;7:50
   PubMed Web of Science ®Google Scholar
• Rubin G, George A, Chinn DJ, Richardson C. Errors in general practice: development of an error classification and pilot study of a method for detecting errors. Qual Saf Health Care 2003;12:443-7
   PubMed Web of Science ®Google Scholar
• Aranaz J, Aibar C, Limon R, et al. A study of the prevalence of adverse events in primary healthcare in Spain. Eur J Public Health 2012;22:921-5
   PubMed Web of Science ®Google Scholar
• Pham JC, Aswani MS, Rosen M, et al. Reducing medical errors and adverse events. Annu Rev Med 2012;63:447-63
   PubMed Web of Science ®Google Scholar
• Jonville AP, Autret E, Bavoux F, et al. Characteristics of medication errors in pediatrics. DICP Ann Pharmacother 1991;25:1113-18
   PubMedGoogle Scholar
• Almiñana A, Bonet M. Análisis retrospectivo de los acontecimientos adversos por medicamentos en pacientes ancianos en un centro de salud de atención primaria. Aten Primaria 2008;40:75-80
   PubMedGoogle Scholar
• Gandhi TK, Weingart SN, Borus J, et al. Adverse drugs events in Ambulatory Care. N Engl J Med 2003;348:1556-64
   PubMed Web of Science ®Google Scholar
• National Council focuses on coordinating error reduction efforts. USP Quality Rev 1997;57:1-4
   Google Scholar
• Britten N. Medication errors: the role of the patient. Br J Clin Pharmacol 2009;67:646-50
   PubMed Web of Science ®Google Scholar
• Mira JJ. Pacientes por la seguridad de los pacientes. El papel del paciente en la seguridad de los pacientes. Medicina Preventiva 2011;XVI:5-11
   Google Scholar
• Schwartz D, Wang M, Zeitz L, et al. Medication errors made by elderly, chronically ill patients. Am J Public Health 1962;42:2018-29
   Web of Science ®Google Scholar
• Panamerican Health Organization (PAHO). Adherencia a los tratamientos a largo plazo. Washington, DC; 2004. Available from: http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=18722&Itemid= [Last accessed 3 December 2014]
   Google Scholar
• Haynes RB, McDonald H, Garg AX, Montague P. Interventions for helping patients to follow prescriptions for medications. Cochrane Database Syst Rev 2002;(2):CD000011.
   Google Scholar
• Wroe AL. Intentional and unintentional nonadherence: a study of decision making. J Behav Med 2002;25:355-72
   PubMed Web of Science ®Google Scholar
• Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. J Gen Intern Med 2007;23:459-65
   Web of Science ®Google Scholar
• Lau DT. Consumer medication management and error. Clin Ther 2008;30:2156-8
   PubMed Web of Science ®Google Scholar
• Aronson JK. Medication errors: what they are, how they happen, and how to avoid them. Q J Med 2009;102:513-21
   Google Scholar
• World Health Organization. Adherence to long-term therapies – Evidence for action. World Health Organization, Geneve; 2003. Available from: http://www.who.int/chp/knowledge/publications/adherence_full_report.pdf [Last accessed 8 December 2014]
   Google Scholar
• Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 2009;339:b2700
   PubMed Web of Science ®Google Scholar
• Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med 2009;7:223-31
   PubMed Web of Science ®Google Scholar
• Gribetz B, Crunley SA. Underdosing of acetaminophen by parents. Pediatrics 1987;80:630-3
   PubMed Web of Science ®Google Scholar
• Delamater AM, Davis SG, Bubb J, et al. Self-monitoring of blood glucose by adolescents with diabetes: technical skills and utilization of data. Diabetes Educ 1989;15:56-61
   PubMedGoogle Scholar
• Fink JB, Rubin BK. Problems with inhaler use: a call for improved clinician and patient education. Respir Care 2005;50:1360-74
   PubMedGoogle Scholar
• Al Mahdy H Seymour DG. How much can elderly patients tell us about their medications? Postgrad Med J 1990;66:116-21
   PubMed Web of Science ®Google Scholar
• Einarson T. R. Drug-related hospital admissions. Ann Pharmacother 1993;27:832-40
   PubMed Web of Science ®Google Scholar
• Kogan MD, Papas G, Yu S, Kotelchuck M. Over-the-counter medication use among US preschool-age children. JAMA 1994;272:1025-30
   PubMed Web of Science ®Google Scholar
• Kabadi UM, O’Connell KM, Johnson J, Kabadi M. The effect of recurrent practice at home on the acceptability of capillary blood glucose readings. Accuracy of self blood glucose testing. Diabetes Care 1994;17:1110-23
   PubMed Web of Science ®Google Scholar
• Rickenbach MA, Julious SA. Assessing fullness of asthma patients’ aerosol inhalers. Br J Gen Pract 1994;44:317-18
   PubMed Web of Science ®Google Scholar
• Simon HK, Weinkle DA. Over-the-counter medications: do parents give what they intend to give? Arch Pediatr Adolesc Med 1997;151:654-6
   PubMed Web of Science ®Google Scholar
• Bergenstal R, Pearson J, Cembrowski GS, et al. Identifying variables associated with inaccurate self-monitoring of blood glucose: proposed guidelines to improve accuracy. Diabetes Educ 2000;26:981-9
   PubMed Web of Science ®Google Scholar
• Perwien AR, Johnson SB, Dymtrow D, Silverstein J. Blood glucose monitoring skills in children with Type I diabetes. Clin Pediatr (Phila) 2000;39:351-7
   PubMed Web of Science ®Google Scholar
• Madlon-Kay DJ, Mosch FS. Liquid medication dosing errors. J Fam Pract 2000;49:741-4
   PubMed Web of Science ®Google Scholar
• Epstein S, Maidenberg A, Hallett D, et al. Patient handling of a dry-powder inhaler in clinical practice. Chest 2001;120:1480-4
   PubMed Web of Science ®Google Scholar
• Hesselink AE, Penninx BW, Wijnhoven HA, et al. Determinants of an incorrect inhalation technique in patients with asthma or COPD. Scand J Prim Health Care 2001;19:255-60
   PubMed Web of Science ®Google Scholar
• Birchley N, Conroy S. Parental management of over-the-counter medicines. Paediatr Nurs 2002;14:24-8
   PubMedGoogle Scholar
• Raehl CL, Bond CA, Woods T, et al. Individualized drug use assessment in the elderly. Pharmacotherapy 2002;22:1239-48
   PubMed Web of Science ®Google Scholar
• Alto WA, Meyer D, Schneid J, et al. Assuring the accuracy of home glucose monitoring. J Am Board Fam Pract 2002;15:1-6
   PubMedGoogle Scholar
• Gurwitz JH, Field TS, Harrold LR, et al. Incidence and preventability of adverse drug events among older persons in the ambulatory setting. JAMA 2003;289:1107-16
   PubMed Web of Science ®Google Scholar
• Molimard M, Rahersion C, Lignot S, et al. Assessment of handling of inhaler devices in real life: an observational study in 3811 patients in primary care. J Aerosol Med 2003;16:249-54
   PubMedGoogle Scholar
• Grissinger M, Lease M. Misadventures insulin therapy are you at risk? J Natl Med Assoc 2003;95(Suppl 1):1S-16S
   PubMedGoogle Scholar
• Leal M, Abellán J, Casa MT, Martínez J. Patients on multiple medication: do they know the right doses? Do they say they take their medicines correctly? Aten Primaria 2004;33:451-6
   PubMedGoogle Scholar
• Goldman RD, Scolnik D. Underdosing of acetaminophen by parents and emergency department utilization. Pediatr Emerg Care 2004;20:89-93
   PubMed Web of Science ®Google Scholar
• Frush KS, Luo X, Hutchinson P, Higgins JN. Evaluation of a method to reduce over-the-counter medication dosing error. Arch Pediatr Adolesc Med 2004;158:620-4
   PubMed Web of Science ®Google Scholar
• Melani AS, Zanchetta D, Barbato N, et al. Inhalation technique and variables associated with misuse of conventional metered-dose inhalers and newer dry powder inhalers in experienced adults. Ann Allergy Asthma Immunol 2004;93:439-46
   PubMed Web of Science ®Google Scholar
• Sorensen L, Stokes JA, Purdie DM, et al. Medication management at home: medication-related risk factors associated with poor health outcomes. Age Ageing 2005;34:626-32
   PubMed Web of Science ®Google Scholar
• Holt S, Holt A, Weatherall M, et al. Metered dose inhalers: a need for dose counters. Respirology 2005;10:105-6
   PubMed Web of Science ®Google Scholar
• Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc 2005;53:976-82
   PubMed Web of Science ®Google Scholar
• Fernández LC, Barón B, Vázquez B, et al. Errores de medicación e incumplimiento terapéutico en ancianos polimedicados. Farm Hosp 2006;30:280-3
   PubMedGoogle Scholar
• Buetow S, Elwyn G. Are patients morally responsible for their errors? J Med Ethics 2006;32:260-2
   PubMed Web of Science ®Google Scholar
• Rau J. Practical problems with aerosol therapy in COPD. Respir Care 2006;51:158-72
   PubMed Web of Science ®Google Scholar
• Sander N, Fusco-Walkert SJ, Harder JM, Chipps BE. Dose counting and the use of pressurized metered-dose inhalers: running on empty. Ann Allergy Asthma Immunol 2006;97:34-8
   PubMed Web of Science ®Google Scholar
• Müller U, Hämmerlein A, Casper A, Schulz M. Community pharmacy-based intervention to improve self-monitoring of blood glucose in type 2 diabetic patients. Pharmacy Practice 2006;4(4):195-203
   Google Scholar
• Sestini P, Cappiello V, Alliani M, et al. Prescription bias and factors associated with improper use of inhalers. J Aerosol Med 2006;19:127-36
   PubMedGoogle Scholar
• Field TS, Mazor KM, Briesacher B, et al. Adverse drug events resulting from patient errors in older adults. J Am Geriatr Soc 2007;55:271-6
   PubMed Web of Science ®Google Scholar
• Basheti I, Reddel HK, Armour CA, Bosnic-Anticevich SZ. Improved asthma outcomes with a simple inhaler technique intervention by community pharmacists. J Allergy Clin Immunol 2007;119:1537-8
   PubMed Web of Science ®Google Scholar
• Sobhani P, Christopherson J, Ambrose PJ, Corelli RL. Accuracy of oral liquid measuring devices: comparison of dosing cup and oral dosing syringe. Ann Pharmacother 2008;42:46-52
   PubMed Web of Science ®Google Scholar
• Shah K, Barker K. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf 2009;18:1080-5
   PubMed Web of Science ®Google Scholar
• Toumas M, Basheti IA, Bosnic-Anticevich S. Comparison of small-group training with self-directed internet-based training in inhaler techniques. Am J Pharm Educ 2009;73:85
   PubMed Web of Science ®Google Scholar
• Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Qual Saf Health Care 2010;19:223-8
   PubMed Web of Science ®Google Scholar
• Kjome RL, Granas AG, Nerhus K, Sandberg S. Quality assessment of patients’ self-monitoring of blood glucose in community pharmacies. Pharm Pract (Granada) 2010;8:62-9
   Google Scholar
• Hixson R, Franke U, Mittal R, Hamilton M. Parental calculation of pediatric paracetamol dose: a randomized trial comparing the parental analgesia slide with product information leaflets. Paediatr Anaesth 2010;20:612-19
   PubMed Web of Science ®Google Scholar
• Yin HS, Mendelsohn AL, Wolf MS, et al. Parents’ medication administration errors. role of dosing instruments and health literacy. Arch Pediatr Adolesc Med 2010;164:181-6
   PubMed Web of Science ®Google Scholar
• Cassidy N, Duggan E, Williams DJ, Tracey JA. The epidemiology and type of medication errors reported to the National Poisons Information Centre of Ireland. Clin Toxicol 2011;49:485-91
   PubMed Web of Science ®Google Scholar
• Lefkowitz M. Do different body colors and labels of insulin pens enhance a patient’s ability to correctly identify pens for injecting long-acting versus short-acting insulins? J Diabetes Sci Tech 2011;5:136-49
   PubMedGoogle Scholar
• Walsh KE, Mazor KM, Stille C, et al. Medication errors in the homes of children with chronic conditions. Arch Dis Child 2011;96:581-6
   PubMed Web of Science ®Google Scholar
• Mira JJ, Lorenzo S, Vitaller J, et al. What do diabetic patients and what should they do to avoid errors in the course of treatment? Endocrinol Nutr 2012;59:416-22
   PubMedGoogle Scholar
• Ryu GS, Lee YJ. Analysis of liquid medication dose errors made by patients and caregivers using alternative measuring devices. J Manag Care Pharm 2012;18:439-45
   PubMed Web of Science ®Google Scholar
• Mira JJ, Navarro I, Guilabert M, Aranaz J. Estudio de frecuencia de errores de los pacientes con su medicación. Rev Panam Salud Publica 2012;31:95-101
   PubMedGoogle Scholar
• Mulvaney SA, Rothman R, Dietrich M, et al. Using mobile phones to measure adolescent diabetes adherence. Health Psychol 2012;31:43-50
   PubMed Web of Science ®Google Scholar
• Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. Fam Pract 2013;30:56-63
   PubMed Web of Science ®Google Scholar
• Conner JB, Buck P. Improving asthma management: the case for mandatory inclusion of dose counters on all rescue bronchodilators. J Asthma 2013;50:658-63
   PubMed Web of Science ®Google Scholar
• Lenahan JL, McCarthy DM, Davis T, et al. A drug by any other name: patients’ ability to identify medication regimens and its association with adherence and health outcomes. J Health Commun 2013;18:31-9
   PubMed Web of Science ®Google Scholar
• Neuspiel DR, Taylor M. Reducing the risk of harm from medication errors in children. Health Serv Insights 2013;6:47-59
   PubMedGoogle Scholar
• Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with cancer. Pediatrics 2013;131:e1405-14
   PubMed Web of Science ®Google Scholar
• Pérula de Torres LA, Pulido L, Pérula de Torres C, Grupo corporativo Estudio ATEM-AP. Eficacia de la entrevista motivacional para reducir errores de medicación en pacientes crónicos polimedicados mayores de 65 años: resultados de un ensayo clínico aleatorizado por cluster. Med Clin (Barc) 2014;143(8):341-8
   PubMed Web of Science ®Google Scholar
• Mira JJ, Ortiz L, Lorenzo S, et al. Oversights, confusions, misinterpretations and errors of the diabetic and renal patients. Med Princ Pract 2014;23:246-52
   PubMed Web of Science ®Google Scholar
• Tanner S, Wells M, Scarbecz M, McCann BW. Parents’ understanding of and accuracy in using measuring devices to administer liquid oral pain medication. J Am Dent Assoc 2014;145:141-9
   PubMed Web of Science ®Google Scholar
• Mira JJ, Navarro I, Botella F, et al. A Spanish pillbox app for elderly patients taking multiple medications: randomized controlled trial. J Med Internet Res 2014;16(4):e99
   PubMed Web of Science ®Google Scholar
• Lavon O, Ben-Zeev A, Benturi Y. Medication errors outside healthcare facilities: a national poison centre perspective. Basic Clin Pharmacol Toxicol 2014;114:288-92
   PubMed Web of Science ®Google Scholar
• Mira JJ, Martínez-Jimeno L, Orozco-Beltrán D, et al. What older complex chronic patients need to know about their everyday medication for safe drug use. Expert Opin Drug Saf 2014;13:713-21
   PubMed Web of Science ®Google Scholar
• Tseng MH, Wu HC. A cloud medication safety support system using QR code and Web services for elderly outpatients. Technol Health Care 2014;22:99-113
   PubMedGoogle Scholar
• Mira JJ, Guilabert M, Carrillo I, et al. Use of QR and EAN-13 codes by older patients taking multiple medications for a safer use of medication. Int J Med Inform 2015. [Epub ahead of print]
   PubMedGoogle Scholar
• Yin HS, Dreyer BP, Moreira HA, et al. Liquid medication dosing errors in children: role of provider counseling strategies. Acad Pediatr 2014;14:262-70
   PubMed Web of Science ®Google Scholar
• Wandless I, Davie W. Can drug compliance in the elderly be improved? BMJ 1977;1:359-61
   PubMed Web of Science ®Google Scholar
• Britten N, Stevenson FA, Barry CA, et al. Misunderstandings in prescribing decisions in general practice: qualitative study. BMJ 2009;320:484-8
   Web of Science ®Google Scholar
• Fink JB, Rubin BK. Problems with inhaler use: a call for improved clinician and patient education. Respir Care 2005;50:1360-74
   PubMedGoogle Scholar
• Maher RL, Hanlon J, Hajjar E. Clinical consequences of polypharmacy in elderly. Expert Opin Drug Saf 2014;13:57-65
   PubMed Web of Science ®Google Scholar
• Al Hamid A, Ghaleb M, Aljadhey H, Aslanpour Z. A systematic review of qualitative research on the contributory factors leading to medicine-related rproblems from the perspectives of adult patients with cardiovascular diseases and diabetes mellitus. BMJ Open 2014;4:e005992
   PubMed Web of Science ®Google Scholar
• Meredith S, Feldman PH, Frey D, et al. Possible medication errors in home healthcare patients. J Am Geriatr Soc 2001;49:719-24
   PubMed Web of Science ®Google Scholar
• Hellier E, Tucker M, Kenny N, et al. Merits of using color and shape differentiation to improve the speed and accuracy of drug strength identification on over-the-counter medicines by lay people. J Patient Saf 2010;6:158-64
   PubMedGoogle Scholar
• Engelberg AB. The case for standardizing the appearance of bioequivalent medications. J Manag Care Pharm 2011;17:321-3
   PubMed Web of Science ®Google Scholar
• Cohen MR, Smetzer JL. ISMP medication error report analysis: oral solid medication appearance should play a greater role in medication error prevention. Hosp Pharm 2011;46:830-4
   Google Scholar
• Greene JA, Kesselheim AS. Why do the same drugs look different? Pills, trade dress and public health. N Engl J Med 2011;365:83-9
   PubMed Web of Science ®Google Scholar
• Mira JJ, Lorenzo S, Pérez-Jover V, et al. Assessment of the quality of medication information for patients in Spain. Expert Opin Drug Saf 2013;12:9-18
   PubMed Web of Science ®Google Scholar
• Aronson JK. Medication errors resulting from the confusion of drug names. Expert Opin Drug Saf 2004;3:167-72
   PubMedGoogle Scholar
• Branin JJ. The role of memory strategies in medication adherence among the elderly. Home Health Care Serv Q 2001;20:1-16
   PubMedGoogle Scholar
• Williamson EM. Interactions between herbal and conventional medicines. Expert Opin Drug Saf 2005;4:355-78
   PubMedGoogle Scholar
• Hayakawa M, Uchimura Y, Omae K, et al. A smartphone-based medication self-management system with realtime medication monitoring. Appl Clin Inform 2013;4:37-52
   PubMed Web of Science ®Google Scholar
• Årsand E, Frøisland DH, Skrøvseth SO, et al. Mobile health applications to assist patients with diabetes: lessons learned and design implications. J Diabetes Sci Technol 2012;6:1197-206
   PubMedGoogle Scholar
• Thürmann PA. Safety and risk communication to patients. Expert Opin Drug Saf 2006;5:747-50
   PubMed Web of Science ®Google Scholar
• Boeni F, Spinatsch E, Suter K, et al. Effect of drug reminder packaging on medication adherence: a systematic review revealing research gaps. Syst Rev 2014;3:29
   Google Scholar
• Lopes DM, Néri ED, Madeira Ldos S, et al. Análise da rotulagem de medicamentos semelhantes: potenciais erros de medicação. Rev Assoc Med Bras 2012;58:95-103
   PubMedGoogle Scholar