Comparison of Intensive Care Unit Medication Errors Reported to the United States’ MedMarx and the United Kingdom's National Reporting and Learning System: A Cross-sectional Study

Joyce A. Wahr, Andrew D. Shore, Lindsay H. Harris, Philippa Rogers, Sukhmeet Panesar, Linda Matthew, Peter J. Pronovost, Kevin Cleary, Julius C. Pham

Research output: Contribution to journalArticlepeer-review

Abstract

The objective was to compare the characteristics of medication errors reported to 2 national error reporting systems by conducting a cross-sectional analysis of errors reported from adult intensive care units to the UK National Reporting and Learning System and the US MedMarx system. Outcome measures were error types>severity of patient harm>stage of medication process>and involved medications. The authors analyzed 2837 UK error reports and 56 368 US reports. Differences were observed between UK and US errors for wrong dose (44% vs 29%)>omitted dose (8.6% vs 27%)>and stage of medication process (prescribing: 14% vs 49%; administration: 71% vs 42%). Moderate/severe harm or death was reported in 4.9% of UK versus 3.4% of US errors. Gentamicin was cited in 7.4% of the UK versus 0.7% of the US reports (odds ratio = 9.25). There were differences in the types of errors reported and the medications most often involved. These differences warrant further examination.

Original languageEnglish (US)
Pages (from-to)61-69
Number of pages9
JournalAmerican Journal of Medical Quality
Volume29
Issue number1
DOIs
StatePublished - Jan 2014

Keywords

  • critical care
  • hospital incident reporting
  • medication errors
  • risk management

ASJC Scopus subject areas

  • Health Policy

Fingerprint Dive into the research topics of 'Comparison of Intensive Care Unit Medication Errors Reported to the United States’ MedMarx and the United Kingdom's National Reporting and Learning System: A Cross-sectional Study'. Together they form a unique fingerprint.

Cite this