Table 4.
Intervention theme | Intervention type | Medication error type |
|||||||
---|---|---|---|---|---|---|---|---|---|
Overall |
Prescribing |
Administration |
Multiple |
||||||
Median % error reduction (range) | n * | Median % error reduction (range) | n | Median % error reduction (range) | n | Median % error reduction (range) | n | ||
Technology (n = 34) | Any | 73 (−11–100) | 33 | 85 (25–100) | 18 | 52 (47–100) | 5 | 58 (0–83) | 9 |
Barcoding | 50 (47–52) | 2 | – | – | 50 (47–52) | 2 | – | – | |
CDS | 77 (53–100) | 2 | 77 (53–100) | 2 | – | – | – | – | |
CPOE | 66 (0–99) | 5 | 96 (93–99) | 2 | 47 | 1 | 33 (0–66) | 2 | |
CPOE + CDS | 78 (−11–100) | 15 | 83 (25–100) | 8 | −11 | 1 | 62 (0–83) | 6 | |
Computer programmes | 96 (53–100) | 6 | 94 (53–100) | 5 | 100 | 1 | – | – | |
IV administration technology | 73 | 1 | – | – | 73 | 1 | – | – | |
Organizational (n = 14) | Any | 50 (−16–100) | 11 | 53 (48–100) | 5 | 37 (−16–72) | 5 | 39 | 1 |
GPPs | 51 (37–100) | 6 | 59 (48–100) | 4 | 37 | 1 | 39 | 1 | |
Medication distribution and supply | 46 (−16–72) | 4 | – | – | 46 (−16–72) | 4 | – | – | |
Personnel (n = 13) | Education | 52 (14–87) | 13 | 56 (14–86) | 7 | 52 (14–87) | 5 | 37 | 1 |
Hazard and risk analysis (n = 6) | Quality improvement tools | 65 (59–74) | 3 | – | – | – | – | 65 (59–74) | 3 |
Pharmacy (n = 2) | Any | 48 (17–79) | 2 | 17 | 1 | – | – | 79 | 1 |
Ward based | 79 | 1 | – | – | – | – | 79 | 1 | |
Dispensary based | – | – | 17 | 1 | – | – | – | – | |
Multifactorial (n = 17) | Any | 54 (15–100) | 17 | 50 (15–76) | 7 | 65 (63–67) | 2 | 61 (17–100) | 8 |
GPPs + education | 50 (24–76) | 7 | 50 (44–76) | 3 | 65 (63–67) | 2 | 31 (24–37) | 2 | |
GPPs + education + pharmacy | 53 (15–100) | 4 | 35 (15–54) | 2 | – | – | 75 (51–100) | 2 | |
GPPs + education + technology | 70 (17–100) | 5 | 46 (22–70) | 2 | – | – | 71 (17–100) | 3 |
CDS, clinical decision support; CPOE, computerized physician order entry; GPPs, guidelines, policies, and procedures; IV, intravenous.
Does not add up to total number of comparative studies within each theme as not all studies reported an error risk difference.