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. 2017 Oct 4;2017(10):CD003942. doi: 10.1002/14651858.CD003942.pub3
Organisational interventions compared to standard/usual care for prevention of medication errors
Patient or population: adults receiving medication in primary care
Setting: primary care
Intervention: organisational interventions (provision of pharmaceutical care, medication reviews, follow‐up visits by a healthcare professional (e.g. pharmacist, nurse or physician)
Comparison: standard/usual care
Quality assessment Effect Quality Importance
№ of participants/ studies Study design Risk of bias Inconsistency Indirectness Imprecision Other considerations Relative/absolute(95% CI)
Number of hospital admissions
OI: 817/3100 (26.4%)
SC: 850/3103 (27.4%)
(11 studies)
Randomised trials Seriousa Seriousb Not serious Seriousc None Relative:
RR 0.85
(0.71 to 1.03)
Absolute:
41 fewer per 1000
(from 8 more to 79 fewer)
⊕⊝⊝⊝
Very low Critical
Number of people admitted to hospital
OI: 2846/73,313 (3.9%)
SC: 3221/78,924 (4.1%)
(13 studies)
Randomised trials Seriousa Not serious Not serious Seriousc None Relative:
RR 0.92
(0.86 to 0.99)
Absolute:
0 fewer per 1000
(from 0 fewer to 6 fewer)
⊕⊕⊝⊝
Low Important
Number of emergency departments visits
OI: 171/849 (20.1%)
SC: 227/970 (23.4%)
(5 studies)
Randomised trials Serious a Seriousb Not serious Seriousc None Relative:
RR 0.75
(0.49 to 1.15)
Absolute:
58 fewer per 1000
(from 35 more to 119 fewer)
⊕⊝⊝⊝
Very low Critical
Mortality
OI: 3180/74,017 (4.3%)
SC: 4085/80,945 (5.0%)
(12 studies)
Randomised trials Very seriousd Not serious Not serious Seriousc None Relative:
RR 0.94
(0.85 to 1.03)
Absolute:
3 fewer per 1000
(from 2 more to 8 fewer)
⊕⊝⊝⊝
Very low Important