Table 3.
Summary of interventions that were implemented in studies that significantly reduced medication errors (34 interventions of total 44 identified interventions within 14 of 20 identified studies).
| Main risk control aspect | Number of interventions in studies with significantly positive results | Intervention type |
|---|---|---|
| Substitution | n = 3 | Standardized dilutions (75) |
| Pharmacist production unit (64) | ||
| Smart pumps (72) | ||
| Engineering controls | n = 7 | Electronic workflow/CPOE (59) |
| Enhanced medication delivery equipment (72) | ||
| Hands-free communication equipment (2×) (69, 72) | ||
| Barcoded medication administration (2×) (69, 72) | ||
| Computerized alert (66) | ||
| Administrative controls | n = 24 | Education and/or practical training (8×) (56–58, 61, 64, 69, 72)* |
| Guidelines or protocols (6×) (56, 63, 65, 69, 72, 75) | ||
| Rearrangement of staff or equipment (3×) (63, 64)† | ||
| Expert consultation (4×) (60, 64, 70)‡ | ||
| Warning signs (3×) (63, 69)§ |
Keiffer et al. implemented two different educational interventions (medication error huddles and “5 rights education”).
Ozkan et al. implemented two different rearrangement interventions (decrease of patient-to-nurse ratio and modified delivery time of medications).
Abuelsoud et al. implemented two different expert consultation interventions (implementation of a clinical pharmacist within the medical team and a drug information service).
Ozkan et al. implemented two different warning sign interventions (written alert on the door of the preparation room and signaling arm bands for medication-preparing nurses).