[Best practices to reduce medication administration errors (MAEs) in hospital centre (HC) and long term care facilities centre (LTCF)]

St-Jacques S, Deaudelin I, Cummings J, Bolduc N, Biba G
Record ID 32018001696
English, French
Original Title: Meilleures pratiques pour réduire les erreurs médicamenteuses par omission d'administration (EMOA) dans les centres hospitaliers (CH) et les Centre d'hébergement et de soins longue durée (CHSLD)
Authors' objectives: To identify interventions reducing medication administration errors in hospital centre and long-term care facilities centre
Authors' results and conclusions: Seventeen (17) studies documenting 18 interventions in which the effect on medication administration errors was measured were retained. The interventions were classified according to targeted risk factor using Reason’s processing error model (2000) that illustrates the main factors that must be considered to better understand the nature of avoidable adverse events. Among the 18 interventions selected, nine focus on the individual-system interface, four focus on the nature of the work, three focus on management and two focus on individual characteristics. Considering the methodological quality of the studies and consistency of results, interventions focusing on the individual-system interface as well as the addition of experienced personnel when administrating medication could help reduce medication administration errors rates.
Authors' recomendations: Analysis of results lead to the following recommendations regarding best practices to reduce medication administration errors: • Computerize the steps of the medication circuit; • Implement barcode systems; • Use automated and decentralized cabinets in care units; • Involve two people in drug administration. On the other hand, to efficiently document medication errors and associated risk factors, with the aim of developing relevant interventions and assessing them, it is recommended to: • Develop strategies aiming to improve on reporting and documentation of medication administration errors in hospital centres and long-term care facilities Centre.
Authors' methods: A systematic review of the literature was done using the Embase, Medline, CINAHL, Web of Science, Scopus and PsycINFO databases. A search of grey literature was also performed within several relevant websites.
Project Status: Completed
Year Published: 2018
Requestor: Health professionals
English language abstract: An English language summary is available
Publication Type: Full HTA
Country: Canada
Province: Quebec
MeSH Terms
  • Medication Errors
  • Long-Term Care
  • Hospitals
  • Patient Safety
  • Drug Prescriptions
  • Nursing Homes
  • Homes for the Aged
  • medication errors
  • prevention
  • hospital centre
  • long-term care facilities centre
Organisation Name: Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale
Contact Address: 525, boulevard Wilfrid-Hamel, bureau A-122
Contact Name: Sylvie St-Jacques
Contact Email: uetmisss.deau.ciussscn@ssss.gouv.qc.ca
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.