Types, prevalence, and potential clinical significance of medication administration errors in assisted living

Heather M Young, Shelly L. Gray, Wayne C. McCormick, Suzanne K. Sikma, Susan Reinhard, Linda Johnson Trippett, Carol Christlieb, Tiffany Allen

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

OBJECTIVES: To describe the types and potential clinical significance of medication administration errors in assisted living (AL). DESIGN: Cross-sectional observational study. SETTING: This study was conducted in 12 AL settings in three states (Oregon, Washington, and New Jersey). PARTICIPANTS: Participants included 29 unlicensed assistive personnel and 510 AL residents. MEASUREMENTS: Medication administration observations, chart review, and determination of rates, types, and potential clinical significance of errors using standardized methodology. RESULTS: Of 4,866 observations, 1,373 errors were observed (28.2% error rate). Of these, 70.8% were wrong time, 12.9% wrong dose, 11.1% omitted dose, 3.5% extra dose, 1.5% unauthorized drug, and 0.2% wrong drug. Excluding wrong time, the overall error rate dropped to 8.2%. Of the 1,373 errors, three were rated as having potential clinical significance. CONCLUSION: A high number of daily medications are given in AL. Wrong time accounted for the majority of the errors. The bulk of the medications are low risk and routine; to promote optimal care delivery, clinicians need to focus on high-risk medications and residents with complex health problems.

Original languageEnglish (US)
Pages (from-to)1199-1205
Number of pages7
JournalJournal of the American Geriatrics Society
Volume56
Issue number7
DOIs
StatePublished - Jul 2008
Externally publishedYes

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Medication Errors
Pharmaceutical Preparations
Observational Studies
Cross-Sectional Studies
Health

Keywords

  • Assisted living
  • Medication administration
  • Medication errors
  • Quality
  • Unlicensed assistive personnel

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Types, prevalence, and potential clinical significance of medication administration errors in assisted living. / Young, Heather M; Gray, Shelly L.; McCormick, Wayne C.; Sikma, Suzanne K.; Reinhard, Susan; Johnson Trippett, Linda; Christlieb, Carol; Allen, Tiffany.

In: Journal of the American Geriatrics Society, Vol. 56, No. 7, 07.2008, p. 1199-1205.

Research output: Contribution to journalArticle

Young, HM, Gray, SL, McCormick, WC, Sikma, SK, Reinhard, S, Johnson Trippett, L, Christlieb, C & Allen, T 2008, 'Types, prevalence, and potential clinical significance of medication administration errors in assisted living', Journal of the American Geriatrics Society, vol. 56, no. 7, pp. 1199-1205. https://doi.org/10.1111/j.1532-5415.2008.01754.x
Young, Heather M ; Gray, Shelly L. ; McCormick, Wayne C. ; Sikma, Suzanne K. ; Reinhard, Susan ; Johnson Trippett, Linda ; Christlieb, Carol ; Allen, Tiffany. / Types, prevalence, and potential clinical significance of medication administration errors in assisted living. In: Journal of the American Geriatrics Society. 2008 ; Vol. 56, No. 7. pp. 1199-1205.
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