Table 1

 Summary of article characteristics

CitationType of studySettingType of medication studiedType of numeratorType of denominatorHow were data obtainedTypes of errors collected
ADE, adverse drug event; CPOE, computerised physician order entry; ICU, Intensive care unit; MAR, medication administration record; MedMARx, United States Pharmacopeia database designed to reduce medication errors in hospitals; MER: medication errors reporting programme submitted to United States Pharmacopeia; TPN, total parenteral nutrition; VLBW, very low birth weight.
*ADEs are defined as having the potential to produce significant injury, includes errors detected before drug administration as well as errors that did not produce significant adverse consequences, excludes errors that were identified and corrected before the medication was entered into MAR.
†ICD9, International Classification of Disease, 9th edition. Public Health Service and Health Care Financing Administration. International classification of diseases, 9th revision, clinical modification. Vols 1, 2, and 3; eighth edition. Washington, DC: Public Health Service; 1997.
‡Code 995.2: adverse effect/allergic reaction/hypersensitivity/idiosyncrasy of drug, medicinal and biological substance (due) to correct medicinal substance properly administered.
Simpson et al23InterventionalICU patients onlyAll typesPatient daysIncident/error reportsAll types
Petridou et al25Retrospective review without controlsClinic or outpatientVaccinesMedication errorsTime period (2 years)Incident/error reportsAll types
Cimino et al28InterventionalICU patients onlyAll typesAdverse drug events and medication errorsManual medication ordersChart reviewsAll types
Butte et al41CohortImmunisationsMedication errorsManual medication orders and patientsChart reviewsAll types
Marino et al43CohortInpatientAll typesMedication errorsManual medication orders and patient daysChart reviewsAll types
Cote et al45Inpatient and outpatientSedatives for proceduresMedication errorsManual error reportsIncident/error reports, solicited case reportsAll types
Upperman et al47InterventionalInpatientAll typesAdverse drug eventsPer 1000 doses dispensedIncident/error reportsAll types
Slonim et al50Retrospective review without controlsInpatientAll typesICD9 code 995.2!AdmissionsAdministrative data (ICD9 codes)All types
Cowley et al48Incident report/case series reviewInpatientAll typesMedication errorsComputerised error reportsIncident/error reports from MER and MedMARxAll types and administering
Potts et al30InterventionalICU patients onlyAll typesAdverse drug events and medication errorsManual medication ordersChart reviewsAll types and prescribing
Holdsworth et al35Retrospective chart reviews and staff interviewsInpatientAll typesPreventable ADEs*as determined by authors and potential ADEs*Patient days, admissions and medical record evidence of ADE*: excluded errors corrected before medication put into MARChart reviews and interviewsAll types, prescribing and dispensing
Sangtawesin et al31Retrospective review without controlsInpatientAll typesMedication errorsAdmissionsIncident/error reportsAll types, prescribing, dispensing and administering
Frey et al38Incident report/case series reviewICU patients onlyAll typesMedication errorsManual error reportsIncident/error reportsAll types, prescribing, dispensing, administering and MAR/documentation
Kaushal et al42CohortInpatientAll typesADEs and medication errorsManual medication orders, patient days and admissionsChart reviewsAll types, prescribing, dispensing, administering, monitoring patient for effect and MAR/documentation
Derrough and Kitchin37Incident report/case series reviewMixVaccinesInadvertent vaccine administrationProspective inquiries of inadvertent admission of vaccines: calls by providers to pharmaceutical company information serviceIncident/error reportsAdministering
Li et al44Cross sectionalHomeParacetamol and ibuprofenMedication errorsPatients ⩽10 receiving paracetamol or ibuprofen at home in past 24 hoursSurvey to parentsAdministering
Losek46Retrospective review without controlsEmergency departmentParacetamol administered by emergency department staffMedication errorsPatientsChart reviewsAdministering
Feikema et al51Cross sectionalClinic or outpatientVaccinesExtra immunisationsPatientsChart reviews from National Immunisation Survey screeningsAdministering
Goldman and Scolnik52Cross sectional parental interviewHomeParacetamol administered by parents at homeMedication errorsPatientsInterviewsAdministering
McErlean et al53Cross sectional parental interviewHomeAntipyretic drugs administered by parent at homeMedication errorsPatientsInterviewsAdministering
Parshuram et al32Prospective observationalICU patients onlyMorphine infusionDiscrepancies between ordered and measured concentrationsNumber of infusionsLiquid chromatographyDispensing
Cable and Craft26Retrospective review without controlsInpatientAll typesDisagreement of Cardex with orderManual medication ordersChart reviewsMAR/documentation
Lehmann et al27InterventionalICU patients onlyTPNMedication errorsManual medication orders (TPN)Order reviewPrescribing
Cordero et al29InterventionalICU patients onlyGentamicinMedication errorsVLBW infants born consecutively 6 months before CPOE receiving drugChart reviews and medical recordsPrescribing
Lesar36Incident report/case series reviewInpatientAll typesMedication errorsComputerised error reports, patient days and admissions identified by pharmacists and entered into relational databaseIncident/error reportsPrescribing
Farrar et al49Interventional studyInpatientAll typesMedication errorsComputerised medication ordersChart reviewsPrescribing
Fontan et al34CohortInpatientAll typesMedication errorsManual medication orders and computerised medication ordersChart reviewsPrescribing and administering
Kozer et al39Retrospective review without controlsEmergency departmentAll typesMedication errorsManual medication ordersChart reviewsPrescribing and administering
Pichon et al40Retrospective review with controlsInpatientAll typesMedication errorsManual medication ordersChart reviewsPrescribing and MAR/Documentation
France et al24Incident report/case series reviewInpatientChemotherapy onlyMedication errorsComputerised error reportsIncident/error reportsPrescribing, dispensing, administering and MAR/documentation
King et al33InterventionalInpatientAll typesAdverse drug events and medication errorsManual error reportsIncident/error reportsPrescribing, dispensing, administering and MAR/documentation