Table 2

Effect of interventions on patient safety incident outcomes

InterventionPatient safety incident outcomes
Favours interventionNo differenceFavours control
Informing the management plan
Medication Record Card/bring all meds/visit by pharmacist9NRNRNR
Reminder to bring meds/verification of med list22NRNRNR
Monitoring and ensuring safe delivery of treatment by self
Self-management of anticoagulation10Reduction in death; reduction in thromboembolic eventsMajor bleedingNR
Medication instruction at normal or slow place13NRNRNR
‘Easy’ read information leaflet14Decrease in medication errorsNRNR
Medication dose counselling15NRNRNR
Dosing instruction/syringe with dose marked16NRNRNR
Nurse intervention to promote self-administration of medication in hospital18Decrease in medication errorsNRNR
Medication tips brochure/wallet card19NRNRNR
Patient package insert21Increase in patient reporting of adverse drug reactionsNRNR
Monitoring and ensuring safe delivery of treatment by health professional
List of current medication/one page medication consumer guide23NRAdverse drug events; close-call drug errorsNR
Informing the management plan/monitoring and ensuring safe delivery of treatment
Individualised teaching plan by nurse12Reduction in medication errorsNRNR
Personal education plan via interactive computer17NRNRNR
Pharmacist counselling20Reduction in preventable adverse drug events; reduction in total adverse drug eventsNRNR
Informing the management plan/making systems safer
Patient-initiated reporting system11NRAdverse clinical event reportingNR
  • Informing the management plan: helping to ensure that appropriate treatment plan is formulated; Making systems safer: helping ensure that current and future healthcare systems are safe; Monitoring and ensuring safe delivery of treatment: helping to ensure the management plan is correctly implemented; NR, none reported; Patient safety outcomes: for example, adverse incidents, adverse events, near misses, medication error rates, infection rates.