Cochrane · systematic review · CD003942
Professional, structural and organisational interventions in primary care for reducing medication errors
Khalil, H, Bell, B, Chambers, H, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 37.5%Low 2 · 25%Moderate 2 · 25%High 1 · 12.5%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Professional interventions compared to standard/usual care for prevention of medication errors
Population: adults receiving medication in primary care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of hospital admissions Professional interventions vs standard/usual care | RR 1.24 [0.79, 1.96] | 3889 participants | Moderate Downgraded: imprecision |
Number of people admitted to hospital Professional interventions vs standard/usual care | RR 0.99 [0.92, 1.06] | 3661 participants | High |
Number of emergency department visits Professional interventions vs standard/usual care | RR 0.71 [0.5, 1.02] | 1067 participants | Low Downgraded: risk of bias, imprecision |
Mortality Professional interventions vs standard/usual care | RR 0.98 [0.82, 1.17] | 3538 participants | Moderate Downgraded: risk of bias |
Organisational interventions compared to standard/usual care for prevention of medication errors
Population: adults receiving medication in primary care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of hospital admissions Organisational interventions vs standard/usual care | RR 0.85 [0.71, 1.03] | 6203 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Number of people admitted to hospital Organisational interventions vs standard/usual care | RR 0.92 [0.86, 0.99] | 152237 participants | Low Downgraded: risk of bias, imprecision |
Number of emergency department visits Organisational interventions vs standard/usual care | RR 0.75 [0.49, 1.15] | 1819 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Mortality Organisational interventions vs standard/usual care | RR 0.94 [0.85, 1.03] | 154962 participants | Very low Downgraded: risk of bias, imprecision |