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Getting the foundations right for the measurement of medication safety: the need for a meaningful conceptual frame.

Abstract A number of initiatives aimed at improving medication safety in and across New Zealand public hospitals have been introduced over recent years. Clinicians, policymakers and patients now want to know whether patients are safer today from medicine use than they have been in the past. The challenge has been determining exactly what should be measured. In this viewpoint, we critically examine the suitability of adverse drug events (ADE) as a primary metric for assessing the progress of medication safety improvement. We provide an overview of contemporary dialogue on medication safety measurement and highlight the emergent challenges. Finally, we reflect on how New Zealand has approached medication safety measurement so far and argue the need for a multi-stakeholder informed conceptual framework with a view to further enhancing meaningful assessment of medication safety.
PMID
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Authors

Mayor MeshTerms

Hospitals, Public

Patient Safety

Keywords
Journal Title the new zealand medical journal
Publication Year Start




PMID- 28337041
OWN - NLM
STAT- MEDLINE
DA  - 20170324
DCOM- 20170417
LR  - 20170417
IS  - 1175-8716 (Electronic)
IS  - 0028-8446 (Linking)
VI  - 130
IP  - 1452
DP  - 2017 Mar 24
TI  - Getting the foundations right for the measurement of medication safety: the need 
      for a meaningful conceptual frame.
PG  - 54-62
AB  - A number of initiatives aimed at improving medication safety in and across New
      Zealand public hospitals have been introduced over recent years. Clinicians,
      policymakers and patients now want to know whether patients are safer today from 
      medicine use than they have been in the past. The challenge has been determining 
      exactly what should be measured. In this viewpoint, we critically examine the
      suitability of adverse drug events (ADE) as a primary metric for assessing the
      progress of medication safety improvement. We provide an overview of contemporary
      dialogue on medication safety measurement and highlight the emergent challenges. 
      Finally, we reflect on how New Zealand has approached medication safety
      measurement so far and argue the need for a multi-stakeholder informed conceptual
      framework with a view to further enhancing meaningful assessment of medication
      safety.
FAU - Ng, Jerome
AU  - Ng J
AD  - Institute for Innovation and Improvement, Waitemata District Health Board,
      Auckland.
FAU - Scahill, Shane
AU  - Scahill S
AD  - School of Management, Massey University, Palmerston North.
FAU - Harrison, Jeff
AU  - Harrison J
AD  - School of Pharmacy, University of Auckland, Auckland.
LA  - eng
PT  - Journal Article
DEP - 20170324
PL  - New Zealand
TA  - N Z Med J
JT  - The New Zealand medical journal
JID - 0401067
SB  - IM
MH  - Drug-Related Side Effects and Adverse Reactions/*epidemiology
MH  - *Hospitals, Public
MH  - Humans
MH  - New Zealand/epidemiology
MH  - *Patient Safety
MH  - Quality Assurance, Health Care
MH  - Quality Indicators, Health Care/*statistics & numerical data
COI - Dr Ng and Dr Harrison report grants from NZ Pharmacy Education Research Fund
      (NZPERF) during the conduct of the study.
EDAT- 2017/03/25 06:00
MHDA- 2017/04/18 06:00
CRDT- 2017/03/25 06:00
PST - epublish
SO  - N Z Med J. 2017 Mar 24;130(1452):54-62.

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