{"id":"https://openalex.org/W4404032295","doi":"https://doi.org/10.1016/j.rcsop.2024.100531","title":"High-risk medication errors: Insight from the UK National Reporting and learning system","display_name":"High-risk medication errors: Insight from the UK National Reporting and learning system","publication_year":2024,"publication_date":"2024-11-04","ids":{"openalex":"https://openalex.org/W4404032295","doi":"https://doi.org/10.1016/j.rcsop.2024.100531","pmid":"https://pubmed.ncbi.nlm.nih.gov/39737368","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11683304"},"language":"en","primary_location":{"id":"doi:10.1016/j.rcsop.2024.100531","doi":"https://doi.org/10.1016/j.rcsop.2024.100531","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.rcsop.2024.100531","pdf_url":null,"source":{"id":"https://openalex.org/S4210220726","display_name":"Exploratory Research in Clinical and Social Pharmacy","issn_l":"2667-2766","issn":["2667-2766"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Exploratory Research in Clinical and Social Pharmacy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.rcsop.2024.100531","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008695692","display_name":"Abdulrhman Alrowily","orcid":"https://orcid.org/0000-0002-8813-7612","observed_orcids":["https://orcid.org/0000-0002-8813-7612"]},"institutions":[{"id":"https://openalex.org/I4210112034","display_name":"King Fahd Military Medical Complex","ror":"https://ror.org/01c524129","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210112034"]}],"countries":["SA"],"is_corresponding":true,"raw_author_name":"Abdulrhman Alrowily","raw_affiliation_strings":["King Fahad Military Medical Complex, Dhahran 31932, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King Fahad Military Medical Complex, Dhahran 31932, Saudi Arabia","institution_ids":["https://openalex.org/I4210112034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009158791","display_name":"Khalid A. Al Faraidy","orcid":"https://orcid.org/0000-0003-0237-9782","observed_orcids":["https://orcid.org/0000-0003-0237-9782"]},"institutions":[{"id":"https://openalex.org/I4210112034","display_name":"King Fahd Military Medical Complex","ror":"https://ror.org/01c524129","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210112034"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Khalid Alfaraidy","raw_affiliation_strings":["King Fahad Military Medical Complex, Dhahran 31932, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King Fahad Military Medical Complex, Dhahran 31932, Saudi Arabia","institution_ids":["https://openalex.org/I4210112034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061517914","display_name":"Saleh Almutairi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210112034","display_name":"King Fahd Military Medical Complex","ror":"https://ror.org/01c524129","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210112034"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Saleh Almutairi","raw_affiliation_strings":["King Fahad Military Medical Complex, Dhahran 31932, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King Fahad Military Medical Complex, Dhahran 31932, Saudi Arabia","institution_ids":["https://openalex.org/I4210112034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041217464","display_name":"Abdullah Alamri","orcid":"https://orcid.org/0000-0003-1232-7732","observed_orcids":["https://orcid.org/0000-0003-1232-7732"]},"institutions":[{"id":"https://openalex.org/I4210112034","display_name":"King Fahd Military Medical Complex","ror":"https://ror.org/01c524129","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210112034"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Abdullah Alamri","raw_affiliation_strings":["King Fahad Military Medical Complex, Dhahran 31932, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King Fahad Military Medical Complex, Dhahran 31932, Saudi Arabia","institution_ids":["https://openalex.org/I4210112034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094209526","display_name":"Wejdan Alrowily","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210112034","display_name":"King Fahd Military Medical Complex","ror":"https://ror.org/01c524129","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210112034"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Wejdan Alrowily","raw_affiliation_strings":["King Fahad Military Medical Complex, Dhahran 31932, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King Fahad Military Medical Complex, Dhahran 31932, Saudi Arabia","institution_ids":["https://openalex.org/I4210112034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047404556","display_name":"Mohammed Abutaleb","orcid":"https://orcid.org/0000-0002-5300-5900","observed_orcids":["https://orcid.org/0000-0002-5300-5900"]},"institutions":[{"id":"https://openalex.org/I4210152863","display_name":"King Fahad Central Hospital","ror":"https://ror.org/04y2gp806","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210152863"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Mohammed Abutaleb","raw_affiliation_strings":["King Fahd Central Hospital, Jazan 82666, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King Fahd Central Hospital, Jazan 82666, Saudi Arabia","institution_ids":["https://openalex.org/I4210152863"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059583697","display_name":"Mohammad F. Zaitoun","orcid":"https://orcid.org/0000-0002-1156-9281","observed_orcids":["https://orcid.org/0000-0002-1156-9281"]},"institutions":[{"id":"https://openalex.org/I4399598369","display_name":"Armed Forces Hospital Southern Region","ror":"https://ror.org/05r1hax23","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4399598369"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Mohammad Zaitoun","raw_affiliation_strings":["Armed Forces Hospitals Southern Region, Khamis Mushait 62413, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Armed Forces Hospitals Southern Region, Khamis Mushait 62413, Saudi Arabia","institution_ids":["https://openalex.org/I4399598369"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114511989","display_name":"Waddad Sarawi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I28022161","display_name":"King Saud University","ror":"https://ror.org/02f81g417","country_code":"SA","type":"education","lineage":["https://openalex.org/I28022161"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Waddad Sarawi","raw_affiliation_strings":["King Saud University, Riyadh 145111, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King Saud University, Riyadh 145111, Saudi Arabia","institution_ids":["https://openalex.org/I28022161"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5094209527","display_name":"Mashael Aljead","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335369389","display_name":"Riyadh Armed Forces Hospital","ror":"https://ror.org/00mtny680","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I1335369389"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Mashael Aljead","raw_affiliation_strings":["Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia","institution_ids":["https://openalex.org/I1335369389"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5008695692"],"corresponding_institution_ids":["https://openalex.org/I4210112034"],"apc_list":{"value":1800,"currency":"USD","value_usd":1800},"apc_paid":{"value":1800,"currency":"USD","value_usd":1800},"fwci":1.6442,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.81872551,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":96},"biblio":{"volume":"17","issue":null,"first_page":"100531","last_page":"100531"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11943","display_name":"Pharmacovigilance and Adverse Drug Reactions","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3005","display_name":"Toxicology"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medication-errors","display_name":"medication errors","score":0.9440000057220459},{"id":"https://openalex.org/keywords/high-risk-medications","display_name":"high-risk medications","score":0.8209999799728394},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.9789999723434448},{"id":"https://openalex.org/keywords/national-reporting-and-learning-system","display_name":"National Reporting and Learning System","score":0.9210000038146973},{"id":"https://openalex.org/keywords/prescribing-errors","display_name":"prescribing errors","score":0.7379999756813049},{"id":"https://openalex.org/keywords/dispensing-errors","display_name":"dispensing errors","score":0.8679999709129333},{"id":"https://openalex.org/keywords/internal-communication","display_name":"internal communication","score":0.6039999723434448},{"id":"https://openalex.org/keywords/staff-workload","display_name":"staff workload","score":0.75}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3448333144187927},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3297807276248932}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1016/j.rcsop.2024.100531","doi":"https://doi.org/10.1016/j.rcsop.2024.100531","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.rcsop.2024.100531","pdf_url":null,"source":{"id":"https://openalex.org/S4210220726","display_name":"Exploratory Research in Clinical and Social Pharmacy","issn_l":"2667-2766","issn":["2667-2766"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Exploratory Research in Clinical and Social Pharmacy","raw_type":"journal-article"},{"id":"doi:10.21203/rs.3.rs-4115984/v1","doi":"https://doi.org/10.21203/rs.3.rs-4115984/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-4115984/v1","pdf_url":"https://www.researchsquare.com/article/rs-4115984/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},{"id":"pmh:oai:pubmedcentral.nih.gov:11683304","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11683304","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11683304/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Explor Res Clin Soc Pharm","raw_type":"Text"},{"id":"pmid:39737368","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39737368","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Exploratory research in clinical and social pharmacy","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:e04e32c2a1e342b494d1a370540f2068","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/e04e32c2a1e342b494d1a370540f2068","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Exploratory Research in Clinical and Social Pharmacy, Vol 17, Iss , Pp 100531- (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.rcsop.2024.100531","doi":"https://doi.org/10.1016/j.rcsop.2024.100531","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.rcsop.2024.100531","pdf_url":null,"source":{"id":"https://openalex.org/S4210220726","display_name":"Exploratory Research in Clinical and Social Pharmacy","issn_l":"2667-2766","issn":["2667-2766"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Exploratory Research in Clinical and Social Pharmacy","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G5673802368","display_name":null,"funder_award_id":"RSPD2024R778","funder_id":"https://openalex.org/F4320321145","funder_display_name":"King Saud University"}],"funders":[{"id":"https://openalex.org/F4320321145","display_name":"King Saud University","ror":"https://ror.org/02f81g417"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4404032295.pdf","grobid_xml":"https://content.openalex.org/works/W4404032295.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W1419672874","https://openalex.org/W1542137065","https://openalex.org/W1553436329","https://openalex.org/W1987100562","https://openalex.org/W2018355442","https://openalex.org/W2031205218","https://openalex.org/W2034488259","https://openalex.org/W2037019152","https://openalex.org/W2041951450","https://openalex.org/W2115516678","https://openalex.org/W2164086521","https://openalex.org/W2215622857","https://openalex.org/W2295159788","https://openalex.org/W2838085815","https://openalex.org/W3136002404","https://openalex.org/W3171923723","https://openalex.org/W4398137483"],"related_works":["https://openalex.org/W4393033954","https://openalex.org/W7147009123","https://openalex.org/W1542137065","https://openalex.org/W3196815410","https://openalex.org/W2620985983","https://openalex.org/W1997249905","https://openalex.org/W2080191020","https://openalex.org/W2110502030","https://openalex.org/W7042807679","https://openalex.org/W2100189788"],"abstract_inverted_index":{"Background:":[0],"Ensuring":[1],"patient":[2,46,64],"safety":[3,47,65,222],"is":[4,182],"of":[5,28,42,101,186,202,208,227],"paramount":[6],"importance":[7],"in":[8,16,48,214],"healthcare":[9,215],"systems.":[10],"Rising":[11],"concerns":[12],"about":[13],"medical":[14],"errors":[15,135,142,209],"the":[17,26,49,55,98,125,130,153,179,189,200,206,225],"UK":[18,50],"have":[19],"necessitated":[20],"a":[21,39,85,183],"greater":[22],"focus":[23],"on":[24,52,194],"studying":[25],"nature":[27],"such":[29],"errors,":[30],"particularly":[31],"those":[32],"involving":[33],"high-risk":[34,102,212],"medications.":[35],"Objectives:":[36],"To":[37],"conduct":[38],"retrospective":[40],"analysis":[41],"incidents":[43,81,91],"related":[44,147,210],"to":[45,148,171,199,211],"based":[51,193],"data":[53,118],"from":[54,145],"National":[56],"Rporting":[57],"and":[58,72,94,106,110,133,139,151,162,164,188],"Learning":[59],"System":[60],"(NRLS).":[61],"Methods:":[62],"NRLS)":[63],"reports":[66],"published":[67],"between":[68],"January":[69],"1,":[70],"2015,":[71],"December":[73],"31,":[74],"2015.":[75],"NHS":[76],"Improvement":[77],"provides":[78],"details":[79],"regarding":[80],"following":[82],"approval":[83],"using":[84],"data-sharing":[86],"agreement.":[87],"In":[88],"total,":[89],"1500":[90],"were":[92,115],"analszed":[93],"equally":[95],"divided":[96],"among":[97,160],"three":[99],"categories":[100],"drugs:":[103],"opioids,":[104],"insulin,":[105],"anticoagulants.":[107],"Excel\u00ae":[108],"features":[109],"deductive":[111],"reasoning":[112],"(thematic":[113],"analysis)":[114],"used":[116],"for":[117],"analysis.":[119],"Results:":[120],"The":[121],"results":[122],"showed":[123],"that":[124,178,204],"insulin":[126],"category":[127],"had":[128],"both":[129],"highest":[131],"risk":[132],"most":[134],"compared":[136],"with":[137],"anticoagulants":[138],"opioids.":[140],"These":[141],"primarily":[143],"result":[144],"issues":[146],"administering,":[149],"prescribing,":[150],"dispensing":[152],"drugs.":[154],"Inadequate":[155],"drug":[156],"checks,":[157],"communication":[158],"difficulties":[159],"staff":[161,166],"patients,":[163],"high":[165],"workloads":[167],"are":[168],"often":[169],"linked":[170],"these":[172,195],"errors.":[173],"Conclusion:":[174],"This":[175],"study":[176],"confirms":[177],"NRLS":[180],"database":[181],"valuable":[184],"source":[185],"data,":[187],"suggestions":[190],"put":[191],"forth,":[192],"results,":[196],"could":[197],"contribute":[198],"formulation":[201],"measures":[203],"diminish":[205],"occurrence":[207],"drugs":[213],"settings.":[216],"Information":[217],"technology":[218],"should":[219],"enhance":[220],"medication":[221,228],"by":[223],"tracking":[224],"process":[226],"use.":[229]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3}],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2024-11-05T00:00:00"}
