The prevalence of medication-related adverse events in inpatients—a systematic review and meta-analysis
- 5 September 2017
- journal article
- review article
- Published by Springer Science and Business Media LLC in European Journal of Clinical Pharmacology
- Vol. 73 (12), 1539-1549
- https://doi.org/10.1007/s00228-017-2330-3
Abstract
Adverse drug events (ADEs) have been internationally recognized as a major threat to patient safety. The purpose of this study was to conduct a meta-analysis focusing on inpatient ADEs in the Western World to provide better estimate of the current state of medication safety in these countries. The studies for meta-analysis were identified through electronic search in Cochrane, Scopus, Medline, and Web of science databases. Included articles focused on adult inpatient ADEs, had commonly accepted definition for ADE, and were conducted between 2000 and 2016. Disease or ADE-specific studies were excluded. Meta-analysis was conducted on the prevalence of inpatient ADEs and fatal adverse drug reactions (FADRs). The pooled estimate of the prevalence of inpatient ADEs was formed by 46,626 patient records included in 9 articles. Inpatient ADE prevalence was 19 and 32.3% of these ADEs were assessed preventable (MD 28.6%, SD 22.6%). Three articles including 3385 patients focused on inpatient FADRs, but the pooled estimate of this was disregarded due to low number and high heterogeneity of the included studies. ADEs are estimated to affect 19% of inpatients during hospitalization. Most of the ADEs are moderate in severity causing no permanent harm to the patient. Only a small amount of ADEs cause inpatient deaths, but in this meta-analysis, however, we were unable to give direct estimate of the prevalence.Keywords
This publication has 32 references indexed in Scilit:
- Evaluating adverse drug event reporting in administrative data from emergency departments: a validation studyBMC Health Services Research, 2013
- Percentage of Patients with Preventable Adverse Drug Reactions and Preventability of Adverse Drug Reactions – A Meta-AnalysisPLOS ONE, 2012
- Preventable and Non-Preventable Adverse Drug Events in Hospitalized PatientsDrug Safety, 2011
- Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician Order Entry for PreventionJournal of General Internal Medicine, 2009
- Adverse Drug Reactions in Hospital In-Patients: A Prospective Analysis of 3695 Patient-EpisodesPLOS ONE, 2009
- The incidence and nature of in-hospital adverse events: a systematic reviewQuality and Safety in Health Care, 2008
- Polypharmacy in elderly patientsThe American Journal of Geriatric Pharmacotherapy, 2007
- Adverse Drug Event Detection in a Community Hospital Utilising Computerised Medication and Laboratory DataDrug Safety, 2007
- Automated Surveillance for Adverse Drug Events at a Community Hospital and an Academic Medical CenterJournal of the American Medical Informatics Association, 2006
- Measuring inconsistency in meta-analysesBMJ, 2003