Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
In Reply: Drs Chen and Yokoyama question the
comparability of the study and control unit pharmacists. The backgrounds,
training, and experience of the pharmacists were comparable, and the control
unit pharmacist made retrospective clarifications and corrections. Thus, the
reductions we found were in addition to the error prevention effect of the
normal "safety net."
Drs Boullata and McDonnell raise important questions about the pharmacist's
participation on rounds. Our study was confined to ADEs detected by chart
review, which captures many more events than voluntary reporting. However,
serious errors without injury (potential ADEs or near-misses) are often missed.
Most nonpreventable ADEs were idiosyncratic reactions.
Leape LL, Burdick E, Cullen DJ, Clapp MD, Demonaco HJ, Erickson JI, Bates DW. Preventing Medication Errors in the Intensive Care Unit—Reply. JAMA. 2000;283(10):1287-1289. doi:10.1001/jama.283.10.1287