{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T06:55:37Z","timestamp":1794293737450,"version":"4.9.0"},"reference-count":40,"publisher":"American Medical Association (AMA)","issue":"13","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA"],"published-print":{"date-parts":[[2021,10,5]]},"DOI":"10.1001\/jama.2021.13844","type":"journal-article","created":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T07:56:40Z","timestamp":1633593400000},"page":"1299","source":"Crossref","is-referenced-by-count":166,"title":["US Emergency Department Visits Attributed to Medication Harms, 2017-2019"],"prefix":"10.1001","volume":"326","author":[{"given":"Daniel S.","family":"Budnitz","sequence":"first","affiliation":[{"name":"Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Shehab","sequence":"additional","affiliation":[{"name":"Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"},{"name":"Lantana Consulting Group, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maribeth C.","family":"Lovegrove","sequence":"additional","affiliation":[{"name":"Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew I.","family":"Geller","sequence":"additional","affiliation":[{"name":"Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer N.","family":"Lind","sequence":"additional","affiliation":[{"name":"Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel A.","family":"Pollock","sequence":"additional","affiliation":[{"name":"Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","reference":[{"issue":"10","key":"joi210092r1","doi-asserted-by":"publisher","first-page":"795","DOI":"10.7326\/0003-4819-140-10-200405180-00009","article-title":"Clarifying adverse drug events: a clinician\u2019s guide to terminology, documentation, and reporting.","volume":"140","author":"Nebeker","year":"2004","journal-title":"Ann Intern Med"},{"issue":"8","key":"joi210092r2","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1016\/j.mayocp.2014.06.014","article-title":"Medication errors: what is their impact?","volume":"89","author":"Bates","year":"2014","journal-title":"Mayo Clin Proc"},{"issue":"3","key":"joi210092r3","first-page":"751","article-title":"Prescription drug misuse: a growing national problem.","volume":"17","author":"Hertz","year":"2006","journal-title":"Adolesc Med Clin"},{"issue":"8","key":"joi210092r4","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.2105\/AJPH.2017.303863","article-title":"Deciphering suicide and other manners of death associated with drug intoxication: a Centers for Disease Control and Prevention consultation meeting summary.","volume":"107","author":"Stone","year":"2017","journal-title":"Am J Public Health"},{"issue":"15","key":"joi210092r5","doi-asserted-by":"publisher","first-page":"1858","DOI":"10.1001\/jama.296.15.1858","article-title":"National surveillance of emergency department visits for outpatient adverse drug events.","volume":"296","author":"Budnitz","year":"2006","journal-title":"JAMA"},{"issue":"20","key":"joi210092r6","doi-asserted-by":"publisher","first-page":"2115","DOI":"10.1001\/jama.2016.16201","article-title":"US emergency department visits for outpatient adverse drug events, 2013-2014.","volume":"316","author":"Shehab","year":"2016","journal-title":"JAMA"},{"issue":"10","key":"joi210092r7","doi-asserted-by":"publisher","first-page":"S96","DOI":"10.1097\/MLR.0b013e318041f737","article-title":"Evaluation and overview of the National Electronic Injury Surveillance System\u2013Cooperative Adverse Drug Event Surveillance Project (NEISS-CADES).","volume":"45","author":"Jhung","year":"2007","journal-title":"Med Care"},{"issue":"5","key":"joi210092r8","doi-asserted-by":"publisher","first-page":"784","DOI":"10.2105\/AJPH.2019.305007","article-title":"US emergency department visits for acute harms from prescription opioid use, 2016-2017.","volume":"109","author":"Lovegrove","year":"2019","journal-title":"Am J Public Health"},{"issue":"6","key":"joi210092r10","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1097\/ADM.0000000000000170","article-title":"Things that work, things that don\u2019t work, and things that matter\u2014including words.","volume":"9","author":"Saitz","year":"2015","journal-title":"J Addict Med"},{"issue":"4","key":"joi210092r11","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.2105\/AJPH.2012.301191","article-title":"Language and addiction: choosing words wisely.","volume":"103","author":"Wakeman","year":"2013","journal-title":"Am J Public Health"},{"issue":"1","key":"joi210092r14","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1007\/s11606-019-05391-y","article-title":"Emergency visits for oral anticoagulant bleeding.","volume":"35","author":"Geller","year":"2020","journal-title":"J Gen Intern Med"},{"key":"joi210092r15","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/s12959-016-0111-3","article-title":"DOACs\u2014advances and limitations in real world.","volume":"14","author":"Lee","year":"2016","journal-title":"Thromb J"},{"issue":"13","key":"joi210092r16","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.120.017559","article-title":"Direct oral anticoagulant use: a practical guide to common clinical challenges.","volume":"9","author":"Chen","year":"2020","journal-title":"J Am Heart Assoc"},{"key":"joi210092r20","doi-asserted-by":"publisher","first-page":"S61","DOI":"10.2337\/dc19-S006","article-title":"6. Glycemic targets: standards of medical care in diabetes\u20142019.","volume":"42","author":"American Diabetes Association","year":"2019","journal-title":"Diabetes Care"},{"issue":"4","key":"joi210092r21","doi-asserted-by":"publisher","first-page":"1048","DOI":"10.2337\/dc13-2173","article-title":"Empirically establishing blood glucose targets to achieve HbA1c goals.","volume":"37","author":"Wei","year":"2014","journal-title":"Diabetes Care"},{"key":"joi210092r25","doi-asserted-by":"publisher","first-page":"S90","DOI":"10.2337\/dc19-S009","article-title":"9. Pharmacologic approaches to glycemic treatment: standards of medical care in diabetes\u20142019.","volume":"42","author":"American Diabetes Association","year":"2019","journal-title":"Diabetes Care"},{"key":"joi210092r26","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1016\/j.diabres.2017.08.005","article-title":"Continuous glucose monitoring: a review of the technology and clinical use.","volume":"133","author":"Klonoff","year":"2017","journal-title":"Diabetes Res Clin Pract"},{"issue":"4","key":"joi210092r28","doi-asserted-by":"publisher","first-page":"238","DOI":"10.2337\/diaspect.23.4.238","article-title":"Addressing health literacy and numeracy to improve diabetes education and care.","volume":"23","author":"White","year":"2010","journal-title":"Diabetes Spectr"},{"issue":"1","key":"joi210092r29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.rr6501e1","article-title":"CDC guideline for prescribing opioids for chronic pain\u2014United States, 2016.","volume":"65","author":"Dowell","year":"2016","journal-title":"MMWR Recomm Rep"},{"issue":"5","key":"joi210092r31","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1016\/j.amepre.2018.12.009","article-title":"US emergency department visits resulting from nonmedical use of pharmaceuticals, 2016.","volume":"56","author":"Geller","year":"2019","journal-title":"Am J Prev Med"},{"issue":"6","key":"joi210092r32","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2016-1878","article-title":"National trends in the prevalence and treatment of depression in adolescents and young adults.","volume":"138","author":"Mojtabai","year":"2016","journal-title":"Pediatrics"},{"issue":"1","key":"joi210092r33","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2016-1210","article-title":"Substance use screening, brief intervention, and referral to treatment.","volume":"138","author":"Committee on Substance Use and Prevention","year":"2016","journal-title":"Pediatrics"},{"issue":"17","key":"joi210092r34","doi-asserted-by":"publisher","first-page":"1864","DOI":"10.1001\/jama.2016.4151","article-title":"Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010\u20132011.","volume":"315","author":"Fleming-Dutra","year":"2016","journal-title":"JAMA"},{"key":"joi210092r35","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1016\/j.jpeds.2018.02.033","article-title":"Frequency of poison center exposures for pediatric accidental unsupervised ingestions of acetaminophen after the introduction of flow restrictors.","volume":"198","author":"Brass","year":"2018","journal-title":"J Pediatr"},{"issue":"6","key":"joi210092r36","doi-asserted-by":"publisher","first-page":"e205","DOI":"10.1016\/j.amepre.2018.12.015","article-title":"Flow restrictors and reduction of accidental ingestions of over-the-counter medications.","volume":"56","author":"Paul","year":"2019","journal-title":"Am J Prev Med"},{"issue":"6","key":"joi210092r39","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1001\/jama.2020.2152","article-title":"Prevention of unintentional medication overdose among children: time for the promise of the Poison Prevention Packaging Act to come to fruition.","volume":"324","author":"Budnitz","year":"2020","journal-title":"JAMA"},{"issue":"1","key":"joi210092r40","doi-asserted-by":"publisher","first-page":"e293","DOI":"10.1542\/peds.2014-0992","article-title":"Attention-deficit\/hyperactivity disorder and substance abuse.","volume":"134","author":"Harstad","year":"2014","journal-title":"Pediatrics"},{"key":"joi210092r9","unstructured":"Centers for Disease Control and Prevention. Distinguishing public health research and public health nonresearch. Accessed June 9, 2021. https:\/\/www.cdc.gov\/os\/integrity\/docs\/cdc-policy-distinguishing-public-health-research-nonresearch.pdf"},{"key":"joi210092r12","unstructured":"Schroeder? T, Ault? K. National Electronic Injury Surveillance System All Injury Program. Accessed June 9, 2021. https:\/\/www.icpsr.umich.edu\/cgi-bin\/file?comp=none&study=36280&ds=1&file_id=1194767&path=ICPSR"},{"key":"joi210092r13","unstructured":"Centers for Disease Control and Prevention. Bridged-race population estimates: 1990-2019. Accessed June 9, 2021. https:\/\/wonder.cdc.gov\/bridged-race-population.html"},{"key":"joi210092r17","unstructured":"Joint Commission. Hospital: 2021 national patient safety goals. Accessed April 20, 2021. https:\/\/www.jointcommission.org\/standards\/national-patient-safety-goals\/hospital-national-patient-safety-goals\/"},{"key":"joi210092r18","unstructured":"Anticoagulation Forum. Core elements of anticoagulation stewardship. Accessed June 9, 2021. https:\/\/acforum.org\/web\/education-stewardship.php"},{"key":"joi210092r19","unstructured":"Centers for Medicare & Medicaid Services. Explore measures and activities: 2020 improvement activities: anticoagulant management improvements: activity ID IA_PM_2. Quality Payment Program. Accessed June 9, 2021. https:\/\/qpp.cms.gov\/mips\/explore-measures?tab=improvementActivities&py=2020"},{"key":"joi210092r22","unstructured":"American Geriatrics Society. Avoid using medications other than metformin to achieve hemoglobin A1c&lt;7.5% in most older adults: moderate control is generally better. Choosing Wisely. Accessed June 9, 2021. https:\/\/www.choosingwisely.org\/clinician-lists\/american-geriatrics-society-medication-to-control-type-2-diabetes\/"},{"key":"joi210092r23","unstructured":"Centers for Medicare & Medicaid Services. Explore measures and activities: 2020 improvement activities: glycemic management services: activity ID IA_PM_4. Quality Payment Program. Accessed June 9, 2021. https:\/\/qpp.cms.gov\/mips\/explore-measures?tab=improvementActivities&py=2020"},{"key":"joi210092r24","unstructured":"US Department of Veterans Affairs. Quality, safety and value: hypoglycemia safety initiative. Accessed June 9, 2021. https:\/\/www.qualityandsafety.va.gov\/ChoosingWiselyHealthSafetyInitiative\/HypoglycemiaSite\/Hypoglycemia.asp"},{"key":"joi210092r27","unstructured":"Centers for Disease Control and Prevention. Diabetes: manage blood sugar. Accessed June 9, 2021. https:\/\/www.cdc.gov\/diabetes\/managing\/manage-blood-sugar.html"},{"key":"joi210092r30","unstructured":"Food and Drug Administration. FDA requiring boxed warning updated to improve safe use of benzodiazepine drug class. Accessed June 9, 2021. https:\/\/www.fda.gov\/drugs\/drug-safety-and-availability\/fda-requiring-boxed-warning-updated-improve-safe-use-benzodiazepine-drug-class"},{"key":"joi210092r37","unstructured":"US Department of Health and Human Services; Centers for Disease Control and Prevention. 2018 Update: antibiotic use in the United States: progress and opportunities. Accessed June 9, 2021. https:\/\/www.cdc.gov\/antibiotic-use\/stewardship-report\/pdf\/stewardship-report-2018-508.pdf"},{"key":"joi210092r38","unstructured":"Food and Drug Administration. Restricted delivery systems: flow restrictors for oral liquid drug products: guidance for industry. Accessed June 9, 2021. https:\/\/www.fda.gov\/media\/136170\/download"}],"container-title":["JAMA"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jama\/articlepdf\/2784662\/jama_budnitz_2021_oi_210092_1633385140.14993.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T07:57:00Z","timestamp":1633593420000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2784662"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,5]]},"references-count":40,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2021,10,5]]}},"URL":"https:\/\/doi.org\/10.1001\/jama.2021.13844","relation":{},"ISSN":["0098-7484"],"issn-type":[{"value":"0098-7484","type":"print"}],"subject":[],"published":{"date-parts":[[2021,10,5]]}}}