{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:54:08Z","timestamp":1790927648238,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Surgical patients are at high risk of experiencing medication errors, particularly those related to the lack of accurate medication history. This study aimed to determine the number and the nature of reported medication safety incidents in surgical patients in a Finnish University Hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this retrospective study, the medication safety incidents (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009902) reported in 7 surgical units of a Finnish University Hospital during 2021\u20132022 were quantitatively analyzed. Incident reports concerning medication discrepancy errors (i.e.a mismatch between the documented medication list and the intended medication regimen) were further assessed with an inductive and data\u2010driven analysis based on their free text sections.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was a total of 902 incidents. Of these, 70.6% were classified as patient involved incidents and 29.4% near misses. The most common incidents were administration errors (45.8%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009413) and prescribing errors (20.7%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009187). The most reported medicines were antithrombotics (24.1%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009140) and opioids (14.3%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200983). Approximately (39%\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009350) were related to errors in up\u2010to\u2010date medication information, such as in the documentation of the patient's electronic medication list (46.0%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009161) and the lack of medication reconciliation (30.3%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009106). Most of these discrepancy incidents caused no clinical consequences to the patient (69.9%), while some resulted in treatment delays (7.7%), psychological\/cognitive symptoms (6.4%) and cardiorespiratory symptoms (5.1%). The majority of the incidents did not affect the duration of hospitalization (83.3%) but some required extra work or monitoring (9.8%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Medication discrepancy\u2010related incidents accounted for approximately 39% of the medication safety incidents reported from the surgical units. Improving adherence to electronic medication list protocols, communication among care personnel, and clarity of professional responsibilities may support medication safety in surgical care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73004","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T06:01:36Z","timestamp":1786600896000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Medication Discrepancy\u2010Related Medication Safety Incidents in Surgical Patients: A Register Study Based on Medication Safety Incident Reports"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7219-8587","authenticated-orcid":false,"given":"Saralotta","family":"V\u00e4h\u00e4l\u00e4","sequence":"first","affiliation":[{"name":"School of Pharmacy University of Eastern Finland Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5069-5045","authenticated-orcid":false,"given":"Miia","family":"Tiihonen","sequence":"additional","affiliation":[{"name":"School of Pharmacy University of Eastern Finland Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esa","family":"J\u00e4msen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine (Clinicum) University of Helsinki Helsinki Finland"},{"name":"Department of Geriatrics Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7842-2647","authenticated-orcid":false,"given":"Ville","family":"Valkonen","sequence":"additional","affiliation":[{"name":"School of Pharmacy University of Eastern Finland Kuopio Finland"},{"name":"Wellbeing Services County of North Savo Kuopio University Hospital, Hospital Pharmacy Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terhi","family":"Toivo","sequence":"additional","affiliation":[{"name":"Wellbeing Services County of Pirkanmaa, Tampere University Hospital, Hospital Pharmacy Tampere Finland"},{"name":"Faculty of Pharmacy, Clinical Pharmacy Group University of Helsinki Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"World Health Organization Global Burden of Preventable Medication\u2013related Harm in Health Care: A Systematic Review. Geneva Switzerland: WHO; 2023 https:\/\/iris.who.int\/bitstream\/handle\/10665\/376203\/9789240088887\u2010eng.pdf."},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjquality.u205475.w2230"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12403"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0897190017739982"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.18549\/PharmPract.2017.01.864"},{"key":"e_1_2_14_7_1","unstructured":"World Health Organization The High 5s Project Medication Reconciliation Implementation Guide. Assuring Medication Accuracy at Transitions in Care. Version 4. Geneva Switzerland: WHO; 2014 https:\/\/cdn.who.int\/media\/docs\/default\u2010source\/integrated\u2010health\u2010services\u2010(ihs)\/psf\/high5s\/h5s\u2010guide.pdf."},{"key":"e_1_2_14_8_1","unstructured":"World Health Organization WHO Guidelines for Safe Surgery 2009. Safe Surgery Saves Lives. 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