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Updated: May 30, 2026

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

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Medication errors and penalties in assisted living facilities.

Aubri L Charboneau¹, Penny S Shelton, Jan B Brickley

¹Campbell University, Buies Creek, North Carolina.

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists

|August 16, 2011

Summary

Medication errors contributed to about half of proposed penalties in North Carolina assisted living facilities. This highlights the need for improved medication safety and pharmacist involvement.

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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

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Published on: November 9, 2016

Area of Science:

Gerontology
Health Services Research
Pharmacy Practice

Background:

Licensed assisted living facilities provide care for vulnerable populations.
Medication management is a critical aspect of resident safety in these settings.

Purpose of the Study:

To quantify the proportion of proposed penalties linked to medication errors in North Carolina assisted living facilities.
To identify factors associated with medication-related penalties.

Main Methods:

Retrospective analysis of proposed penalties and case files from North Carolina assisted living facility surveys (2007-2008).
Calculation of medication-related deficiency and penalty percentages.
Chi-square tests to explore associations with facility size, location, and penalty type.

Main Results:

Over half (51%) of the 88 proposed penalties were medication-related.
No association found between medication-related penalties and facility size or location.
Significant association between penalty type and medication relation (Type B penalties were more likely medication-related).
Commonly cited medications included insulin, cardiovascular agents, and antipsychotics; errors involved missed or incorrect dosages.

Conclusions:

Medication errors are a significant factor in penalties for North Carolina assisted living facilities, accounting for approximately half of violations.
Findings underscore the necessity for ongoing regulatory oversight and enhanced pharmacist engagement to bolster medication safety.