Dispensing errors in hospital pharmacies: A prospective study in Yemen (original) (raw)
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Universal Journal of Pharmaceutical Research, 2020
Introduction: Hospital pharmacies dispensing errors are common and investigating them for identifying factors involved in it and developing strategies to minimize their occurrence. Errors can arise at any stage during the dispensing process. Dispensing errors were identified by checking the prescribed drug against the dispensed medication. Materials and Methods: A cross sectional study involving 100 pharmacists who were administered a survey research designed to assess pharmacists' attitudes, factors associated with DEs and involvement in DE, conducted between 1st January 2019 and 1st February 2019 at Omdurman Military Hospital (OMH) Pharmacies. A data analyzed by Statistical Package for Social Sciences software version 21. Results: 55% from the pharmacists in the study have poor attitude toward dispensing errors. The most common factors influencing dispensing errors as stated by participants were lack of therapeutic training (stated by 81%), 62% from the participants stated tha...
Pharmacy Practice
Objectives: To assess the incidence, types, the causes of as well as the factors associated with dispensing errors in community pharmacies in Lebanon. Methods: An observational cross-sectional study was conducted in 286 pharmacies located all over Lebanon. Data were collected by senior pharmacy students during their experiential learning placement. Collected data included information on the types of dispensing errors, the underlying causes of errors, handling approaches, and used strategies for dispensing error prevention. Data were analyzed using multiple logistic regression to determine factors that were associated with dispensing errors. Results: In the twelve thousand eight hundred sixty dispensed medications, there were 376 dispensing errors, yielding an error rate of 2.92%. Of these errors, 67.1% (252) corresponded to dispensing near-miss errors. The most common types of dispensing errors were giving incomplete/incorrect use instructions (40.9% (154)), followed by the omission...
2012
The study aimed to determine the frequency and types of dispensing errors identified by pharmacists in the final checking; to explore the work flow of the medication dispensing system at the Outpatient Department (OPD) department University hospital; and to make recommendation for their prevention using system and human approach. Study design was descriptive retrospectively and setting in a University hospital. Medication error data were collected from medication error reporting program. Workflow, input, process and output observations were employed as well. Data analyzed by descriptive statistics. During 28 days of study length, it was recorded 20,775 prescriptions or 741 prescription/day. Dispensing errors reported were 348 events (1.67%). Prevalence of prescribing error, dosage error, and preparation error were 44.8%, 32.2% and 25.9% respectively. Average item per prescription 3.8 item/prescription. Potential errors can be occurred when items of drug increasing. Work flow of disp...
Pharmacy Practice, 2020
Background: Medication dispensing is a fundamental function of community pharmacies, and errors that occur during the dispensing process are a major threat to patient safety. However, to date there has been no national study of medication dispensing errors in the United Arab Emirates (UAE). Objective: The study aimed to investigate the incidence, types, clinical significance, causes and predictors of medication dispensing errors. Methods: The study was conducted in randomly selected community pharmacies (n=350) across all regions of UAE over six months using a mixed-method approach, incorporating prospective disguised observation of dispensing errors and interviews with pharmacists regarding the causes of errors. A multidisciplinary committee, which included an otolaryngologist, a general practitioner and a clinical pharmacist, evaluated the severity of errors. SPSS (Version 26) was used for data analysis. Results: The overall rate of medication dispensing errors was 6.7% (n=30912/ ...
Background: Prescribing errors are unsafe to the patients. The role of pharmacist in reducing possible harm from prescription errors have been highlighted by numerous studies. This study aimed to assess the drug related prescription error and pharmacist intervention at outpatient pharmacy of Prince Zaid bin al Hussein hospital. Method: A cross-sectional study will conduct in the outpatient Pharmacy from March 2019 to April 2019. The outpatient pharmacist will randomly select 1000 prescription and check for drug related prescription error using prescription error checklist. The pharmacist will discuss the prescription errors with Doctors. The prescriptions that will be corrected by Doctor will consider as pharmacist intervention. Descriptive statistics including Chi-square test will be used for statistical analysis using SPSS version 21. Results: Out of 1000 prescriptions 82 drug associated prescription errors were found. The commonest error was dose and dosing frequency error (40.3%), followed by repetition (30.5). The pharmacist intervention was successful in 81.7% of prescription. Conclusion: Prescription error usually happens in clinical situations and pharmacists can perform a vital role in decreasing such prescription errors. This study highlights the necessity of involvement to reduce prescription error. The inclusion of pharmacists, replacement of messy handwritten prescriptions by physician order entry and the application of drug supervision strategies are recommended to decrease drug related prescribing errors.
A systematic review of the nature of dispensing errors in hospital pharmacies
Integrated Pharmacy Research and Practice, 2016
Background: Dispensing errors are common in hospital pharmacies. Investigating dispensing errors is important for identifying the factors involved and developing strategies to reduce their occurrence. Objectives: To review published studies exploring the incidence and types of dispensing errors in hospital pharmacies and factors contributing to these errors. Methods: Electronic databases including PubMed, Scopus, Ovid, and Web of Science were searched for articles published between January 2000 and January 2015. Inclusion criteria were: studies published in English, and studies investigating type, incidence and factors contributing to dispensing errors in hospital pharmacies. One researcher searched for all relevant published articles, screened all titles and abstracts, and obtained complete articles. A second researcher assessed the titles, abstracts, and complete articles to verify the reliability of the selected articles. Key findings: Fifteen studies met the inclusion criteria all of which were conducted in just four countries. Reviewing incident reports and direct observation were the main methods used to investigate dispensing errors. Dispensing error rates varied between countries (0.015%-33.5%) depending on the dispensing system, research method, and classification of dispensing error types. The most frequent dispensing errors reported were dispensing the wrong medicine, dispensing the wrong drug strength, and dispensing the wrong dosage form. The most common factors associated with dispensing errors were: high workload, low staffing, mix-up of look-alike/ sound-alike drugs, lack of knowledge/experience, distractions/interruptions, and communication problems within the dispensary team. Conclusion: Studies relating to dispensing errors in hospital pharmacies are few in number and have been conducted in just four countries. The majority of these studies focused on the investigation of dispensing error types with no mention of contributing factors or strategies for reducing dispensing errors. Others studies are thus needed to investigate dispensing errors in hospital pharmacies, and a combined approach is recommended to investigate contributing factors associated with dispensing errors and explore strategies for reducing these errors.
2019
Background: Prescribing errors are unsafe to the patients. The role of pharmacist in reducing possible harm from prescription errors have been highlighted by numerous studies. This study aimed to assess the drug related prescription error and pharmacist intervention at outpatient pharmacy of Prince Zaid bin al Hussein hospital. Method: A cross-sectional study will conduct in the outpatient Pharmacy from March 2019 to April 2019. The outpatient pharmacist will randomly select 1000 prescription and check for drug related prescription error using prescription error checklist. The pharmacist will discuss the prescription errors with Doctors. The prescriptions that will be corrected by Doctor will consider as pharmacist intervention. Descriptive statistics including Chi-square test will be used for statistical analysis using SPSS version 21. Results: Out of 1000 prescriptions 82 drug associated prescription errors were found. The commonest error was dose and dosing frequency error (40.3%), followed by repetition (30.5). The pharmacist intervention was successful in 81.7% of prescription. Conclusion: Prescription error usually happens in clinical situations and pharmacists can perform a vital role in decreasing such prescription errors. This study highlights the necessity of involvement to reduce prescription error. The inclusion of pharmacists, replacement of messy handwritten prescriptions by physician order entry and the application of drug supervision strategies are recommended to decrease drug related prescribing errors.
Current situation of medication errors in Saudi Arabia: a nationwide observational study
2020
BackgroundMedication process complexity could cause confusion among healthcare professionals (HCPs) and patients and lead to medication errors. This nationwide study aimed to characterize the types of medication errors and determine the error occurs in different stages of the medication process.MethodsThis was a retrospective observational study of medication errors reported by 265 government hospitals and primary care centers during the period of March 2018 to June 2019. The reported information include several aspects of medication errors, including patient information, medication information, error information, and the level of staff reporting and causing the error. The medication use process was categorized into ordering/prescribing, transcribing, dispensing, administering, and monitoring. ResultsA total of 71,332 medication error reports were reported between March 2018 and June 2019. The reported errors involved patients aged <10 (12,1312; 17.3%) and >60 (8,857; 12.4%) y...
Investigation of Medication Errors in a Tertiary Care Hospitals in the Qassim Region, Saudi Arabia
2020
BACKGROUND: Medication errors (MEs) have been defined as “any preventable event that may cause or lead to inappropriate medication or patient harm when the medication is in the control of the health care professional, patient, or consumer.” AIM: The aim of this study is to identify, analyze, and compare the common types of errors encountered in prescriptions, as well as the factors associated with the root causes of these errors, in a large tertiary hospital in the Qassim region of Saudi Arabia. METHODS: The design used is a retrospective cross-sectional analysis conducted in tertiary care hospitals in the Al-Qassim region of the Kingdom of Saudi Arabia. MEs were reported by nurses, pharmacist, and physicians through “hospital-based incident medication error reports” collected from January 2016 to December 2016. RESULTS: During the study period, 2123 MEs were reported for 213,489 prescriptions, of which 1282 (60.38%) were errors by a physician followed by nurses and then pharmacists...