Inpatient Medication Errors and Pharmacist Intervention at Ministry of Health Public Hospital, Riyadh, Saudi Arabia (original) (raw)
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Indian Journal of Pharmacy Practice
Introduction: Medication errors are at forefront and common provision of modern healthcare and one of the many hazards of hospitalization. The problem is of multidisciplinary and multifactorial in nature. Objective: Identification and prevention of medication errors. Methods: A prospective observational study was conducted over a period of 6 months in a tertiary care hospital. Patients were selected randomly by considering the study criteria. Medication errors were analyzed by using Treatment chart review. The severity levels of medication errors have been analyzed by using the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) proposed index for categorizing medication errors. Results: A total of 681 cases were selected randomly, in which 199 (29.22%) patients showed, 221 medication errors. Out of which 128 (57.91%) errors were actual errors and 93 (42.08%) errors were categorized as potential errors. Prescribing errors were 82.80%, followed by Administration errors 23 (10.40%), Dispensing errors 08 (3.61%) and 07 (3.16%) were Monitoring errors. Anti-infective drugs were the most common class of drugs in which errors occurred 45 (21.02%). Most of the errors in our study resulted in No Error 42.53% (category A), 44.34% (category B, C and D) resulted in Error No Harm, 13.12% (category E, F, G, H) resulted in Error Harm. No incidence of Error Death was reported. Conclusion: The incidence of medication errors was significantly high and it is essential to establish medication error reporting system. Study results shows that there were more number of potential errors which can be preventable. Clinical pharmacist can play a vital role in Identification and prevention of medication errors
International Journal of Pharmacology and Clinical Sciences, 2019
Objectives: Medication errors have a large impact on patient safety and on healthcare cost. Errors occur due to a combination of human and system-related failure. The pharmacist prevents all drug related problems. The objective of this study was to explore pharmacist intervention and prevented medication errors in Pediatrics, Obstetrics and Gynecology at a Tertiary Hospital in East Province, Saudi Arabia. Methods: This article describes 12 months retrospective cohort study of pharmacist intervention and prevented medication errors in year of 2015. This was a retrospective study conducted at 500-bed Pediatrics, Obstetrics and Gynecology in a Tertiary Hospital in East Province, Saudi Arabia. This system was a part of medication safety program. A tertiary hospital had medication safety officer with medication safety committee. All errors or unexpected events related with the medication system or a step in the medication process shall be reported using the medication error from/sheet. The form consisted of patient information, the sources of medication errors and qualification of committing errors. The type of medication errors, description of errors, causes of errors, approval to prevent the errors and the consequence of medication errors by using National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) system. Results: The total number of prevented medication errors were 1654 within 827 patients' prescriptions. The medication errors had been made by physicians followed by nurses. The sources of errors were general practitioner 631 (38.15 %) followed by consultant 554 (33.5%). The most common error was made in Pediatrics (1-month to 6 years) followed by young adults (18-40 years). An occurred error, most of the time was afternoon 872 (52.72%) errors followed by morning duty 685 (41.4%) errors. The majority kind of mistakes were prescriber-related 1216 (73.52%) followed by patient-related errors 426 (25.75%). The outcome of medication error was 1651 (99.82%) occurred which did not reach the patient. The most common medications involved in errors were Paracetamol syrup, iron tablet, folic acid tablet and calcium tablet. There were three errors for high-risk medication prohibited for instant: insulin, enoxaparin and heparin. Conclusion: This article presented the pharmacist's role in preventing medication errors, especially with pediatrics populations. Pharmacists have a crucial system-level role in planning and important medication safety programs and enhancement initiatives within health care organizations. The expanded role of pharmacists in preventing medication errors associated with patient safety programs and avoid the needless cost.
Medication error: The role of health care professionals, sources of error and prevention strategies
The primary goal of medicine is to achieve positive therapeutic outcome while carefully minimizing patient risk. However, with the advancement made in the technology of drug discovery and formulation new medicines are flooding to the drug-market. Although newly launched medicines are opening lot more avenues and opportunities for patient care but also harboring new hazards. Medication errors (MEs) are common in health care system all over world. These errors are more dangerous especially in developing countries were patients’ right is not well protected. It contributes significantly to drug-related complications which range from mild damage to more severe event leading to hospitalization. Various health care professionals’ attitudes as well as system failure contribute to MEs. It has become necessary for every health care professional to understand the nature and sources of MEs and try to find solution. Sources of MEs are multi-factorials and multi-disciplinary that require careful detection, assessment and intervention. Several MEs preventive strategies were identified which if properly implemented will significantly improve health care delivery services. The purpose of this work is to highlight the role of health care professionals in MEs; identify the common sources of MEs and discuss the proper MEs preventive strategies.
Acta medica Iranica, 2013
Any suboptimum treatment in the management of patients can lead to medication errors (MEs) that may increase morbidity and mortality in hospitalized individuals. By establishing well-designed patient care activities within the managed care setting, clinical pharmacists can cooperate with other health care professionals to provide quality care and maximize safety. The aim of this study was to evaluate the frequency and prevention of MEs by clinical pharmacists. This was a cross-sectional interventional study conducted in internal wards of a teaching hospital during a two-month period. During this period, patient records, and physician orders were reviewed by clinical pharmacists. Any prescription error identified was documented. Incorrect drug selection, dose, dosage form, frequency, or route of administration all were considered as medication errors. Then, the clinical pharmacist discuss about findings with the clinical fellows to change faulty orders. The frequency and types of MEs...
International Journal of Clinical Pharmacy, 2011
Objective Frequency and type of medication errors and role of clinical pharmacists in detection and prevention of these errors were evaluated in this study. Method During this interventional study, clinical pharmacists monitored 861 patients' medical records and detected, reported, and prevented medication errors in the infectious disease ward of a major referral teaching hospital in Tehran, Iran. Error was defined as any preventable events that lead to inappropriate medication use related to the health care professionals or patients regardless of outcomes. Classification of the errors was done based on Pharmaceutical Care Network Europe Foundation drug-related problem coding. Results During the study period, 112 medication errors (0.13 errors per patient) were detected by clinical pharmacists. Physicians, nurses, and patients were responsible for 55 (49.1%), 54 (48.2%), and 3 (2.7%) of medication errors, respectively. Drug dosing, choice, use and interactions were the most causes of error in medication processes, respectively. All of these errors were detected, reported, and prevented by infectious diseases ward clinical pharmacists. Conclusion Medication errors occur frequently in medical wards. Clinical pharmacists' interventions can effectively prevent these errors. The types of errors indicate the need for continuous education and implementation of clinical pharmacist's interventions.
Medication errors: A challenge to pharmacovigilance
Journal of emerging technologies and innovative research, 2021
Pharmacovigilance is an activity contributing to the protection of health of public. There are many adverse reaction which are due to the special situations like overdose, misuse, accidental drug exposure, off label use and medication errors. Medication errors are found to be difficult for tracking and also these are creating the challenges for pharmacovigilance. Drugs are need to be used as per the given label or company core data sheet to show maximum effect. Many factors like patient education, dispensing and prescription errors contribute for the medication errors which may affect patient compliance. Many unexpected therapeutic benefits have been reported by the patients and health care professional due to medication errors. This will help in research for different pharmacological actions of existing marketed formulations. An effort has been made in this review to collect information about different types of medication errors and the challenge associated with it for pharmacovigilance. Also effort has been made for the effective use of medicines as per label and to improve patient compliance. Data from different websites and published articles has been collected and summary of these articles has been written. From this review it has been concluded that by patient education we can reduce the chances of medication errors.
Medication error in the provision of healthcare services
Modern health science, 2024
Medication errors are the most common and widespread medical adverse event that occurs in healthcare settings and can lead to increased patient morbidity, mortality, and healthcare costs. The availability of a wide range of over-the-counter and prescribed medications in the healthcare market, which the general public seems to use on a frequent basis to treat their health complications, has rapidly increased the chances of medication errors. Furthermore, the medication chain has several steps that require different people, and errors can occur at different stages in patient care, from ordering the medication to the time the patient is administered the drug. So each stage of the medication chain is exposed to risks that could result in medication errors. Thereby, medication errors prompt patient harm, preclude immediate discharges, and enhance healthcare costs. As a result, it is important to set up a medication safety culture that can light up in the context of effectively putting strategies into action, and everyone's collaboration and participation to adhering to medication safety strategy can improve patient safety. This review of the literature aims to provide a concept of medication errors, explore the pattern of errors, causes and consequences of errors, and error-related adverse events in all types of healthcare settings, risk factors for medication errors, and strategies to avoid and minimize medication errors.
Medication Error and an Effort to Reduce the Incident: A Scoping Review
Systematic Reviews in Pharmacy, 2021
The medication process is carried out by a professional team, namely pharmacists, doctors and nurses. Aim: To identify and analyse the type and factors that influence medication error in Hospital and also the responsibility of each profession in ensuring drug safety. Method: The scoping review is carried out through the study method, with keywords; error medication, safety medication, medication and nurse responsibility, medication and doctor's responsibility, drug and pharmacist responsibility, determinants of error medication, how to reduce error medication. The manuscript database is accessed from Google Scholar, with an English and Indonesian language and published in 2021. Result: A total of twenty-one (21) studies from fourteen countries matched with the inclusion criteria. Scoping area described error medication types. determinant of MEs, roles of the health provider and effort to reduce MEs incident. Conclusion: Medication errors are dangerous incidents so that each heal...
Medication Prescribing Error:A Source of Concern
Journal of applied pharmacy, 2015
Background: There are different types of medication errors which are experienced by the pharmacists in hospital settings.In Pakistan number of attending Pharmacist per bed is low and is a major cause of fatal and life threatening events. Aim: The aim of present retrospective study was to assess the extent and type of medication error in inpatient medical charts. Method: The physician’s orders were analyzed by the clinical pharmacists in hospital setting during 2007- 2008 in different wards. Various types of prescription errors had been reported and expressed in percentages. Result:Out of 450 medical treatment charts, 381 medication errors were found in 350 charts. The highest rate of error was the wrong dose (25%) prescribed by physicians.Infrequent errors were lack of dosage frequency, protocol for treatment, dosage form and continuation of antibiotic after prescribed treatment days. However, most frequently occurring serious errors were wrong dosing frequency (17%) and no dose adj...