The Importance of Medication Errors Reporting in Improving the Quality of Clinical Care Services (original) (raw)
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The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems
Medicines, 2021
Background: Population-based studies from several countries have constantly shown excessively high rates of medication errors and avoidable deaths. An efficient medication error reporting system is the backbone of reliable practice and a measure of progress towards achieving safety. Improvement efforts and system changes of medication error reporting systems should be targeted towards reductions in the likelihood of injury to future patients. However, the aim of this review is to provide a summary of medication errors reporting culture, incidence reporting systems, creating effective reporting methods, analysis of medication error reports, and recommendations to improve medication errors reporting systems. Methods: Electronic databases (PubMed, Ovid, EBSCOhost, EMBASE, and ProQuest) were examined from 1 January 1998 to 30 June 2020. 180 articles were found and 60 papers were ultimately included in the review. Data were mined by two reviewers and verified by two other reviewers. The ...
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 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...
The Impact of Medication Errors on Adverse Events: Assessing Preventable Harm and Patient Safety
International Journal of Innovative Research in Engineering & Multidisciplinary Physical Sciences, 2017
This study examines the relationship between medication errors and adverse events, with a focus on preventable harm to patients. It aims to identify the prevalence of medication errors, their impact on patient safety, and effective interventions. Methods: A mixed-methods approach was used, including a quantitative analysis of 150 patient medical records and incident reports to quantify medication errors and their associations with adverse events. Qualitative data were gathered through semi-structured interviews with 10 healthcare professionals to explore causes, challenges, and effective strategies for error prevention. Results: The quantitative analysis revealed that "Wrong Dose" errors were significantly associated with severe adverse events. The qualitative findings identified communication breakdowns, complex medication regimens, and inadequate systems as major causes of medication errors. Challenges in error prevention included workload constraints, insufficient training, and technology limitations. Effective interventions included medication reconciliation, enhanced use of Electronic Health Records (EHRs), and improved team communication. Conclusion: Medication errors are prevalent and closely linked to adverse events, with specific error types contributing to more severe outcomes. Addressing communication issues, simplifying medication regimens, and improving systems and processes are crucial for reducing errors. Effective interventions, including medication reconciliation and better team communication, are essential for enhancing medication safety.
Monitoring and Evaluation of Medication Error in a Tertiary Care Hospital
South Asian Research Journal of Pharmaceutical Sciences
Background: A medication error is a failure in the treatment process that leads to potential harm to the patient. Objectives: The study aimed to detect common prescribing and dispensing medication errors and frequency of medication errors reported by healthcare providers (HCP). Methodology: This observational prospective study was conducted for 10 months from January 2019 to October 2019 in an inpatient setting of a tertiary care hospital in Mangalore using Incident reporting form. 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: On evaluating the medication errors, 30.18% were prescribing errors, 22.64% were dispensing errors. Majority of the errors were reported by Clinical pharmacist (62.6%), followed by Nurses (24.52%).The drugs acting on CVS were the most common class of drugs in which errors occurred (27 %). Most of the errors in our study resulted in (Error No Harm) 86.3% (category B, C and D), (No Error) 13.5% (category A), 1.2 % (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 and the educational programme for drug prescribers and nurses concerning drug therapy are urgently needed to avoid medication errors and to improve patient safety by clinical pharmacists.
Journal of Applied Pharmaceutical Science, 2018
The purpose of the present study was to categorize, assess and report medication errors. The descriptive crosssectional study was conducted on 377 patients in the department of general medicine for six months. Medication error reporting form (MERF) is used as study instrument. The higher prevalence rate is seen in prescribing errors. Mostly seen prescribing errors were omission of doses, omission of frequency, abbreviated forms, labeling and set of instructions, brand a name and dosage form omission in our study. Medication errors were mostly seen in drugs belonging to the classes of antibiotics, antihypertensive drugs, antipyretics, and diuretics. The possible contributing factors for medication errors in our present study were illegible prescription, failure to adhere to work procedure, peak hour, and abbreviated form, labeling and set of instructions, and miscommunication. Look-alike/sound-alike is the responsible cause of the dispensing centered errors. Education and training to nursing staff, improvement in communication process helps to minimize the prescribing errors.