Medication error detection in two major teaching hospitals: What are the types of errors?
Background: Increasing number of reports on medication errors and relevant subsequent damages, especially in medical centers has become a growing concern for patient safety in recent decades. Patient safety and in particular, medication safety is a major concern and challenge for health care profess...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Research in Medical Sciences |
| Subjects: | |
| Online Access: | http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2014;volume=19;issue=7;spage=617;epage=623;aulast= |
| _version_ | 1828155654909460480 |
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| author | Fatemeh Saghafi Amir H Zargarzadeh |
| author_facet | Fatemeh Saghafi Amir H Zargarzadeh |
| author_sort | Fatemeh Saghafi |
| collection | DOAJ |
| description | Background: Increasing number of reports on medication errors and relevant subsequent damages, especially in medical centers has become a growing concern for patient safety in recent decades. Patient safety and in particular, medication safety is a major concern and challenge for health care professionals around the world. Our prospective study was designed to detect prescribing, transcribing, dispensing, and administering medication errors in two major university hospitals. Materials and Methods: After choosing 20 similar hospital wards in two large teaching hospitals in the city of Isfahan, Iran, the sequence was randomly selected. Diagrams for drug distribution were drawn by the help of pharmacy directors. Direct observation technique was chosen as the method for detecting the errors. A total of 50 doses were studied in each ward to detect prescribing, transcribing and administering errors in each ward. The dispensing error was studied on 1000 doses dispensed in each hospital pharmacy. Results: A total of 8162 number of doses of medications were studied during the four stages, of which 8000 were complete data to be analyzed. 73% of prescribing orders were incomplete and did not have all six parameters (name, dosage form, dose and measuring unit, administration route, and intervals of administration). We found 15% transcribing errors. One-third of administration of medications on average was erroneous in both hospitals. Dispensing errors ranged between 1.4% and 2.2%. Conclusion: Although prescribing and administrating compromise most of the medication errors, improvements are needed in all four stages with regard to medication errors. Clear guidelines must be written and executed in both hospitals to reduce the incidence of medication errors. |
| first_indexed | 2024-04-11T22:56:54Z |
| format | Article |
| id | doaj.art-0463c893352c43b3a4c0ea78abca1f66 |
| institution | Directory Open Access Journal |
| issn | 1735-1995 1735-7136 |
| language | English |
| last_indexed | 2024-04-11T22:56:54Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Research in Medical Sciences |
| spelling | doaj.art-0463c893352c43b3a4c0ea78abca1f662022-12-22T03:58:20ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362014-01-01197617623Medication error detection in two major teaching hospitals: What are the types of errors?Fatemeh SaghafiAmir H ZargarzadehBackground: Increasing number of reports on medication errors and relevant subsequent damages, especially in medical centers has become a growing concern for patient safety in recent decades. Patient safety and in particular, medication safety is a major concern and challenge for health care professionals around the world. Our prospective study was designed to detect prescribing, transcribing, dispensing, and administering medication errors in two major university hospitals. Materials and Methods: After choosing 20 similar hospital wards in two large teaching hospitals in the city of Isfahan, Iran, the sequence was randomly selected. Diagrams for drug distribution were drawn by the help of pharmacy directors. Direct observation technique was chosen as the method for detecting the errors. A total of 50 doses were studied in each ward to detect prescribing, transcribing and administering errors in each ward. The dispensing error was studied on 1000 doses dispensed in each hospital pharmacy. Results: A total of 8162 number of doses of medications were studied during the four stages, of which 8000 were complete data to be analyzed. 73% of prescribing orders were incomplete and did not have all six parameters (name, dosage form, dose and measuring unit, administration route, and intervals of administration). We found 15% transcribing errors. One-third of administration of medications on average was erroneous in both hospitals. Dispensing errors ranged between 1.4% and 2.2%. Conclusion: Although prescribing and administrating compromise most of the medication errors, improvements are needed in all four stages with regard to medication errors. Clear guidelines must be written and executed in both hospitals to reduce the incidence of medication errors.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2014;volume=19;issue=7;spage=617;epage=623;aulast=Disguised direct observationhospitalinpatientmedication error |
| spellingShingle | Fatemeh Saghafi Amir H Zargarzadeh Medication error detection in two major teaching hospitals: What are the types of errors? Journal of Research in Medical Sciences Disguised direct observation hospital inpatient medication error |
| title | Medication error detection in two major teaching hospitals: What are the types of errors? |
| title_full | Medication error detection in two major teaching hospitals: What are the types of errors? |
| title_fullStr | Medication error detection in two major teaching hospitals: What are the types of errors? |
| title_full_unstemmed | Medication error detection in two major teaching hospitals: What are the types of errors? |
| title_short | Medication error detection in two major teaching hospitals: What are the types of errors? |
| title_sort | medication error detection in two major teaching hospitals what are the types of errors |
| topic | Disguised direct observation hospital inpatient medication error |
| url | http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2014;volume=19;issue=7;spage=617;epage=623;aulast= |
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