Medication errors in type 2 diabetes from patients' perspective.

<h4>Introduction</h4>Drug errors pose a major health hazard to a number of patient populations. However, patients with type 2 diabetes mellitus seem especially vulnerable to this risk as diabetes mellitus is usually concomitant with various comorbidities and polypharmacy, which present s...

Full description

Bibliographic Details
Main Authors: Julia K Mader, Felix Aberer, Kerstin Sarah Drechsler, Tina Pöttler, Katharina M Lichtenegger, Wolfgang Köle, Gerald Sendlhofer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0267570
_version_ 1818157119102255104
author Julia K Mader
Felix Aberer
Kerstin Sarah Drechsler
Tina Pöttler
Katharina M Lichtenegger
Wolfgang Köle
Gerald Sendlhofer
author_facet Julia K Mader
Felix Aberer
Kerstin Sarah Drechsler
Tina Pöttler
Katharina M Lichtenegger
Wolfgang Köle
Gerald Sendlhofer
author_sort Julia K Mader
collection DOAJ
description <h4>Introduction</h4>Drug errors pose a major health hazard to a number of patient populations. However, patients with type 2 diabetes mellitus seem especially vulnerable to this risk as diabetes mellitus is usually concomitant with various comorbidities and polypharmacy, which present significant risk factors for the occurrence of drug errors. Despite this fact, there is little data on drug errors from patients' perspective. The present survey aimed to examine the viewpoints of patients with type 2 diabetes mellitus regarding their experiences with medication errors, the overall treatment satisfaction, and their perceptions on how a medication error was handled in daily hospital routine.<h4>Materials and methods</h4>Inpatients at the Department of Endocrinology and Diabetology of the University Hospital of Graz were included in the survey. Out of 100 patients, one-half had insulin therapy before hospitalization while the other half had no insulin therapy prior to admission. After giving informed consent, patients filled out a questionnaire with 22 items.<h4>Results</h4>Independent of their preexisting therapy, 25% of patients already suffered at least one drug error, whereby prescribing a wrong dose seemed to be the most common type of error. Furthermore, 26% of patients in the non-insulin versus 50% in the insulin group (p = 0.084) were convinced that drug errors were addressed honestly by the medical staff, while 54% in the non-insulin versus 80% in the insulin-group (p = 0.061) assumed that adequate measures were taken to prevent drug errors. Finally, 9 out of 10 patients seemed satisfied with their treatment regardless of their diabetes therapy.<h4>Discussion/conclusion</h4>The results of the survey clearly showed that patients experienced at least one medication error during hospitalization. However, these errors only rarely led to patient harm. The survey also revealed the value of an honest and respectful doctor-patient relationship regarding patient perception of medication errors and general complaints. Increasing patient awareness on the existing in-hospital error management systems could eliminate treatment-related concerns and create a climate of trust that is essential for effective treatment.
first_indexed 2024-12-11T15:09:07Z
format Article
id doaj.art-74d6f50f1af44b9eac300bee43744d87
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-11T15:09:07Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-74d6f50f1af44b9eac300bee43744d872022-12-22T01:00:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01174e026757010.1371/journal.pone.0267570Medication errors in type 2 diabetes from patients' perspective.Julia K MaderFelix AbererKerstin Sarah DrechslerTina PöttlerKatharina M LichteneggerWolfgang KöleGerald Sendlhofer<h4>Introduction</h4>Drug errors pose a major health hazard to a number of patient populations. However, patients with type 2 diabetes mellitus seem especially vulnerable to this risk as diabetes mellitus is usually concomitant with various comorbidities and polypharmacy, which present significant risk factors for the occurrence of drug errors. Despite this fact, there is little data on drug errors from patients' perspective. The present survey aimed to examine the viewpoints of patients with type 2 diabetes mellitus regarding their experiences with medication errors, the overall treatment satisfaction, and their perceptions on how a medication error was handled in daily hospital routine.<h4>Materials and methods</h4>Inpatients at the Department of Endocrinology and Diabetology of the University Hospital of Graz were included in the survey. Out of 100 patients, one-half had insulin therapy before hospitalization while the other half had no insulin therapy prior to admission. After giving informed consent, patients filled out a questionnaire with 22 items.<h4>Results</h4>Independent of their preexisting therapy, 25% of patients already suffered at least one drug error, whereby prescribing a wrong dose seemed to be the most common type of error. Furthermore, 26% of patients in the non-insulin versus 50% in the insulin group (p = 0.084) were convinced that drug errors were addressed honestly by the medical staff, while 54% in the non-insulin versus 80% in the insulin-group (p = 0.061) assumed that adequate measures were taken to prevent drug errors. Finally, 9 out of 10 patients seemed satisfied with their treatment regardless of their diabetes therapy.<h4>Discussion/conclusion</h4>The results of the survey clearly showed that patients experienced at least one medication error during hospitalization. However, these errors only rarely led to patient harm. The survey also revealed the value of an honest and respectful doctor-patient relationship regarding patient perception of medication errors and general complaints. Increasing patient awareness on the existing in-hospital error management systems could eliminate treatment-related concerns and create a climate of trust that is essential for effective treatment.https://doi.org/10.1371/journal.pone.0267570
spellingShingle Julia K Mader
Felix Aberer
Kerstin Sarah Drechsler
Tina Pöttler
Katharina M Lichtenegger
Wolfgang Köle
Gerald Sendlhofer
Medication errors in type 2 diabetes from patients' perspective.
PLoS ONE
title Medication errors in type 2 diabetes from patients' perspective.
title_full Medication errors in type 2 diabetes from patients' perspective.
title_fullStr Medication errors in type 2 diabetes from patients' perspective.
title_full_unstemmed Medication errors in type 2 diabetes from patients' perspective.
title_short Medication errors in type 2 diabetes from patients' perspective.
title_sort medication errors in type 2 diabetes from patients perspective
url https://doi.org/10.1371/journal.pone.0267570
work_keys_str_mv AT juliakmader medicationerrorsintype2diabetesfrompatientsperspective
AT felixaberer medicationerrorsintype2diabetesfrompatientsperspective
AT kerstinsarahdrechsler medicationerrorsintype2diabetesfrompatientsperspective
AT tinapottler medicationerrorsintype2diabetesfrompatientsperspective
AT katharinamlichtenegger medicationerrorsintype2diabetesfrompatientsperspective
AT wolfgangkole medicationerrorsintype2diabetesfrompatientsperspective
AT geraldsendlhofer medicationerrorsintype2diabetesfrompatientsperspective