The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems

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 effo...

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Main Authors: Abbas Al Mutair, Saad Alhumaid, Abbas Shamsan, Abdul Rehman Zia Zaidi, Mohammed Al Mohaini, Alya Al Mutairi, Ali A. Rabaan, Mansour Awad, Awad Al-Omari
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Medicines
Subjects:
Online Access:https://www.mdpi.com/2305-6320/8/9/46
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author Abbas Al Mutair
Saad Alhumaid
Abbas Shamsan
Abdul Rehman Zia Zaidi
Mohammed Al Mohaini
Alya Al Mutairi
Ali A. Rabaan
Mansour Awad
Awad Al-Omari
author_facet Abbas Al Mutair
Saad Alhumaid
Abbas Shamsan
Abdul Rehman Zia Zaidi
Mohammed Al Mohaini
Alya Al Mutairi
Ali A. Rabaan
Mansour Awad
Awad Al-Omari
author_sort Abbas Al Mutair
collection DOAJ
description 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 search yielded 684 articles, which were then reduced to 60 after the deletion of duplicates via vetting of titles, abstracts, and full-text papers. Results: Studies were principally from the United States of America and the United Kingdom. Limited studies were from Canada, Australia, New Zealand, Korea, Japan, Greece, France, Saudi Arabia, and Egypt. Detection, measurement, and analysis of medication errors require an active rather than a passive approach. Efforts are needed to encourage medication error reporting, including involving staff in opportunities for improvement and the determination of root cause(s). The National Coordinating Council for Medication Error Reporting and Prevention taxonomy is a classification system to describe and analyze the details around individual medication error events. Conclusion: A successful medication error reporting program should be safe for the reporter, result in constructive and useful recommendations and effective changes while being inclusive of everyone and supported with required resources. Health organizations need to adopt an effectual reporting environment for the medication use process in order to advance into a sounder practice.
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spelling doaj.art-88c14ca027ad4ff29d4b2cc2c05ad5b32023-11-22T14:09:31ZengMDPI AGMedicines2305-63202021-08-01894610.3390/medicines8090046The Effective Strategies to Avoid Medication Errors and Improving Reporting SystemsAbbas Al Mutair0Saad Alhumaid1Abbas Shamsan2Abdul Rehman Zia Zaidi3Mohammed Al Mohaini4Alya Al Mutairi5Ali A. Rabaan6Mansour Awad7Awad Al-Omari8Research Center, Almoosa Specialist Hospital, Al-Ahsa 36342, Saudi ArabiaAdministration of Pharmaceutical Care, Al-Ahsa Health Cluster, Ministry of Health, Al-Ahsa 36342, Saudi ArabiaResearch Center, Dr. Sulaiman Al Habib Medical Group, Riyadh 12214, Saudi ArabiaResearch Center, Dr. Sulaiman Al Habib Medical Group, Riyadh 12214, Saudi ArabiaBasic Sciences Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Alhasa 31982, Saudi ArabiaDepartment of Mathematics, Faculty of Science, Taibah University, Medina 54321, Saudi ArabiaMicrobiology Department, Johns Hopkins Aramco Healthcare, Alhasa 31982, Saudi ArabiaCommitment Administration, General Directorate of Health Affairs, Ministry of Health, Medina 54321, Saudi ArabiaResearch Center, Dr. Sulaiman Al Habib Medical Group, Riyadh 12214, Saudi ArabiaBackground: 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 search yielded 684 articles, which were then reduced to 60 after the deletion of duplicates via vetting of titles, abstracts, and full-text papers. Results: Studies were principally from the United States of America and the United Kingdom. Limited studies were from Canada, Australia, New Zealand, Korea, Japan, Greece, France, Saudi Arabia, and Egypt. Detection, measurement, and analysis of medication errors require an active rather than a passive approach. Efforts are needed to encourage medication error reporting, including involving staff in opportunities for improvement and the determination of root cause(s). The National Coordinating Council for Medication Error Reporting and Prevention taxonomy is a classification system to describe and analyze the details around individual medication error events. Conclusion: A successful medication error reporting program should be safe for the reporter, result in constructive and useful recommendations and effective changes while being inclusive of everyone and supported with required resources. Health organizations need to adopt an effectual reporting environment for the medication use process in order to advance into a sounder practice.https://www.mdpi.com/2305-6320/8/9/46medical errorsmedication errorimprovemedication error reporting programhealth care professionalpatients
spellingShingle Abbas Al Mutair
Saad Alhumaid
Abbas Shamsan
Abdul Rehman Zia Zaidi
Mohammed Al Mohaini
Alya Al Mutairi
Ali A. Rabaan
Mansour Awad
Awad Al-Omari
The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems
Medicines
medical errors
medication error
improve
medication error reporting program
health care professional
patients
title The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems
title_full The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems
title_fullStr The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems
title_full_unstemmed The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems
title_short The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems
title_sort effective strategies to avoid medication errors and improving reporting systems
topic medical errors
medication error
improve
medication error reporting program
health care professional
patients
url https://www.mdpi.com/2305-6320/8/9/46
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