A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Maheen, Waseem
- Evaluation of Medication Errors in an Acute Multi Care Unit in a Tertiary Care Hospital
Authors
1 Department of Pharmacology, Sultan-ul-Uloom College of Pharmacy, Mount Peasant, 8-2-249, Road No. 3, Banjara Hills, Hyderabad - 34, Telangana, IN
Source
Journal of Pharmaceutical Research, Vol 15, No 3 (2016), Pagination: 86-90Abstract
Purpose of the study : The aim of the study was to evaluate medication errors in the Acute Multi Care Unit in a tertiary care hospital. The study aims to promote safety in medication use and ensure quality in the healthcare service. The study objective was to detect and categorize medication errors, to ensure rational drug use in the hospital, to make recommendations for doctors, nurses, and patients to promote safe use of medications.
Design and Methodology : The study was conducted in 152 inpatients in the Acute Multi Care Unit in a tertiary care hospital located in Hyderabad. It is a prospective observational study carried over a period of 8 months. Data was collected using a data collection form which included patient details, drug details, and criteria for identifying errors, its categorization, and the details of drugs involved in errors. Complete details of patients and medications were recorded through a review of nursing charts, patient's admission chart, patient's history sheet and doctor's order sheet. Collected details were then evaluated to detect the prescribing, administration, omission error, dose error and poly pharmacy.
Results: The study was conducted in 152 patients, where total number of prescriptions with error is 28. The percentage distribution of prescriptions with error (18%) and without error (82%) was also calculated. Among which prescribing errors (50%) were the most frequently occurring types of errors, which was followed by omission errors (18%), administration error (18%) and dose error (14%). Error prescriptions belonging to male patients were (60.7%) while for females it was (39.3%). And a total of 26 Poly pharmacy prescriptions were also reported among which (69%) belongs to male and (31%) belongs to female.
Conclusion: The professionals involved in the practice should be focused, alert and determined. The nursing staff also needs to be slightly more knowledgeable and focused. Since this is an observational study and there is no scope of any intervention which can modify outcome.
Keywords
Medication Error, Acute Multi Care Unit, Polypharmacy, Prescribing Error, Administration Error, Omission Error and Dose Error.Full Text
References
- Marc G. Nursing error and human nature. Journal of Nursing Law.2004;9:37–44.
- Cheraghi MA, Nikbakhat Nasabadi AR, Mohammad Nejad E, Salari A, Ehsani Kouhi Kheyli SR. Medication Errors Among Nurses in Intensive Care Units (ICU). Journal of Mazandaran University Medical Sciences. 2012;22(1):115–9.
- Hashemi F. Response ethics to nursing errors. Journal of Medical Ethics and History of Medicine. 2007; 4: 31–46.
- Johnstone MJ, Kanitsaki O. The ethics and practical importance of defining, Distinguishing and discloring errors: A discussion paper. International Journal of Nursing Studies.2006;43:367–76.
- Wood A, Doan-Johnson S. Executive summaey: Toward-toxonomy of nursing practice errors. Journal of Nursing Management.2002;33:45–8.
- Mohammadnejad E, Hojjati H, Sharifnia SH, Ehsani SR. Amount and type of medication errors in nursing students in four Tehran. Journal of Medical Ethics and History of Medicine.2009;3(1):60–9.
- Mihailidis A, Krones L, Boger J. Assistive computing devices:A pilot study to explore nurses preference and needs. Computers Informatics Nursing. 2006; 24: 328–36.
- Mrayyon MT, Shishani K, Al-faouri L. Rate, causes and reporting of medication errors in Jordan: Nurses' perspectives. Journal of Nursing Management. 2007;15:659–70.
- Armitage G, Knapman H. Adverse events in drug administration: A literature review Journal of Nursing Management.2003;11:130–40.
- Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. Nurses relate the contributing factors involved in medication errors. Journal of Clinical Nursing.2007;16:447–55.
- Ates DW, Boyle DL, Vander Vliet MB, Schneider J, Leape L. Relationship between medication errors and adverse drug events. Journal of General Internal Medicine.1995;10:199–205.
- Mason DJ.To forgive, divine: It is time to drop the veil of secrecy about dislosing errors. American Journal of Nursing.2005;105:11-16.
- Carlton G, Blegen MA. Medication-related errors: A literature review of incidence and antecedents. Annual Review of Nursing Research.2006;24:19–38.
- Kessler JZ Medication Errors. Linda Y. Fred, Manual for Pharmacy Technicians, 3rd edition, American Society of Health-System Pharmacists.2013;325-355.
- The National Coordinating Council for Medication Error Reporting and Prevention. Defining the Problem and Developing Solutions 2005. www.nccmerp.org/sites/ default/files/ fifteen_year_report.pdf
- Bobb A, Kristine G, Marla H, Joe F, Paul RY. 2004 the Epidemiology of Prescribing Errors, the Potential Impact of Computerized Prescriber Order Entry. Achieves of Internal Medicine Journal. 2004; 164(7): 785-92.
- Schachter M. The Epidemiology of Medication Errors: How Many, How Serious? British Journal of Clinical Pharmacology.2009;67:621-623.
- Rixt Nynke Eggink, Albert W. Lenderink, Jos W. M. G. Widdershoven, Patricia M. L. A. van den Bemt.. The effect of a clinical pharmacist discharge service on medication discrepancies in patients with heart failure. Pharmacy World and Science.2010;32:759–766.
- Vd B, Idzinga J, Robertz H, Kormelink D, Pels N. Medication administration errors in nursing homes using an automated medication dispensing system. Journal of the American Medical Informatics Association.2009;16(4):486–492.
- Benkirane R, Abougual R, Haimeur C, SS SECEK, Azzouzi A, Mdaghri AA, Thimou A, Nejmi M, Maazouzi W, Madani N, et al. Incidence of adverse drug events and medication adminstration errors in intensive care units.Journal of Patient Safety.2009;5(1):16–22.
- Tissot E, Cornette, Demoly P, Jaquet M. Medication errors at the administration stage in an intensive care unit.Intensive care medicin.1999;25:353-359.
- Slabaugh S. L, Maio V., Templin M., Abouzaid S. "Prevalence and risk of polypharmacy among the elderly in an outpatient setting: A retrospective cohort study in the Emilia Romagna region, Italy." Drugs Aging 27.2010;(12):1019- 1028.