Hospital medication errors: a cross-sectional study

2020 ◽  
Author(s):  
Anton N ISAACS ◽  
Kenneth CH’NG ◽  
Naaz DELHIWALE ◽  
Kieran TAYLOR ◽  
Bethany KENT ◽  
...  
Keyword(s):  
Medication Errors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Workload Management ◽  
Severity Rating ◽  
Junior Staff ◽  
Nurse Workload ◽  
Level 3 ◽  
Day Of The Week

Abstract Background Medication errors (MEs) are among the most common types of incidents reported in Australian and international hospitals. There is no uniform method of reporting and reducing these errors. This study aims to identify the incidence, time trends, types and factors associated with MEs in a large regional hospital in Australia. Methods A 5-year cross-sectional study. Results The incidence of MEs was 1.05 per 100 admitted patients. The highest frequency of errors was observed during the colder months of May–August. When distributed by day of the week, Mondays and Tuesdays had the highest frequency of errors. When distributed by hour of the day, time intervals from 7 am to 8 am and from 7 pm to 8 pm showed a sharp increase in the frequency of errors. One thousand and eighty-eight (57.8%) MEs belonged to incidence severity rating (ISR) level 4 and 787 (41.8%) belonged to ISR level 3. There were six incidents of ISR level 2 and only one incident of ISR level 1 reported during the five-year period 2014-2018. Administration-only errors were the most common accounting for 1070 (56.8%) followed by prescribing-only errors (433, 23%). High-risk medications were associated with half the number of errors, the most common of which were narcotics (17.9%) and antimicrobials (13.2%). Conclusions MEs continue to be a problem faced by international hospitals. Inexperience of health professionals and nurse–patient ratios might be the fundamental challenges to overcome. Specific training of junior staff in prescribing and administering medication and nurse workload management could be possible solutions to reducing MEs in hospitals.

scholarly journals Medication Errors in Adolescents Using Asthma Controller Medications

2020 ◽  
Vol 7 ◽  
pp. 2333794X2098134
Author(s):  
Henry Clark ◽  
Delesha Carpenter ◽  
Kathleen Walsh ◽  
Scott A. Davis ◽  
Nacire Garcia ◽  
...  
Keyword(s):  
Medical Record ◽  
Medication Errors ◽  
Medication Use ◽  
Persistent Asthma ◽  
Cross Sectional Study ◽  
Asthma Medication ◽  
Sectional Study ◽  
Cross Sectional ◽  
Controller Medication ◽  
Controller Medications

The purpose of this study was to describe the number and types of errors that adolescents and caregivers report making when using asthma controller medications. A total of 319 adolescents ages 11 to 17 with persistent asthma and their caregivers participated in this cross-sectional study. Adolescent and caregiver reports of asthma medication use were compared to the prescribed directions in the medical record. An error was defined as discrepancies between reported use and the prescribed directions. About 38% of adolescents reported 1 error in using asthma controller medications, 16% reported 2 errors, and 5% reported 3 or more errors. About 42% of caregivers reported 1 error in adolescents using asthma controller medications, 14% reported 2 errors, while 6% reported 3 or more errors. The type of error most frequently reported by both was not taking the medication at all. Providers should ask open-ended questions of adolescents with asthma during visits so they can detect and educate families on how to overcome errors in taking controller medication use.

Improving Medication Safety Through the Use of Metrics

2013 ◽  
Vol 27 (1) ◽  
pp. 61-64
Author(s):  
Robert D. Beckett ◽  
Marina Yazdi ◽  
Laura J. Hanson ◽  
Ross W. Thompson
Keyword(s):  
Medication Errors ◽  
Medication Safety ◽  
Adverse Drug Events ◽  
Safety Information ◽  
Medication Use ◽  
Cross Sectional Study ◽  
Survey Instrument ◽  
Sectional Study ◽  
Cross Sectional ◽  
Safety Metrics

Purpose: Describe medication safety metrics used at University HealthSystem Consortium (UHC) institutions and recommend a meaningful way to report and communicate medication safety information across an organization. Methods: A cross-sectional study was conducted using an electronically distributed, open-ended survey instrument. Results: Twenty percent of the UHC institutions responded to our survey. Seventy-seven percent of those institutions responding to our survey reported their organization has defined metrics to measure medication safety; an additional 21% of the institutions were still in the process of defining metrics. Of metrics that were reported, 33% were true medication safety metrics. Results are distributed to a wide variety of institutional venues. Conclusion: Institutions should take several actions related to medication safety including defining local metrics; building metrics addressing preventable adverse drug events, medication errors, and technology; and reporting results to a variety of venues in order to design specific interventions to improve local medication use.

Anticoagulant medication errors in hospitals and primary care: a cross-sectional study

2018 ◽  
Vol 31 (5) ◽  
pp. 346-352 ◽  
Author(s):  
Albert R Dreijer ◽  
Jeroen Diepstraten ◽  
Vera E Bukkems ◽  
Peter G M Mol ◽  
Frank W G Leebeek ◽  
...  
Keyword(s):  
Human Factors ◽  
Medication Error ◽  
Medication Errors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medication Process ◽  
Before And After ◽  
Anticoagulant Medication ◽  
Error Reports

Abstract Objective To assess the proportion of all medication error reports in hospitals and primary care that involved an anticoagulant. Secondary objectives were the anticoagulant involved, phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. Additional secondary objectives were the total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month and the proportion of causes of 1000 anticoagulant medication errors (comparing the pre- and post-guideline phase). Design A cross-sectional study. Setting Medication errors reported to the Central Medication incidents Registration reporting system. Participants Between December 2012 and May 2015, 42 962 medication errors were reported to the CMR. Intervention N/A. Main outcome measure Proportion of all medication error reports that involved an anticoagulant. Phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. The total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month (comparing the pre- and post-guideline phase) and the total number of causes of 1000 anticoagulant medication errors before and after introduction of the LSKA 2.0 guideline. Results Anticoagulants were involved in 8.3% of the medication error reports. A random selection of 1000 anticoagulant medication error reports revealed that low-molecular weight heparins were most often involved in the error reports (56.2%). Most reports concerned the prescribing phase of the medication process (37.1%) and human factors were the leading cause of medication errors mentioned in the reports (53.4%). Publication of the national guideline on integrated antithrombotic care had no effect on the proportion of anticoagulant medication error reports. Human factors were the leading cause of medication errors before and after publication of the guideline. Conclusions Anticoagulant medication errors occurred in 8.3% of all medication errors. Most error reports concerned the prescribing phase of the medication process. Leading cause was human factors. The publication of the guideline had no effect on the proportion of anticoagulant medication errors.

Omeprazole Prescription Habit

2019 ◽  
Vol 10 (04) ◽  
pp. 578-582
Author(s):  
Elham Alshammari
Keyword(s):  
Psychological Stress ◽  
Medication Errors ◽  
Annual Cost ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Physical Injury ◽  
Sectional Study ◽  
Prescription Error ◽  
Cross Sectional ◽  
The Cost

The study aims is to examine the frequency of omeprazole prescription from all the prescriptions received by a pharmacist in a single day. Besides, the author examines the cost of dispensed omeprazole. This research is inspired by the fact that medication errors were the leading cause of severe physical injury and death to patients. Additionally, such preventable errors are also associated with intense financial, emotional as well as psychological stress to both healthcare providers and the healthcare organization in general. The study adopted a cross-sectional study through collecting as well as the screening of all the prescription orders undertaken in one day from 7:30 am to 1:45 pm. The research found that a prescription error leads to wastage of the resources with estimated annual cost of 336,415.56 for omeprazole as well as 431037.984 USD for ranitidine while at the same time necessitates the rational prescription habit to suppress the detrimental effects of omeprazole and ranitidine.

scholarly journals Assessment of Leadership Style and Safety in Oil and Gas Servicing Firms in Port Harcourt Metropolis, Nigeria

2021 ◽  
Vol 11 (1) ◽  
pp. 3-8
Author(s):  
Foreman Onuoha ◽  
Charles U Oyegun ◽  
John N Ugbebor
Keyword(s):  
Leadership Style ◽  
Oil And Gas ◽  
Cross Sectional Study ◽  
Individual Factors ◽  
Sectional Study ◽  
Organizational Safety ◽  
Cross Sectional ◽  
Junior Staff ◽  
Port Harcourt ◽  
Leaders And Followers

Introduction: Safety leadership is the process of interaction between leaders and followers, through which leaders exert their influence on followers to achieve organizational safety goals under the circumstances of organizational and individual factors. Objective: This study was aimed to assess leadership style and safety in oil and gas servicing firms in Portharcourt, Nigeria. Methods: A cross-sectional study was conducted  among the junior-staff of the oil servicing firms. The Taro Yamane equation was used to generate appropriate sample size of 389 respondents from 16240 workers. Data analyses was done using analysis of variance (ANOVA). Results: It was established that 230 (59%) respondents agreed that, leaders checked staff work on a regular basis to assess their progress and learning. Many respondents  (62%) averred that leaders didn’t gave any incentives for extra work. Also, 338 (87%)  respondents adduced that changes in policies were discussed with workers before they were carried out but, the input of the workers were not required, neither staff were expected to be innovative as opined by 76% respondents and leadership emphasis on the importance of quality was sustained. Albeit, workers weren’t allowed to contribute to control standards based on perception of problems.  The characteristics of leadership displayed in the companies imply the transactional type. This was because the rapport between workers and leaders wasn’t cordial. Conclusion: The study therefore strongly recommends a review of the leadership style adopted for oil and gas workers in the area, while improving on the worker/leader relationships.

scholarly journals A Descriptive Cross-Sectional Study on the Assessment of Public Knowledge, Attitude and Perception on Medication Errors

2018 ◽  
Vol 10 (4) ◽  
pp. 282-286
Author(s):  
Sivasankaran Ponnusankar ◽  
Ria Rose Roy ◽  
Subitha Babu ◽  
Elmutaz Belah Mohamed ◽  
Shilpa Cyril ◽  
...  
Keyword(s):  
Medication Errors ◽  
Cross Sectional Study ◽  
Public Knowledge ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Patient Safety in Outpatient Care: Results of A Multicenter Cross-Sectional Study About Medication Errors and Medication Management

2020 ◽  
Author(s):  
Sandra Strube-Lahmann ◽  
Ursula Müller-Werdan ◽  
Jürgen Klingelhöfer-Noe ◽  
Ralf Suhr ◽  
Nils Axel Lahmann
Keyword(s):  
Medication Errors ◽  
Work Experience ◽  
Outpatient Care ◽  
Cross Sectional Study ◽  
Dual Control ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Number Of Patients ◽  
Control Principle

Abstract Background: Medication errors occur frequently. Studies assume that up to 30% of care recipients are exposed to a possible medication error. Specific medication errors include taking the wrong doses or quantities of medication as well as omitting medication. For the outpatient sector, the study situation regarding such errors is limited. Therefore, it was investigated how often medication errors occur or have been reported and whether they are related to training, quality assurance measures and other structural conditions of outpatient care services. Methods: A Germany-wide cross-sectional study was conducted in the winter of 2016/2017 among care employees of outpatient care services. A total of 107 outpatient care services with 656 employees were included in the study. Within the framework of logistic regressions, correlations were investigated between errors committed and errors reported in terms of the years of work experience, completed medication training, the type of employment, geographical location of employment, application of the dual control principle, and the number of patients per shift. Results: A total of 107 outpatient care services could be included in the study, with 656 employees. Of 413 fully qualified nurses, 48.9% stated that they had themselves made an error in a 12-month period. Of all care workers questioned, 30.2% said they had reported errors, with 127 people providing no information on this issue. Provided that nurses had attended medication training within the last two years, the odds of not making medication-related errors were almost twice as high (odds ratio (OR) 1.79; confidence interval (CI) 1.42 - 3.09). Whenever nursing staff applied the dual control principle, the odds of not making a mistake were more than three times higher (OR 3.13; IK 1.88-5.20) than when the principle was not applied. The odds of reporting an error were almost twice as high (OR 1.92; IK 1.18-3.13) when the dual control principle was used compared to when it was not used. Conclusion: Medication-related errors occur frequently in outpatient care. Regular training and adequate quality management measures (e.g. application of the dual control principle) can help to make the medication process safer for everyone involved in outpatient care.

Sign in / Sign up

Export Citation Format

Share Document