scholarly journals Medication Errors Outside Healthcare Facilities: A National Poison Centre Perspective

2013 ◽  
Vol 114 (3) ◽  
pp. 288-292 ◽  
Author(s):  
Ophir Lavon ◽  
Adi Ben-Zeev ◽  
Yedidia Bentur
Author(s):  
Nur Azzalia Kamaruzaman ◽  
Adilah Mohamed Ariff ◽  
Noor Afiza Md Rani ◽  
Mohd Fadhli Razali ◽  
Mazlin Mohideen ◽  
...  

Data from the National Poison Centre (NPC) showed that the highest number of poisoning incidents in Malaysia were caused by pharmaceutical products, whereby psychiatric drugs contributed to the most number of cases. While intentional poisoning receives more attention, unintentional poisoning is often overlooked. Therefore, the study designs to evaluate the unintentional poisoning of psychiatric drugs in Malaysia. Telephone enquiries regarding psychiatric drug poisoning were made by healthcare providers to the NPC. Information received was entered into a retrievable database by Drugs and Poison Information Service in the form of a standardized Poison Case Report Form as adapted from the World Health Organization. A retrospective analysis was performed, and data on unintentional poisoning were extracted and evaluated. A total of 619 poisoning cases of psychiatric drugs were reported, whereby 28% (n=133) were caused unintentionally. Demographic analysis showed Perak to record the highest number of cases at 16.5% (n=22), followed by Johor (13.5%, n=18) and Sabah (12.8%, n=17). Unintentional psychiatric poisoning showed almost equal distribution between genders, and Malays reported the highest number at 47.4% (n=63). More than half of the cases (58.6%) occurred among toddlers between 1-4 years old, followed by 17.3% cases among children and adolescents between 5-14 years old. Most of the incidents (99.2%) happened at home, and 88% were due to accidental ingestions. Unintentional poisoning in the household of psychiatric patients has been underestimated, and toddlers and children have been majorly implicated. Therefore, proper education and awareness must be established to ensure human safety.


2018 ◽  
Vol 56 ◽  
pp. 16-20 ◽  
Author(s):  
Yin-Hui Leong ◽  
Adilah Mohamed Ariff ◽  
Halilol Rahman Mohamed Khan ◽  
Noor Afiza Abdul Rani ◽  
Mohamed Isa Abdul Majid

2020 ◽  
Author(s):  
BETTY MAGANDA ◽  
Godeliver A Kagashe ◽  
Honorata Chagula ◽  
Vitalis B Mbuya ◽  
Kisa Mwamwitwa ◽  
...  

Abstract Background: Poor quality products, adverse drug reactions (ADRs) and medication errors (ME) are reported to negatively influence health care cost, patients’ treatment outcomes and quality of life. One way which can help in detection and prevention of their occurrence is through spontaneous reporting of these effects/events to the regulatory bodies. Despite the efforts done by regulatory bodies in different countries including Tanzania, the rate of reporting has remained low. This study therefore, assessed the participation of private healthcare facilities in pharmacovigilance (PV) activities in Tanzania Mainland. Methods: A descriptive cross sectional study was conducted in selected regions in Tanzania from December 2017 to June 2018. A total of 169 healthcare facilities and 192 healthcare professionals were involved. Data was collected using questionnaires and standard checklist. Results: Only (17%) of the respondents had good knowledge on PV activities and only (29.7%) of the participants had attended training on PV. Over 50% of respondents were not aware that PV activities reports are to be sent to a National pharmacovigilance center. Majority (89.7%) of the healthcare facilities assessed had no system for monitoring and reporting PV activities. About (55.7%) of the respondents said that they had observed ADRs in patients while (27.6%) had detected poor quality products and (51.1%) spotted medication errors in their practice, but none of them sent a report to the National pharmacovigilance center. Lack of PV tools (60.9%), poor knowledge on reporting procedures (69.8%) and lack of feedback and weak supervision from Tanzania Medicines and Medical Devices Authority (TMDA (93.3%) and (9.4%), respectively were the major obstacles for carrying out PV activities. Of the 47 respondents whereas, their healthcare facilities had systems for monitoring and reporting PV activities had a view that attending more training (74.5%), increase availability of PV tools (10.6%), frequent supervision from TMDA (12.8%), and inclusion of PV training in undergraduate and postgraduate training curricula (2.1%) may improve involvement in pharmacovigilance activities Conclusions: Majority of private healthcare facilities participated poorly in PV activities, because of lack of pharmacovigilance training, knowledge on reporting and unavailability of systems and tools for monitoring and reporting on pharmacovigilance activities.


BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036048
Author(s):  
Nur Azzalia Kamaruzaman ◽  
Yin-Hui Leong ◽  
Mohd Hafiidz Jaafar ◽  
Halilol Rahman Mohamed Khan ◽  
Noor Afiza Abdul Rani ◽  
...  

ObjectivePesticide poisoning is a global health problem, and its progressive deterioration is a major cause of concern. The objective of this study is to assess epidemiological characteristics and identify risk factors of pesticide poisoning in Malaysia.SettingPesticide poisoning database of Malaysia National Poison Centre (NPC) from 2006 to 2015.ParticipantsTelephone enquiries regarding pesticide poisoning were made by healthcare professionals. Information received by the NPC was entered into a retrievable database of standardised Poison Case Report Form, as adapted from the World Health Organization (WHO).OutcomesThe outcome of the study is to provide an overview of national epidemiological profile of pesticide poisoning. High-risk groups of people and their circumstances were also identified to ensure that appropriate measures are strategised.ResultsWithin the study period, a total of 11 087 pesticide poisoning cases were recorded. Sixty per cent of these cases were intentional in nature and most were found among male individuals (57%) of the Indian race (36.4%) aged between 20 and 29 years (25.5%), which occurred at home (90%) through the route of ingestion (94%). The highest number of poisoning was due to herbicides (44%) followed by agricultural insecticides (34%), rodenticides (9.9%), household insecticides (9.5%) and fungicides (0.5%). In addition, 93.6% of intentional pesticide poisoning cases were caused by suicide attempts. The results of this study show that there was an increasing trend in pesticide poisoning incidents over the 10-year duration. This indicates that pesticide poisoning is a prevalent public health problem in Malaysia, resulting in an average incidence rate of 3.8 per 100 000 population.ConclusionsDeliberate pesticide ingestion as a method of suicide has become a disturbing trend among Malaysians. Therefore, regulation of highly hazardous pesticides must be enforced to ensure controlled and limited access to these chemicals by the public.


PLoS ONE ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e86390 ◽  
Author(s):  
Claudia Gregoriano ◽  
Alessandro Ceschi ◽  
Christine Rauber-Lüthy ◽  
Hugo Kupferschmidt ◽  
Nicholas R. Banner ◽  
...  

2019 ◽  
Vol 70 (11) ◽  
pp. 2241-2246 ◽  
Author(s):  
David E Koren ◽  
Kimberly K Scarsi ◽  
Eric K Farmer ◽  
Agnes Cha ◽  
Jessica L Adams ◽  
...  

Abstract Persons living with human immunodeficiency virus (HIV) and others receiving antiretrovirals are at risk for medication errors during hospitalization and at transitions of care. These errors may result in adverse effects or viral resistance, limiting future treatment options. A range of interventions is described in the literature to decrease the occurrence or duration of medication errors, including review of electronic health records, clinical checklists at care transitions, and daily review of medication lists. To reduce the risk of medication-related errors, antiretroviral stewardship programs (ARVSPs) are needed to enhance patient safety. This call to action, endorsed by the Infectious Diseases Society of America, the HIV Medicine Association, and the American Academy of HIV Medicine, is modeled upon the success of antimicrobial stewardship programs now mandated by the Joint Commission. Herein, we propose definitions of ARVSPs, suggest resources for ARVSP leadership, and provide a summary of published, successful strategies for ARVSP that healthcare facilities may use to develop locally appropriate programs.


2020 ◽  
Vol 12 (4) ◽  
pp. 475
Author(s):  
IqdamAbdulmaged Alwan ◽  
AmmarIhsan Awadh ◽  
Balamurugan Tangiisuran ◽  
HalilolRahman Mohamed Khan ◽  
Noorfatimah Yahaya ◽  
...  

2021 ◽  
Vol 70 (1) ◽  
pp. 43-50
Author(s):  
Neugebauer Jan ◽  
Tóthová Valérie ◽  
Chloubová Ivana ◽  
Hajduchová Hana ◽  
Brabcová Iva ◽  
...  

A medication error is one of the most common causes of patients’ complications or death in healthcare facilities. In the United States, 7,000 out of 9,000 patients die because of medication errors each year. Known factors are generally divided into four groups – human factor, intervention, technical factor, and system. Our study includes 17 studies from the OVID, Web of Science, Scopus, and EBSCO databases, in the range of 2015–2020. After a selection of professional publications, 2 categories were created – factors leading to medication errors and interventions to reduce medication error and testing their effectiveness. It has been found that human factor always plays a role, often supported by a poorly set-up system. The most mistakes are made in documentation, administration technique or accidental interchange of patients. The most frequently mentioned factors include nurses’ overload, high number of critically ill patients, interruptions in the preparation or in the administration of medications, absence of the adverse event reporting system, non-compliance with guidelines, fear, and anxiety. Another evidence of medication error is in the application of intravenous drugs, where an interchange of drugs or patients due to interruption occurs as well. Sufficient education of nurses and an adequate system of preparation and administration of drugs, for example using bar codes, are considered as an appropriate intervention.


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