The factors associated with medication errors in adult medical and surgical inpatients: a direct observation approach with medication record reviews

ABSTRACT Objective: This study describes the development of the medication history of the medical records to measure factors associated with medication errors among chronic diseases patients in Diamantina, Minas Gerais. Methods: retrospective, descriptive observational study of secondary data, through the review of medical records of hypertensive and diabetic patients, from March to October 2016. Results: The patients the mean age of patient was 62.1 ± 14.3 years. The number of basic nursing care (95.5%) prevailed and physician consultations were 82.6%. Polypharmacy was recorded in 54% of sample, and review of the medication lists by a pharmacist revealed that 67.0% drug included at least one risk. The most common risks were: drug-drug interaction (57.8%), renal risk (29.8%), risk of falling (12.9%) and duplicate therapies (11.9%). Factors associated with medications errors history were chronic diseases and polypharmacy, that persisted in multivariate analysis, with adjusted RP chronic diseases, diabetes RP 1.55 (95%IC 1.04-1.94), diabetes/hypertension RP 1.6 (95%CI 1.09-1.23) and polypharmacy RP 1.61 (95%IC 1.41-1.85), respectively. Conclusion: Medication errors are known to compromise patient safety. This has led to the suggestion that medication reconciliation an entry point into the systems health, ongoing care coordination and a person focused approach for people and their families.

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NURSES’ COMPLIANCE IN APPLYING INDEPENDENT DOUBLE CHECK IN DRUG ADMINISTRATION

Nursing Current Jurnal Keperawatan ◽

10.19166/nc.v8i2.3096 ◽

2021 ◽

Vol 8 (2) ◽

pp. 120

Author(s):

Selvi Kadang ◽

Putri Natalia Sitanggang ◽

Rachel Pratylia Sanjun ◽

Yenni Ferawati Sitanggang ◽

Erivita Sakti

Keyword(s):

Medication Errors ◽

Drug Administration ◽

Quantitative Method ◽

Private Hospital ◽

Univariate Analysis ◽

Medication Administration ◽

Analysis Method ◽

Factors Associated ◽

Safety Studies ◽

The Relationship

Independent Double Check (IDC) is a strategy that plays a key role in medication safety. Studies have shown that its use can detect up to 95% of medication errors reducing incidents related to drug administration. Despite this benefit, not all nurses have implemented it. This study aims to describe nurses’ compliance in applying IDC at a private hospital in West Indonesia. The study used the descriptive quantitative method and purposive sampling was utilized in choosing 52 respondents. Data were collected from the respondents working in two inpatient wards where the highest number of medication errors occurred. A checklist was used to observe the nurses administer medications to patients in three occasions. The analysis of data employed univariate analysis method. The results showed that 35 (67.3%) of the respondents implemented IDC before medication administration, while 17 (32.7%) did not implement it. However, those who implemented IDC did not contribute to the reduction of medication errors in these wards. The authors recommend that further studies be conducted to investigate the factors associated with nurses’ compliance and non-compliance in applying IDC, and the relationship between nurses’ compliance to IDC and incidents of medication errors.

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Factors associated with medication errors in the psychiatric ward of Razi Hospital in Tabriz: Perspectives of nurses

Preventive Care In Nursing and Midwifery Journal ◽

10.29252/pcnm.8.2.1 ◽

2018 ◽

Vol 8 (2) ◽

pp. 1-8

Author(s):

Mohammad Abdi ◽

Shahram Piri ◽

Robab Mohammadian ◽

Maryam Asadi ◽

Elmira Khademi ◽

...

Keyword(s):

Medication Errors ◽

Psychiatric Ward ◽

Factors Associated

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Computerized provider order entry–related medication errors among hospitalized patients: An integrative review

Health Informatics Journal ◽

10.1177/1460458220941750 ◽

2020 ◽

Vol 26 (4) ◽

pp. 2834-2859

Author(s):

Manal Elshayib ◽

Lawrence Pawola

Keyword(s):

Medication Errors ◽

Unintended Consequences ◽

Current Evidence ◽

Institute Of Medicine ◽

Inclusion Criteria ◽

Order Entry ◽

Computerized Provider Order Entry ◽

Factors Associated ◽

Healthcare Settings ◽

Technical Factors

The Institute of Medicine estimates that 7,000 lives are lost yearly as a result of medication errors. Computerized physician and/or provider order entry was one of the proposed solutions to overcome this tragic issue. Despite some promising data about its effectiveness, it has been found that computerized provider order entry may facilitate medication errors. The purpose of this review is to summarize current evidence of computerized provider order entry -related medication errors and address the sociotechnical factors impacting the safe use of computerized provider order entry. By using PubMed and Google Scholar databases, a systematic search was conducted for articles published in English between 2007 and 2019 regarding the unintended consequences of computerized provider order entry and its related medication errors. A total of 288 articles were screened and categorized based on their use within the review. One hundred six articles met our pre-defined inclusion criteria and were read in full, in addition to another 27 articles obtained from references. All included articles were classified into the following categories: rates and statistics on computerized provider order entry -related medication errors, types of computerized provider order entry -related unintended consequences, factors contributing to computerized provider order entry failure, and recommendations based on addressing sociotechnical factors. Identifying major types of computerized provider order entry -related unintended consequences and addressing their causes can help in developing appropriate strategies for safe and effective computerized provider order entry. The interplay between social and technical factors can largely affect its safe implementation and use. This review discusses several factors associated with the unintended consequences of this technology in healthcare settings and presents recommendations for enhancing its effectiveness and safety within the context of sociotechnical factors.

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