Assessment of medication errors and adherence to WHO prescription writing guidelines in a tertiary care hospital

Sheikh, Dilnasheen; Mateti, Uday Venkat; Kabekkodu, Shamaprakash; Sanal, TS

doi:10.1016/j.fjps.2017.03.001

Cited by 40 publications

(42 citation statements)

References 7 publications

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“…The errors observed in the current study were mainly of the NCCMERP category D classification which represents errors that reached the patient but requires monitoring to ensure no harm has been done to the patient. Contrary to our findings Chalsani et al [24] and Sheik et al [10] reported errors of NCCMERP category A and C respectively as their most prevalent error category. Though these studies have reported varying prevalent NCCMERP error categories, intensified patient monitoring of treatment outcome should be generally enforced to enable early detection of the aftermath medication errors.…”

Section: Discussioncontrasting

confidence: 99%

“…The most common error among the doctors in this study was medication omission error (36.5%) which occurred at the prescribing stage. The pharmacists were also observed to have omitted prescribed medications from drugs dispensed to the patients (28%).This pattern is in tandem with other studies conducted in England by Harkenen et al [22] and Sheikh et al [10] in India who both reported omission errors as the most common error category (31.4%) and (77.5%) respectively observed from their work. Seden et al [11] and Agalu et al [19] have similarly reported omission error rates of 29.6% and 29.0 % respectively.…”

Section: Discussionsupporting

confidence: 79%

“…The overall frequency of medication error observed in this study was 11.9% which is similar to that reported by Al-khani and his colleagues [3] in Saudi Arabia (10%) whose research work was also carried out in the specialist clinic of a research Institute. However these findings are much lower than reports from several other studies and this could be attributed to the fact that our study and that of Al Khani et al [3] were conducted among a cohort of patients in a specialized clinic while other studies were conducted in hospital settings where patients are treated for varying diseases thus probably a contributing factor to the observed higher error rates recorded by Sapkota et al (53%) [9], Sheikh et al (20%) [10], Seden et al (43.8%) [11] and Agalu et al (51.8%) [19].…”

Section: Discussioncontrasting

confidence: 71%

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Medication Errors among Healthcare Workers in a Major HIV Treatment Centre in Nigeria

Ekama

David

Musa

et al. 2019

JAMPS

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Background: Medication errors are major challenging clinical incidents in health care settings that could jeopardize a patient’s life and well being. These errors could occur at any step of the medication use process from prescribing, prescription verification, dispensing, drug administration to monitoring. This study aims to assess and classify medication errors among doctors and pharmacists. Methods: A prospective observational study from July to September 2018. Randomly selected prescriptions were screened for errors before and after dispensing of drugs. Errors were assessed and classified according to the National Coordination Council for Medication Error Reporting and Prevention (NCCMERP) index to determine the level of harm it posed to the patient. Results: Out of 1529 prescriptions analyzed, 182(11.9%) medication errors were observed; 104(57.1%) and 78 (42.9%) among doctors and pharmacists respectively. Majority of the errors were for female patients, those on first line antiretroviral drug regimen, in the age group 41-50 years and according to the NCCMERP index of the error type D. The most common medication errors among the doctors were omission errors (36.5%) and errors in patient data (21.1%) while unsigned prescriptions (33.3%) and omitting prescribed drugs from dispensed drugs (28.2%) ranked highest among pharmacists’ errors. Doctors and pharmacists (53.3% and 75% respectively) with < 5years HIV care experience had higher error rates. Conclusion: Medication errors associated with cotrimoxazole therapy were most common for both categories of health workers and this has a potential for poor treatment outcome. There is need for continuous training of health workers in HIV management.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 79%

Section: Discussioncontrasting

confidence: 71%

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Medication Errors among Healthcare Workers in a Major HIV Treatment Centre in Nigeria

Ekama

David

Musa

et al. 2019

JAMPS

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“…It is also one of the most important factors affecting patient safety and results in adverse clinical outcomes (Brits et al, ; Bruner & Kasdan, n.d.; Michaelson et al, ; Naik, ; Roy, Bhunia, Das, Dhar, & Pal, ; Scanlin, ; Sokol & Hettige, ). Annually, around 7,000 mortalities have been reported due to medication errors, and it is reasonable to assume that this is only the tip of the iceberg (Sheikh, Mateti, Kabekkodu, & Sanal, ). Medication errors occur due to a lack of knowledge, a poor performance, and/or psychological lapses (Sheikh et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Annually, around 7,000 mortalities have been reported due to medication errors, and it is reasonable to assume that this is only the tip of the iceberg (Sheikh, Mateti, Kabekkodu, & Sanal, ). Medication errors occur due to a lack of knowledge, a poor performance, and/or psychological lapses (Sheikh et al, ). Poor performance is associated with poor legibility and incompleteness of handwritten prescriptions (Jadhav et al, ).…”

Section: Introductionmentioning

confidence: 99%

A new approach of assessing patient safety aspects in routine practice using the example of “doctors handwritten prescriptions”

Sendlhofer

Pregartner

Gombotz

et al. 2019

Journal of Clinical Nursing

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Aims and objectives:To test the method of self-and external assessment as a feedback system to decrease illegibility and incorrectness of handwritten prescriptions and to reduce additional workload for nursing staff.Background: Illegibility and incorrectness of handwritten prescriptions occur very often and are the most crucial factors affecting patient safety. Design: Self-versus external assessment using a 15 items checklist.Methods: Nurses randomly selected five fever charts of their wards. Each fever chart was self-as well as externally assessed. Nurses and doctors took part in the self-assessment, and the external assessment was performed by external experts. According to a monitor suspension system, assessment results were considered "green," "yellow" or "red." After the first assessment and issuing feedback of the results "red" scored wards by the external assessment, additional trainings were performed.Thereafter, a second assessment was performed to rate eligibility and completeness of prescriptions. The research and reporting methodology followed squire 2.0. Results:In total, 580 fever charts were self-as well as externally assessed (290 in each of the two assessment periods). Out of the 58 participating wards, 31 were surgical and 27 were non-surgical wards. Averaging over all checklist items, surgical and non-surgical wards improved only slightly over time. Linear regression models for ward means showed that there were significant improvements over time for non-surgical wards. Conclusions:This method directly involves those who commit errors and stimulate learning from errors. The approach of self-and external assessment was a useful instrument to detect inadequate prescriptions and to monitor improvements.Relevance to clinical practice: Significant improvements were achieved regarding correctness and legibility of handwritten prescription and helped to decrease additional workload for nursing staff and thereby enhanced patient safety. K E Y W O R D Sassessment, compliance, general practice, medication error, patient safety, quality and safety | 1243 SENDLHOFER Et aL.

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Evaluation of medication errors in one of the largest public hospital: A retrospective study

Atmaja,

Saksono,

Yulistiani

et al. 2024

Clinical Epidemiology and Global Health

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Assessment of medication errors and adherence to WHO prescription writing guidelines in a tertiary care hospital

Cited by 40 publications

References 7 publications

Medication Errors among Healthcare Workers in a Major HIV Treatment Centre in Nigeria

Medication Errors among Healthcare Workers in a Major HIV Treatment Centre in Nigeria

A new approach of assessing patient safety aspects in routine practice using the example of “doctors handwritten prescriptions”

Evaluation of medication errors in one of the largest public hospital: A retrospective study

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