Descriptive analysis of medication errors reported to the Egyptian national online reporting system during six months

Shehata, Zahraa Hassan; Sabri, Nagwa Ali; Elmelegy, Ahmed Abdel Salam Mohamed

doi:10.1093/jamia/ocv096

Cited by 33 publications

(50 citation statements)

References 6 publications

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“…Prescribing errors were the most frequent MEs. This is in agreement with many studies conducted in Middle East countries [25][26][27][28][29][30][31][32][33][34][35][36] .…”

Section: Effect Of Mean Number Of Medication Errors Onsupporting

confidence: 93%

Untitled

2018

IJPSR

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Background: The limited evidence of the critical role of clinical pharmacists in Egyptian teaching hospitals led to the fact that critical care pharmacists' responsibilities are still focused on dispensing and drug distribution. Objective: Assess the important role of clinical pharmacy service activities in an Egyptian intensive care unit (ICU) by describing the impact of medication errors on clinical outcome of critically ill-patients with renal insufficiency. Methods: An observational retrospective cohort study was carried out over a five months period on patients admitted to ICU with estimated creatinine clearance (CrCl) less than 50 ml/min on admission and known to have chronic kidney disease (CKD). Patient records, physician orders, pharmacy and nursing notes of 69 patients were collected and reviewed by a clinical pharmacist. Medication errors were assessed. Main outcome measure was Length of ICU stay and mortality. Results: One hundred and seventeen MEs were identified; prescribing errors (58.9%), wrong administration technique (17.9%), drug-preparation errors (11.9%) and monitoring errors (11.1%). Errors in renal dose adjustment were the most frequent prescribing errors (66.7%). The length of ICU stay was positively correlated with number of medication errors per prescription (r=0.392, p=0.001) and mortality was associated with significantly higher number of medication errors (p=0.01). Only 29% of errors observed were documented in pharmacy records and 93% of documented pharmacy interventions were accepted by the physicians. Conclusion: Decreasing morbidity and mortality in critically ill Egyptian patients with renal insufficiency may be achieved through optimizing clinical pharmacy services with prescription intervention activities.

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“…Prescribing errors were the most frequent MEs. This is in agreement with many studies conducted in Middle East countries [25][26][27][28][29][30][31][32][33][34][35][36] .…”

Section: Effect Of Mean Number Of Medication Errors Onsupporting

confidence: 93%

Untitled

2018

IJPSR

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“…The Egyptian (ME) reporting system, disclosed that the most frequent administration errors were extra dose, dose omission, and medication omission. 27 Many interesting explanations have been trying to clarify this frequency order in NICU. Starting with the wrong dose, drugs are usually found in the unit dose for adults (e.g.1 vial, 1 ampoule equals 1 adult dose).…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, the Egyptian (ME) reporting system displayed that the most common causes reported were lack of knowledge and experience, environmental factors (e. g. work overload and diversions), deficiency of drug information sources, and incomplete prescribing commands. 27 Rates of reported errors calculated from voluntary self-reported data are usually biased because of the selective or underreporting, but, it reflects the state of science and provides valuable information for designing effective interventions to reduce neonatal harm risk. 28 Limited generalizability of results due to the small sample of NICU nurses at Cairo University Pediatric hospital, resulted in a limited diversity of reporting NICU nurses in addition to inter-individual differences in assessment of error outcomes.…”

Section: Discussionmentioning

confidence: 99%

High alert medications administration errors in neonatal intensive care unit: A pediatric tertiary hospital experience

Labib¹,

Labib-Youssef²,

Fatah³

2018

Turk J Pediatr

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Changing nurses' culture of safety and increasing error reporting, then investigating the common causes of error, particularly those associated with high-risk medications, will finally improve medication safety at neonatal intensive care units (NICU). This study aims to assess nurses' knowledge and practices during the administration of high alert medications (HAM). This is a hospital-based descriptive cross sectional study, implemented in the NICU, at Cairo University Pediatric hospital. A convenient sample of 33 bedside NICU nurses, who agreed to participate was recruited. A valid, reliable questionnaire was used to measure NICU nurses' general and specific knowledge regarding five therapeutic HAM. An observational checklist was used to assess nurses' administration practices. Both revealed that the mean percentage score of the nurses' knowledge (76.2±11.6) was higher than the mean percentage score of their total practice (69.1±13.3). Analysis of types of nurses' errors, showed that the most common error type was the wrong dose (15%), followed by wrong drug type (13.6%). Nurses' knowledge and training are not mandatorily interpreted into improved implementation practices. Interventions highlighted for preventing HAM errors were developing specific training on HAM for nurses and establishing neonate centered, multidisciplinary teams formed of physicians, nurses, and pharmacists.

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“…Accordingly, there are a trend from the governmental health sector to enhance processing system of medication therapy ,drug items and medication prescription [1].Egypt is one of the most populous countries in middle east [2] and there are a massive number of paper based-prescriptions are issued and dispensed annually for free to patients. Previous studies have revealed problems related to paper prescriptions in Egypt [3]. Improper prescribing can cause harm for patients and will be waste of money and time [4].…”

Section: Introductionmentioning

confidence: 99%

“…Nowadays, many papers have been published on paper-based prescription highly rate errors [3][6] [7].different methods for the optimal prescribed items in pharmacies have been proposed [8] [9]. Updated databases have to be maintained in order to extract useful information and also tracking error existence.…”

Section: Introductionmentioning

confidence: 99%

Using Associations based Method among Prescribed Medications in Egyptian Public Clinics

Zakarya¹,

Helmy²,

Kholeif³

2016

IJCA

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Paper based-prescriptions that are not entered electronically in Egyptian public clinics lead to loss the opportunity of association investigation among prescribed medications, track improper prescriptions and handle patient health record. Developing electronic prescription service can assign a positive impact in such case. In this paper, performing data mining on data collected from paper based-prescriptions ordered by the prescriber and entered electronically as data set to analyze the associations among prescribed medications. Eleven association rules were resulted from the assigned prescribed medication in those prescriptions using the FP-Growth (frequent pattern) algorithm. The accuracy of these rules was reviewed by a clinical pharmacist. Among these association rules, Julmentin 1gm and Allergyl tabs are the most associated medications resulted as first ranked then Pirafene syrup and Julmentin 1gm resulted as second ranked. The results of this study indicate that developing electronic prescription service can lead to significant knowledge in prescribing patterns.

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Descriptive analysis of medication errors reported to the Egyptian national online reporting system during six months

Cited by 33 publications

References 6 publications

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High alert medications administration errors in neonatal intensive care unit: A pediatric tertiary hospital experience

Using Associations based Method among Prescribed Medications in Egyptian Public Clinics

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