Medication administration errors in an intensive care unit in Ethiopia

Agalu, Asrat; Ayele, Yemane; Bedada, Worku; Woldie, Mirkuzie

doi:10.1186/1755-7682-5-15

Cited by 60 publications

(70 citation statements)

References 16 publications

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“…Omission due to drug unavailability was also a common error identified. Drug unavailability is common and poses a major challenge to healthcare systems in transitional and developing countries [36,37]. In addition to drug omissions, administering wrong drug followed by duplication were common reported administration errors.…”

Section: Discussionmentioning

confidence: 99%

Drug-related problems and their clinical interventions in a Ghanaian teaching hospital

2016

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Background: Errors occur frequently in the use of medicines. Pharmacists play a key role in error identification and make appropriate interventions as they work with other healthcare professionals. These error recovery roles of pharmacists contribute to patient safety. This study was to evaluate the clinical interventions made to drug-related problems at a tertiary care setting. Method: This involved a retrospective review of clinical intervention reports submitted by pharmacists working over the period January 2011 to December 2013. Results: The 24 pharmacists submitted 529 handwritten reports; of these, 448 reports had complete data. The most frequently reported drugs with error were warfarin (9.5%), potassium chloride (6.0%) and potassium citrate (5.5%). The pharmacists made 1019 clinical interventions and recommendations. The average intervention per report was 2.5 (S.D ± 0.67). The interventions and recommendations made were categorised as drug regimen change (76.1%), monitoring required (13.0%), communication (5.4%), counselling required (5.0%) and adverse drug reporting (0.6%). Majority (90.5%) of the recommendations and interventions made by pharmacists were accepted and implemented. Monitoring-required based interventions were significantly more likely to be accepted (130 vs 38; p <0.0001). Conclusion: Pharmacists played a role in drug error recovery and prevented medication errors from reaching patients. These error mitigation efforts of pharmacists can serve as a priority in patient safety strategy.

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Section: Discussionmentioning

confidence: 99%

Drug-related problems and their clinical interventions in a Ghanaian teaching hospital

2016

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“…Ainda na África, dentro do cenário de terapia intensiva adulta e pediátrica, a prevalência de erro na administração das medicações mostrou 51,8% e 90,8%, respectivamente (2) . No Reino Unido, 26% do erro na administração das medicações eram potencialmente graves, com eventos fatais que levaram à pneumonia aspirativa e hemorragia intracraniana (3) .…”

Section: Introductionunclassified

Conformidades E Não Conformidades No Preparo E Administração De Antibacterianos

et al. 2016

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RESUMO: Objetivou-se avaliar as conformidades e não conformidades no preparo e administração de antibacterianos. Estudo observacional e transversal, realizado de agosto a dezembro de 2014 em unidades de clínica médica de um hospital-escola em Fortaleza-Ceará. A amostra foi composta por 265 doses de antibacterianos, que tiveram suas etapas de preparo e administração observadas com dois checklist nos três turnos de trabalho. Os dados foram analisados por estatística descritiva e analítica, e todos os procedimentos éticos foram seguidos. Destaca-se que a não conformidade mais frequente em ambas as etapas foi o cumprimento dos preceitos da semiotécnica 265 (100%). A organização foi associada com o erro na escolha do medicamento (p=0,027), e o uso da prescrição e confirmação do nome do paciente não tiveram relação com os erros (p=0,942). Assim, conclui-se que modificações comportamentais no processo de trabalho precisam ser implementadas para reduzir as não conformidades e consequentemente os erros de medicação. DESCRITORES: Antibióticos; Segurança do paciente; Erros de medicação; Enfermagem; Serviços de enfermagem. CONFORMIDADES E NÃO CONFORMIDADES COMPLIANCE AND NON-COMPLIANCE IN THE PREPARATION AND ADMINISTRATION OF ANTIBACTERIAL DRUGSABSTRACT: The present study aimed to assess compliance and non-compliance in the preparation and administration of antibacterial drugs. Observational and cross-sectional study conducted from August to December 2014 in medical wards of a teaching hospital in Fortaleza-Ceará. The sample was composed by 265 doses of antibacterial drugs whose preparation and administration stages were observed during the three work shifts, with two checklists. Data were analyzed using descriptive statistics, and all ethical procedures were fulfilled. The most frequent non-compliance observed in both stages was compliance withthe requirements of the several techniques performed by nursing professionals (semiotechnique), 265 (100%). The hospital organization was associated with error in the choice of the (p=0.027), and the use of prescription and confirmation of patient's identity were not related to the errors (p=0.942). Thus, it is concluded that behavioral changes in the work process should be implemented to reduce non-compliance and, consequently, medication errors. CUMPLIMIENTO Y INCUMPLIMIENTO EN EL PREPARO Y ADMINISTRACCIÓN DE ANTIBACTERIANOS:IMPLICACIONES PARA LA SEGURIDAD DEL PACIENTE RESUMEN: El presente estudio tuvo como objetivo evaluar el cumplimiento y el incumplimiento en la preparación y administración de fármacos antibacterianos. Estudio observacional y transversal realizado entre agosto y diciembre de 2014 en las alas médicas de un hospital universitario en Fortaleza-Ceará. La muestra fue compuesta por 265 dosis de fármacos antibacterianos cuya etapas del preparación y administración fueron observados durante los tres turnos de trabajo, con dos listas de comprobación. Los datos fueron analizados utilizando estadística descriptiva, y se cumplieron todos los procedimientos éticos. El incu...

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“…The longitudinal study was conducted as part of broader crosssectional study on medication errors (Agalu et al, 2011(Agalu et al, , 2012 from February 7 to April 15, 2011 in the ICU of Jimma University Specialized Hospital (JUSH), a teaching hospital located in Jimma town, Southwestern Ethiopia, 350 km from Addis Ababa. JUSH is the only referral hospital in Southwest Ethiopia with 450 beds and 558 health professionals where a multidisciplinary team of diverse professionals provide a range of health care services for approximately 9000 inpatients and 80,000 outpatients each year.…”

Section: Study Area and Designmentioning

confidence: 99%

Reasons for admission and mortalities following admissions in the intensive care unit of a specialized hospital, in Ethiopia

Agalu¹,

Woldie²,

Ayele³

et al. 2014

Int. J. Med. Med. Sci.

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Many studies have been conducted in the intensive care unit (ICU). But little is known about the outcomes of ICU admissions. This is particularly the case in the ICU of developing countries. Thus, the aim of this study was to assess reasons and outcomes of admissions in the ICU of Jimma University Specialized Hospital (JUSH). A longitudinal study was conducted in the ICU of JUSH from February 7 to April 15, 2011. All patients admitted to the ICU during the study period were followed till discharge or death. Data was coded and entered into the Statistical Package for Social Sciences (SPSS) windows version 16.0 to generate descriptive statistics. Sixty nine patients admitted to the ICU during the study period were followed prospectively till discharge or death. Diseases of cardiovascular origin (30.4%) followed by surgical interventions (18.8%) were the major reasons of ICU admission. There were 26 (37.7%) deaths during the study period in the ICU. Mortality rate in the ICU was found to be significantly high. Diseases of cardiovascular origin were the major reasons for ICU admission. Hence, responsible bodies need to seek for possible ways of reducing this unacceptably high mortality in the ICU by devising quality control mechanisms.

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Medication administration errors in an intensive care unit in Ethiopia

Cited by 60 publications

References 16 publications

Drug-related problems and their clinical interventions in a Ghanaian teaching hospital

Drug-related problems and their clinical interventions in a Ghanaian teaching hospital

Conformidades E Não Conformidades No Preparo E Administração De Antibacterianos

Reasons for admission and mortalities following admissions in the intensive care unit of a specialized hospital, in Ethiopia

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