Medication prescribing errors in the medical intensive care unit of Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

Sada, Oumer; Melkie, Addisu; Shibeshi, Workineh

doi:10.1186/s13104-015-1435-y

Cited by 26 publications

(45 citation statements)

References 11 publications

(18 reference statements)

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“…Other countries had much higher MPE incidence rate. For example, Brazilian intensive care unit had 43.5 % MPEs, and Ethiopian, Saudi and Indian hospitals had 40 %, 56% and 34 % MPEs respectively [20,22,24,29].…”

Section: Discussionmentioning

confidence: 99%

“…There was only one Iraqi study measuring medication errors by 2014 and this was an observational study (without interventions) which evaluated the types and medication classes of these errors [18]. Although several studies have investigated pharmacist interventions in prescribing errors around the world [6,8,[19][20][21][22][23][24][25], almost all of these studies were limited to evaluations of the incidence rate, causes, clinical significance and types of prescribing errors. However, a little is known about physician acceptance rate of pharmacist recommendations and only a couple of studies have focused on implementation of recommendations [26,27].…”

Section: Introductionmentioning

confidence: 99%

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Physician Acceptance of Pharmacist Recommendations about Medication Prescribing Errors in Iraqi Hospitals

Al‐Jumaili¹,

Jabri²,

Al-Rekabi³

et al. 2016

Innov Pharm

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physician Acceptance of Pharmacist Recommendations about Medication Prescribing Errors in Iraqi Hospitals

Al‐Jumaili¹,

Jabri²,

Al-Rekabi³

et al. 2016

Innov Pharm

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“…6 Also in a retrospective cross-sectional study that was conducted at Tikur Anbessa Hospital in Ethiopia, the results were that 42.89% of the studied prescriptions were found to contain omission errors. 9 This shows that prescription writing errors are more to be encountered in various regions involving prescribing practice.…”

Section: Introductionmentioning

confidence: 99%

“…11,12 But also considering that prescription order in our areas being hand written, there is a high susceptibility of committing errors in the process of prescription writing, but also due to the absence of any supporting system to aid prescribers, who rely mostly on their memory in order to avoid prescribing errors. 9 Few epidemiological statistics have been put forward with regard to common prescription writing errors in the developing countries. 9 In Tanzania, studies have shown also that prescription writing errors are commonly encountered8.…”

Section: Introductionmentioning

confidence: 99%

“…9 Few epidemiological statistics have been put forward with regard to common prescription writing errors in the developing countries. 9 In Tanzania, studies have shown also that prescription writing errors are commonly encountered8. This study showed that 99.6% of all prescriptions had at least one or more errors which involved omission of either the patient's age (2.9%), name (1.6%), weight (93.8%) or route of administration (94%), dose (5.4%), frequency (3.2%), dosage form (24.8%) and duration of treatment (14.1%).…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Prescriptions Dispensed in the Outpatient Pharmacies of a University Teaching Hospital in Moshi, Kilimanjaro Region, Tanzania: A Cross-Sectional Study

Audax

Muro

2019

EAHRJ

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Background: Prescriptions written in daily medical practice are associated with increasing numbers of prescription writing errors. Both omission and commission errors are encountered and caused by prescribers of different cadres. Prescribing errors are associated with adverse drug events (ADEs), which are harmful to patients. This study aimed to determine the common prescription errors, the categories of prescribers who commit prescription errors, and the most prescribed drugs in the outpatient pharmacies in general practice at Kilimanjaro Christian Medical Centre (KCMC). Methods: A prospective cross-sectional descriptive study was conducted at KCMC, a referral and teaching university hospital. All prescription dispensed on 2 June 2017 from the hospital's 2 outpatient pharmacies were reviewed, and our analysis determined the different types of prescription errors. A form designed by the authors was used to collect data from the prescription forms. Results: A total of 242 prescriptions were studied, and the most common omission errors were missing patients' weight (n=231, 95.5%), missing patients' address (n=213, 88.0%), missing drug dosage (n=159, 67.1%), and commission errors were due to wrong drug strength (n=10, 2.0%). Intern doctors were leading in writing prescriptions with errors (n=352, 25.6%), followed by residents (n=199, 14.5%), registrar doctors (n=167, 12.1%), and specialists (n=45, 3.3%). The most commonly prescribed drugs were antibiotics (n=120, 17.3%), antihypertensives (n=81, 11.7%), and analgesics (n=86, 12.4%). Conclusion: There were significant prescription errors at the study site, hence an intervention is needed to improve skills of prescribers. Educational interventions can substantially contribute to minimising such errors. Initaiting programmes and short courses on prescription writing before medical internship at the health facility might also be helpful.

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Adverse Drug Events and Medication Errors in African Hospitals: A Systematic Review

Mekonnen

Alhawassi

McLachlan

et al. 2017

Drugs - Real World Outcomes

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BackgroundMedication errors and adverse drug events are universal problems contributing to patient harm but the magnitude of these problems in Africa remains unclear.ObjectiveThe objective of this study was to systematically investigate the literature on the extent of medication errors and adverse drug events, and the factors contributing to medication errors in African hospitals.MethodsWe searched PubMed, MEDLINE, EMBASE, Web of Science and Global Health databases from inception to 31 August, 2017 and hand searched the reference lists of included studies. Original research studies of any design published in English that investigated adverse drug events and/or medication errors in any patient population in the hospital setting in Africa were included. Descriptive statistics including median and interquartile range were presented.ResultsFifty-one studies were included; of these, 33 focused on medication errors, 15 on adverse drug events, and three studies focused on medication errors and adverse drug events. These studies were conducted in nine (of the 54) African countries. In any patient population, the median (interquartile range) percentage of patients reported to have experienced any suspected adverse drug event at hospital admission was 8.4% (4.5–20.1%), while adverse drug events causing admission were reported in 2.8% (0.7–6.4%) of patients but it was reported that a median of 43.5% (20.0–47.0%) of the adverse drug events were deemed preventable. Similarly, the median mortality rate attributed to adverse drug events was reported to be 0.1% (interquartile range 0.0–0.3%). The most commonly reported types of medication errors were prescribing errors, occurring in a median of 57.4% (interquartile range 22.8–72.8%) of all prescriptions and a median of 15.5% (interquartile range 7.5–50.6%) of the prescriptions evaluated had dosing problems. Major contributing factors for medication errors reported in these studies were individual practitioner factors (e.g. fatigue and inadequate knowledge/training) and environmental factors, such as workplace distraction and high workload.Conclusion Medication errors in the African healthcare setting are relatively common, and the impact of adverse drug events is substantial but many are preventable. This review supports the design and implementation of preventative strategies targeting the most likely contributing factors.Electronic supplementary materialThe online version of this article (10.1007/s40801-017-0125-6) contains supplementary material, which is available to authorized users.

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Medication prescribing errors in the medical intensive care unit of Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

Cited by 26 publications

References 11 publications

Physician Acceptance of Pharmacist Recommendations about Medication Prescribing Errors in Iraqi Hospitals

Physician Acceptance of Pharmacist Recommendations about Medication Prescribing Errors in Iraqi Hospitals

Evaluation of Prescriptions Dispensed in the Outpatient Pharmacies of a University Teaching Hospital in Moshi, Kilimanjaro Region, Tanzania: A Cross-Sectional Study

Adverse Drug Events and Medication Errors in African Hospitals: A Systematic Review

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