Preventing the medication errors in hospitals: A qualitative study

Salar, Ali Reza; Kiani, Fatemeh; Rezaee, Nasrin

doi:10.1016/j.ijans.2020.100235

Cited by 20 publications

(23 citation statements)

References 31 publications

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“…They recommended training sessions on guidelines and reporting system, implementation of interventions to avoid MEs, establishment of independent section to address MEs, involvement of pharmacists, and strict supervision of paramedics to minimize MEs. Literature has also reported comparable suggestions where physicians believed that interventions would be very effective to decrease MEs ( 59 ), requiring hospitals to develop systems for avoiding MEs ( 60 ), pharmacists to help physicians in reducing MEs ( 61 ), and training of in-service nurses ( 62 ). Medication error reporting system in Pakistan often remain unnoticed and these errors can be minimized by implementing strategies like electronic prescribing, computerized physician order entry, bar coding of drug labels and use of an effective MEs ( 24 ).…”

Section: Discussionmentioning

confidence: 99%

Medication Errors and Type 2 Diabetes Management: A Qualitative Exploration of Physicians' Perceptions, Experiences and Expectations From Quetta City, Pakistan

Habib

Khan

Sadiq³

et al. 2022

Front. Med.

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BackgroundType 2 Diabetes-related medication errors are frequently reported from the hospitals and consequently are of major concern. However, such reports are insufficient when developing healthcare settings are pursued in literature. Keeping this inadequacy in mind, we therefore aimed to explore physicians' perceptions, experiences and expectations of medication errors when managing patients with Type 2 Diabetes Mellitus.MethodsA qualitative design was adopted. By using a semi-structured interview guide through the phenomenology-based approach, in-depth, face-to-face interviews were conducted. Physicians practicing at the medicine ward of Sandeman Provincial Hospital, Quetta, were purposively approached for the study. All interviews were audio-taped, transcribed verbatim, and were then analyzed for thematic contents by the standard content analysis framework.ResultsAlthough the saturation was reached at the 13th interview, we conducted additional two interviews to ensure the saturation. Fifteen physicians were interviewed, and thematic content analysis revealed six themes and nine subthemes. Mixed conceptualization and characterization of medication errors were identified. Medication errors were encountered by all physicians however poor understanding of the system, deficiency of logistics and materials were rated as barriers in reporting medication errors. Among contributors of medication errors, physicians themselves as well as dispensing and patient-related factors were identified. Physicians suggested targeted training sessions on medication error-related guidelines and reporting system. Parallel, establishment of an independent unit, involving the pharmacists, and strict supervision of paramedics to minimize medication errors was also acknowledged during data analysis.ConclusionWith a longer life expectancy and a trend of growing population, the incidences of medication errors are also expected to increase. Our study highlighted prescribing, dispensing and administration phases as contributing factors of medication errors. Although, physicians had poor understanding of medication errors and reporting system, they believed getting insights on guidelines and reporting system is essential. A review of admission and discharge reconciliation must be prioritized and a culture of teamwork, communication and learning from mistakes is needed.

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Section: Discussionmentioning

confidence: 99%

Medication Errors and Type 2 Diabetes Management: A Qualitative Exploration of Physicians' Perceptions, Experiences and Expectations From Quetta City, Pakistan

Habib

Khan

Sadiq³

et al. 2022

Front. Med.

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“…ese examples demonstrate that MEs are a critical global issue. In addition, MEs lead to significant clinical and financial consequences [29][30][31].…”

Section: Background and Related Workmentioning

confidence: 99%

Towards an Application Helping to Minimize Medication Error Rate

Alharbi

AlGhamdi

Alturki

et al. 2021

Mobile Information Systems

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Medication errors related to medication administration done by both doctors and nurses can be considered a vital issue around the world. It is believed that systematisation and the introduction of main documents are done manually, which might increase the opportunities to have inaccuracies and errors because of unexpected wrong actions done by medical practitioners. Experts stated that the lack of pharmacological knowledge is one of the key factors, which play an important role in causing such errors. Doctors and nurses may face problems when they move from one unit to another and the medication administration list has changed. However, promoting public health activities and recent AI-enabled applications can provide general information about medication that helps both doctors and nurses administer the right medication. However, such an application can require a lot of time and effort to search and then find a medication. Therefore, this article aims to investigate whether AI-enabled applications can help avoid or at least minimize medication error rates.

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“…The most significant of them include burnout, understaffing and heavy workload [ 10 , 11 , 12 ]. In order to prevent errors in the pharmacotherapy process, nurses have to use strategies such as the discrimination of high-risk medications, separating medications with similar names, error analyses, and increasing the awareness of medication errors [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Patient Safety in the Process of Pharmacotherapy Carried Out by Nurses—A Polish–Slovak Prospective Observational Study

Witczak

Rypicz

Šupínová

et al. 2021

IJERPH

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Pharmacotherapy, i.e., the use of medicines for combating a disease or its symptoms, is one of the crucial elements of patient care. Nursing workloads in the pharmacotherapy process prove that nurses spend 40% of their work on the management of medications. This study was aimed at the determination and comparison of safety levels at the nurse-managed stage of the pharmacotherapy process in Poland and Slovakia by identifying the key risk factors which directly affect patient safety. The study involved a group of 1774 nurses, of whom 1412 were from Poland and 362 were from Slovakia. The original Nursing Risk in Pharmacotherapy (acronym: NURIPH) tool was used. The survey questionnaire was made available online and distributed to nurses. The Cronbach’s alpha coefficient was 0.832. Nurses from Slovakia most often, i.e., for six out of nine factors (items: one, five, six, seven, eight, and nine), assessed the risk factors as “significant risk (3)”, and Polish nurses most often, i.e., for as many as eight out of nine risk factors (items: one, two, three, four, five, six, seven, and nine), assessed the risk factors as “very significant (5)”. It has been found that the safety of the pharmacotherapy process is assessed by Polish nurses to be much lower than by Slovak nurses.

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Preventing the medication errors in hospitals: A qualitative study

Cited by 20 publications

References 31 publications

Medication Errors and Type 2 Diabetes Management: A Qualitative Exploration of Physicians' Perceptions, Experiences and Expectations From Quetta City, Pakistan

Medication Errors and Type 2 Diabetes Management: A Qualitative Exploration of Physicians' Perceptions, Experiences and Expectations From Quetta City, Pakistan

Towards an Application Helping to Minimize Medication Error Rate

Patient Safety in the Process of Pharmacotherapy Carried Out by Nurses—A Polish–Slovak Prospective Observational Study

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