Reducing prescription errors

Weetman, Tony; Aronson, Jeffrey K; Maxwell, Simon

doi:10.1016/s0140-6736(10)60196-1

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…There is also a possibility that the prescriptions with writing errors were probably filled in haste and may therefore have been more likely to contain drug errors resulting in an underestimate of this category. [21]…”

Section: Discussionmentioning

confidence: 99%

Identifying Errors in Handwritten Outpatient Prescriptions in Oman

Shahaibi¹,

Said²,

Tg³

et al. 2012

Journal of Young Pharmacists

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To evaluate and analyze the handwritten outpatient prescriptions and associated error of omissions from four different hospitals in Oman. The study designed was an observational, retrospective and analysis of prescriptions was carried out by table and chart method. A total of 900 prescriptions were collected between April 2009 to July 2010. The type of error of omissions considered in this analysis includes all three important parts of prescriptions, i.e. superscription, inscription, and subscription. The most common type of superscription error of omission was found to be age (72.44%) and gender (32.66%). More than 46% of prescriptions were incomplete on direction for use, more than 22% of prescriptions were not having the information on dose, and more than 23% of prescriptions omitted the dosage forms of prescribed drugs. The date of dispensing of medications was omitted in all the prescriptions and more than 44% of prescriptions were missing the signature of dispenser. It was also found that more than 4% of prescriptions omitted the prescriber's signature and more than 18% of prescriptions omitted the date of prescription. We conclude from this study that the handwritten prescriptions were associated with significant frequency of minor and major prescription error of omissions.

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Section: Discussionmentioning

confidence: 99%

Identifying Errors in Handwritten Outpatient Prescriptions in Oman

Shahaibi¹,

Said²,

Tg³

et al. 2012

Journal of Young Pharmacists

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“…Studies have shown that 10 − 16% of all preventable adverse events among ICU patients were DDI-related, and approximately 5% of all ICU patients were likely to experience an ADE during hospitalization due to a DDI [ 5 , 6 ]. By establishing a risk profile, reducing risk and preventing side effects can improve patient safety [ 7 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of potential drug − drug interactions in the cardiothoracic intensive care unit patients in a Chinese tertiary care teaching hospital

Wang

Shi

Wang

et al. 2022

BMC Pharmacol Toxicol

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Background With an increasing number of reviews describing clinically significant drug–drug interactions (DDIs), the scope and severity of interactions involving commonly used drugs in cardiothoracic intensive care units (CCUs) remain unclear. This study aims to identify risk factors and determine the incidence of potential DDIs in intensive care units. Methods DDIs were identified based on the profile of the prescribed drug and classified according to the Micromedex drug interaction database. Potential risk factors associated with DDIs have been identified. Results A total of 3193 medication episodes were evaluated, and 680 DDIs (21.3%) were found. A total of 203 patients were recruited into the study, with an average of 3.4 DDIs per patient [95% confidence interval (3.2 − 3.6)]. A total of 84.2% of the patients experienced at least one DDI. Anticoagulant and antiplatelet agents were involved in 33.5% (228/680) of the potential drug − drug interactions in the CCU. Univariate analysis and multiple logistic regression analysis showed that the age of the patient and the number of medications prescribed were significantly correlated with the occurrence of DDIs. In multiple linear regression analysis, the number of DDIs had a significant correlation only with the number of prescription drugs. Conclusions A high prevalence of DDIs was observed, especially in intensive care units without pharmacist intervention and computerized drug monitoring systems, highlighting the need for active surveillance to prevent potential adverse events.

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“…Incomplete or illegible prescription can give rise to errors that may risk patient's health and safety and cause unnecessary diagnostic tests and treatments. Prescription incompleteness and errors have long been the focus of attention . Some have described the legal responsibilities of incorrect prescriptions by doctors .…”

Section: Introductionmentioning

confidence: 99%