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Article
Publication date: 23 March 2010

Ana Belén Jiménez Muñoz, Antonio Muiño Miguez, María Paz Rodriguez Pérez, María Dolores Vigil Escribano, María Esther Durán Garcia and María Sanjurjo Saez

Healthcare risk epidemiology identifies medication error as the commonest cause of adverse effects on patients. Medication error can occur at any phase of the complex medication…

3195

Abstract

Purpose

Healthcare risk epidemiology identifies medication error as the commonest cause of adverse effects on patients. Medication error can occur at any phase of the complex medication process so prevalence rates need to be estimated at each drug treatment phase: prescription, transcription and administration along with their clinical repercussions. This paper aims to investigate this issue.

Design/methodology/approach

Medication errors were recorded on an ad hoc sheet and staff were observed handling medications. Recorded errors were later classified and their clinical repercussions determined by experts.

Findings

In total 757 inpatients and 5,466 drug prescriptions were studied. The prescription error rate was 4.79 percent (95 percent CI 4.21‐5.36). The most frequent error in this phase was failing to observe international prescribing standards. The highest error rate was found in transcription (14.61 percent, 95 percent CI 13.67‐15.54). Almost 1,900 dose administrations were observed. There was a 9.32 percent error rate (95 percent CI 7.98‐10.67). The commonest error in this phase was omission. Most were transcription errors, which were detected before harm was done.

Research limitations/implications

The dispensation phase is absent.

Practical implications

Errors can be reduced if they are understood. Education and training based on the study's findings can reduce medication errors.

Originality/value

The paper highlights ways to reduce errors in the medication process.

Details

International Journal of Health Care Quality Assurance, vol. 23 no. 3
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 22 March 2011

Ana Belén Jiménez Muñoz, Antonio Muiño Miguez, María Paz Rodriguez Pérez, María Esther Durán Garcia and María Sanjurjo Saez

Medication errors (MEs) are important in terms of their magnitude and severity, and there are numerous systems in place to reduce their occurrence. However, the ideal system has…

1075

Abstract

Purpose

Medication errors (MEs) are important in terms of their magnitude and severity, and there are numerous systems in place to reduce their occurrence. However, the ideal system has not yet been identified. The authors' institution uses three different medication prescription‐dispensation systems which operate simultaneously. ME rates were compared, overall and by phase (prescription, transcription and administration) and their overall and specific clinical impact.

Design/methodology/approach

The administration of medicinal products was observed directly and compared with medical and nursing prescriptions. Errors and adverse events were classified by a consensus of experts.

Findings

In the traditional system the error prevalence rate was 13.59 per cent, (99 per cent CI, 12.15‐14.61 per cent), in the single dose system it was 6.43 per cent (99 per cent CI, 5.53‐7.32) and in the electronic prescription system it was 8.86 per cent (99 per cent CI, 7.33‐10.17). The highest error rates in all phases were found in the traditional system. The phase affected by most errors in all three models was transcription, and the least affected was administration, except for the single dose system, in which prescription was the worst. The effects of errors in the administration phase are greater, although less so than with the automated system.

Research limitations/implications

The dispensation phase was not analyzed.

Practical implications

A study of errors will enable us to reduce their occurrence if we know the most frequent types and in which phase they are produced, we will be able to prioritise the areas in which to work and select the necessary preventive measures.

Originality/value

It is possible that automated medication dispensation systems reduce error rates and the severity of their effects.

Details

International Journal of Health Care Quality Assurance, vol. 24 no. 3
Type: Research Article
ISSN: 0952-6862

Keywords

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