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Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care
Purpose: Medication errors (MEs) are a leading cause of morbidity and mortality, yet they have remained as confusing and underappreciated concept. The complex pharmacotherapy in hospitalized patients necessitates continued report and surveillance of MEs as well as persistent pharmaceutical care. Thi...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tabriz University of Medical Sciences
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468220/ https://www.ncbi.nlm.nih.gov/pubmed/31011571 http://dx.doi.org/10.15171/apb.2019.020 |
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author | Boostani, Kamal Noshad, Hamid Farnood, Farahnoosh Rezaee, Haleh Teimouri, Soheil Entezari-Maleki, Taher Najafiazar, Reyhane Hassanpouri-Olia, Azam Gharekhani, Afshin |
author_facet | Boostani, Kamal Noshad, Hamid Farnood, Farahnoosh Rezaee, Haleh Teimouri, Soheil Entezari-Maleki, Taher Najafiazar, Reyhane Hassanpouri-Olia, Azam Gharekhani, Afshin |
author_sort | Boostani, Kamal |
collection | PubMed |
description | Purpose: Medication errors (MEs) are a leading cause of morbidity and mortality, yet they have remained as confusing and underappreciated concept. The complex pharmacotherapy in hospitalized patients necessitates continued report and surveillance of MEs as well as persistent pharmaceutical care. This study evaluated the frequency, types, clinical significance, and costs of MEs in internal medicine wards. Methods: In this 8-month prospective and cross-sectional study, an attending clinical pharmacist visited the patients during each physician’s ward round at the morning. All MEs including prescription, transcription, and administration errors were detected, recorded, and subsequently appropriate corrective interventions were proposed during these rounds. The changes in the medications’ cost after implementing clinical pharmacist’s interventions were compared to the calculated medications’ cost, assuming that the MEs would not have been detected by clinical pharmacist and continued up to discharge time of the patients. Results: 89% of the patients experienced at least one ME during their hospitalization. A mean of 2.6 errors per patient or 0.2 errors per ordered medication occurred in this study. More than 70% of MEs happened at the prescription stage by treating physicians. The most prevalent prescription errors were inappropriate drug selection, unauthorized drugs and untreated indication. The highest MEs occurred on cardiovascular agents followed by antibiotics, and vitamins, minerals, and electrolytes. The net effect of clinical pharmacist’s contributions in medication therapy management was to decline medications’ costs by 33.9%. Conclusion: The role of clinical pharmacy services in detection, prevention and reducing the cost of MEs is of paramount importance to internal medicine wards. |
format | Online Article Text |
id | pubmed-6468220 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Tabriz University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-64682202019-04-22 Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care Boostani, Kamal Noshad, Hamid Farnood, Farahnoosh Rezaee, Haleh Teimouri, Soheil Entezari-Maleki, Taher Najafiazar, Reyhane Hassanpouri-Olia, Azam Gharekhani, Afshin Adv Pharm Bull Research Article Purpose: Medication errors (MEs) are a leading cause of morbidity and mortality, yet they have remained as confusing and underappreciated concept. The complex pharmacotherapy in hospitalized patients necessitates continued report and surveillance of MEs as well as persistent pharmaceutical care. This study evaluated the frequency, types, clinical significance, and costs of MEs in internal medicine wards. Methods: In this 8-month prospective and cross-sectional study, an attending clinical pharmacist visited the patients during each physician’s ward round at the morning. All MEs including prescription, transcription, and administration errors were detected, recorded, and subsequently appropriate corrective interventions were proposed during these rounds. The changes in the medications’ cost after implementing clinical pharmacist’s interventions were compared to the calculated medications’ cost, assuming that the MEs would not have been detected by clinical pharmacist and continued up to discharge time of the patients. Results: 89% of the patients experienced at least one ME during their hospitalization. A mean of 2.6 errors per patient or 0.2 errors per ordered medication occurred in this study. More than 70% of MEs happened at the prescription stage by treating physicians. The most prevalent prescription errors were inappropriate drug selection, unauthorized drugs and untreated indication. The highest MEs occurred on cardiovascular agents followed by antibiotics, and vitamins, minerals, and electrolytes. The net effect of clinical pharmacist’s contributions in medication therapy management was to decline medications’ costs by 33.9%. Conclusion: The role of clinical pharmacy services in detection, prevention and reducing the cost of MEs is of paramount importance to internal medicine wards. Tabriz University of Medical Sciences 2019-02 2019-02-21 /pmc/articles/PMC6468220/ /pubmed/31011571 http://dx.doi.org/10.15171/apb.2019.020 Text en ©2019 The Authors. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, as long as the original authors and source are cited. No permission is required from the authors or the publishers. |
spellingShingle | Research Article Boostani, Kamal Noshad, Hamid Farnood, Farahnoosh Rezaee, Haleh Teimouri, Soheil Entezari-Maleki, Taher Najafiazar, Reyhane Hassanpouri-Olia, Azam Gharekhani, Afshin Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care |
title | Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care |
title_full | Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care |
title_fullStr | Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care |
title_full_unstemmed | Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care |
title_short | Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care |
title_sort | detection and management of common medication errors in internal medicine wards: impact on medication costs and patient care |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468220/ https://www.ncbi.nlm.nih.gov/pubmed/31011571 http://dx.doi.org/10.15171/apb.2019.020 |
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