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Priorities in the Prevention Strategies for Medication Error Using the Analytical Hierarchy Process Method

As medication error is inherently “preventable”, we should try to minimize errors to improve patient safety and quality of care. The aim of this study was to prioritize strategies to prevent medication errors using the analytic hierarchy process (AHP) method. The hierarchy structure consisted of thr...

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Autores principales: Kim, Siin, Kim, Hyungtae, Suh, Hae Sun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950160/
https://www.ncbi.nlm.nih.gov/pubmed/35326990
http://dx.doi.org/10.3390/healthcare10030512
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author Kim, Siin
Kim, Hyungtae
Suh, Hae Sun
author_facet Kim, Siin
Kim, Hyungtae
Suh, Hae Sun
author_sort Kim, Siin
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description As medication error is inherently “preventable”, we should try to minimize errors to improve patient safety and quality of care. The aim of this study was to prioritize strategies to prevent medication errors using the analytic hierarchy process (AHP) method. The hierarchy structure consisted of three stages: goal of the decision, decision criteria, and alternatives. Ten experts of patient safety research or clinical pharmacology compared each pair of criteria and alternatives and assigned a nine-point numerical scale. We used the eigenvector method to aggregate the pairwise comparisons obtained from experts and to estimate the weights of each criterion and alternative. Among the decision criteria, system improvement in reporting was the most preferred criterion, followed by cultural improvement and system improvement in the counterplan. The preferred alternative was a counterplan by healthcare institutions, followed by a change from a blame culture to safety culture and the building of a reporting system. A sensitivity analysis indicated that priorities were generally robust in the methods used for calculating the integrated matrices. We have suggested the priority of preventive strategies against medication errors using the AHP method. The prioritization of preventive strategies could help policymakers understand current needs and therefore develop evidence-based policies on patient safety.
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spelling pubmed-89501602022-03-26 Priorities in the Prevention Strategies for Medication Error Using the Analytical Hierarchy Process Method Kim, Siin Kim, Hyungtae Suh, Hae Sun Healthcare (Basel) Article As medication error is inherently “preventable”, we should try to minimize errors to improve patient safety and quality of care. The aim of this study was to prioritize strategies to prevent medication errors using the analytic hierarchy process (AHP) method. The hierarchy structure consisted of three stages: goal of the decision, decision criteria, and alternatives. Ten experts of patient safety research or clinical pharmacology compared each pair of criteria and alternatives and assigned a nine-point numerical scale. We used the eigenvector method to aggregate the pairwise comparisons obtained from experts and to estimate the weights of each criterion and alternative. Among the decision criteria, system improvement in reporting was the most preferred criterion, followed by cultural improvement and system improvement in the counterplan. The preferred alternative was a counterplan by healthcare institutions, followed by a change from a blame culture to safety culture and the building of a reporting system. A sensitivity analysis indicated that priorities were generally robust in the methods used for calculating the integrated matrices. We have suggested the priority of preventive strategies against medication errors using the AHP method. The prioritization of preventive strategies could help policymakers understand current needs and therefore develop evidence-based policies on patient safety. MDPI 2022-03-11 /pmc/articles/PMC8950160/ /pubmed/35326990 http://dx.doi.org/10.3390/healthcare10030512 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Siin
Kim, Hyungtae
Suh, Hae Sun
Priorities in the Prevention Strategies for Medication Error Using the Analytical Hierarchy Process Method
title Priorities in the Prevention Strategies for Medication Error Using the Analytical Hierarchy Process Method
title_full Priorities in the Prevention Strategies for Medication Error Using the Analytical Hierarchy Process Method
title_fullStr Priorities in the Prevention Strategies for Medication Error Using the Analytical Hierarchy Process Method
title_full_unstemmed Priorities in the Prevention Strategies for Medication Error Using the Analytical Hierarchy Process Method
title_short Priorities in the Prevention Strategies for Medication Error Using the Analytical Hierarchy Process Method
title_sort priorities in the prevention strategies for medication error using the analytical hierarchy process method
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950160/
https://www.ncbi.nlm.nih.gov/pubmed/35326990
http://dx.doi.org/10.3390/healthcare10030512
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