LinkedIn

 آمار

تعداد نشریات20
تعداد شماره‌ها1,149
تعداد مقالات10,518
تعداد مشاهده مقاله45,416,350
تعداد دریافت فایل اصل مقاله11,292,301
Haghbin, Saeedeh, Shahsavari, Sina, Vazin, Afsaneh. (1395). Medication errors in Pediatric Intensive Care Unit: incidence, types and outcome. سامانه مدیریت نشریات علمی, 2(2), -.
Saeedeh Haghbin; Sina Shahsavari; Afsaneh Vazin. "Medication errors in Pediatric Intensive Care Unit: incidence, types and outcome". سامانه مدیریت نشریات علمی, 2, 2, 1395, -.
Haghbin, Saeedeh, Shahsavari, Sina, Vazin, Afsaneh. (1395). 'Medication errors in Pediatric Intensive Care Unit: incidence, types and outcome', سامانه مدیریت نشریات علمی, 2(2), pp. -.
Haghbin, Saeedeh, Shahsavari, Sina, Vazin, Afsaneh. Medication errors in Pediatric Intensive Care Unit: incidence, types and outcome. سامانه مدیریت نشریات علمی, 1395; 2(2): -.

Medication errors in Pediatric Intensive Care Unit: incidence, types and outcome

Trends in Pharmaceutical Sciences
مقاله 4، دوره 2، شماره 2، شهریور 2016    اصل مقاله (302.07 K)
نوع مقاله: Research(Original) Article
نویسندگان
Saeedeh Haghbin1؛ Sina Shahsavari2؛ Afsaneh Vazin* 3
1Associate Professor of Pediatrics, Department of Pediatrics, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran
2Pharmacist, Shiraz University of Medical Sciences, Shiraz
3Associate Professor of Clinical pharmacy, Department of Clinical Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran.
چکیده
 Medication Errors (MEs) play a significant role in mortality and morbidity of hospitalized patients. Therefore, it seems advisable to determine types and consequences of such errors when addressing patient safety. The aim of this study was to determine the incidence, types, outcomes of errors in a 10 bed pediatric Intensive Care Unit at a large teaching hospital from September 2013 to February 2014 in southern Iran.The occurrence of errors was detected with direct observation method. A trained pharmacist selected 41 patients randomly in forty one working shifts. No patient arrived the study twice. In each shift, patient’s medications were observed from prescription, administration, transcription, and dispensing. The pharmacist would intervene only if the ME could cause substantial harms to a patient. All data were reviewed by a clinical pharmacist and a pediatric intensivist to confirm the type of the errors.Of the 512 drug dosages observed, 48.8 errors/100 orders were detected, Administration errors occurred on 148 occasions, with 28.9 chances to occur in each 100 orders. Prescription, transcription and dispensing errors came next with 14.25, 4.88 and 0.78 chance in each 100 orders, respectively. Wrong time, wrong technique, and wrong preparation were among the commonest types of administration errors with 14.1%, 5.7% and 4.9%, respectively.  Monitoring errors group with 11.3% was the most common type of prescribing errors.The results of this study highlights the high medication error rates in pediatric ICU under the study, with administration and prescription errors marked the highest share of them.  Hence implementing the effective strategies to reduce them are needed.
کلیدواژه‌ها
Medication Error؛ Intensive care unit؛ Pediatrics؛ Patient Safety؛ Critical illness
مراجع
  1. Kohn L, Corrigan J, Donaldson M. To err is human: building a safer health system Washington: National Academy Press; 1999.
  2. Miller MR, Robinson KA, Lubomski LH, Rinke ML, Pronovost PJ. Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations. Qual Saf Health Care. 2007;16(2):116-26.
  3. Williams DJP. Medication errors. J Roy Coll Phys Edinburgh. 2007;37(4):343.
  4. Pharmacists ASoH-S. ASHP guidelines on preventing medication errors in hospitals. Am J Hosp Pharm. 1993;50:305-14.
  5. Allan E, Barker K. Fundamentals of medication error research. Am J Hosp Pharm. 1990;47(3):555-71.
  6. Hartwig S, Denger S, Schneider P. Severity-indexed, incident report-based medication error-reporting program. Am J Hosp Pharm. 1991;48(12):2611-6.
  7. Wang H-f, Jin J-f, Feng X-q, Huang X, Zhu L-l, Zhao X-y, et al. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Therapeut Clin Risk Manag. 2015;11:393-406.
  8. Vazin A, Fereidooni M. Determining frequency of prescription, administration and transcription errors in internal intensive care unit of Shahid Faghihi Hospital in Shiraz with direct observation approach. Iran J Pharm Sci. 2012;8:189-94.
  9. Vessal G. Detection of prescription errors by a unit-based clinical pharmacist in a nephrology ward. Pharm World Sci. 2010;32(1):59-65.
  10. Khalili H, Farsaei S, Rezaee H, Dashti-Khavidaki S. Role of clinical pharmacists’ interventions in detection and prevention of medication errors in a medical ward. Int J Clin Pharm. 2011;33(2):281-4.
  11. Schneider MP, Cotting J, Pannatier A. Evaluation of nurses' errors associated in the preparation and administration of medication in a pediatric intensive care unit. Pharm World Sci. 1998;20(4):178-82.
  12. Levine SR, Cohen M, Blanchard N, Federico F, Magelli M, Lomax C, et al. Guidelines for preventing medication errors in pediatrics. J Pediatr Pharmacol Ther. 2001;6:426-42.
  13. Jennane N, Madani N, OuldErrkhis R, Abidi K, Khoudri I, Belayachi J, et al. Incidence of medication errors in a Moroccan medical intensive care unit. Int Arch Med. 2011;4:32.
  14. Alsulami Z, Conroy S, Choonara I. Medication errors in the Middle East countries: a systematic review of the literature. Eur J Clin Pharmacol. 2013;69(4):995-1008.
  15. Flynn EA, Barker KN, Pepper GA, Bates DW, Mikeal RL. Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities. Am J Health Syst Pharm. 2002;59:436-46.
  16. Dean BS, Allan EL, Barber ND, Barker KN. Comparison of medication errors in an American and a British hospital. Am J Health-Syst Pharm 1995;52:2543-9.
  17. Wilmer A, Louie K, Dodek P, Wong H, Ayas N. Incidence of medication errors and adverse drug events in the ICU: a systematic review. Qual Saf Health Care. 2010;19:e7.
  18. Tissot E, Cornette C, Demoly P, Jacquet M, Barale F, Capellier G. Medication errors at the administration stage in an intensive care unit. Intensive Care Med. 1999;25(4):353-9.
  19. Vazin A, Delfani S. Medication errors in an internal intensive care unit of a large teaching hospital: a direct observation study. Acta Med Iran. 2012;50(6):425-32.
  20. Alkhaja K, Alansari T, Damanhori A, Sequeira R. Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Health Pol 2007;81(2-3):350–7.
  21. Fahimi F, Ariapanah P, Faizi M, Shafaghi B, Namdar R, Ardakani MT. Errors in preparation and administration of intravenous medications in the intensive care unit of a teaching hospital: an observational study. Aust Crit Care. 2008;21(2):110-6.
  22. Vazin A, Zamani Z, Hatam N. Frequency of medication errors in an emergency department of a large teaching hospital in southern Iran. Drug Healthc Patient Saf. 2014;6:179.
  23. Pandolfini C, Bonati M, Rossi V, Santoro E, Choonara I, Naylor C, et al. The DEC-net European register of paediatric drug therapy trials: contents and context. Eur J Clin Pharmacol. 2008;64(6):611-7.
  24. Bates DW. Using information technology to reduce rates of medication errors in hospitals. BMJ. 2000;320:788.
  25. Ghaleb MA, Barber N, Franklin BD, Yeung VW, Khaki ZF, Wong IC. Systematic review of medication errors in pediatric patients. Ann Pharmacother. 2006;40:1766-76.
آمار
تعداد مشاهده مقاله: 11,859
تعداد دریافت فایل اصل مقاله: 1,372


سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب