Studies of prescribing errors from pharmaceutical services for in-patients of a general hospital
Keywords:
ความคลาดเคลื่อนจากการสั่งใช้ยา, ผู้ป่วยในAbstract
Introduction: Prescribing errors are events that may lead to the inappropriate or harmful use of medication by patients. Additionally, such errors are one of many quality indicators for hospitals. Analyzing these incidents reveals not only the frequency of errors made, but can also signal causes in prescribing errors that need correction.
Objective: To study the rate of occurrence and analyze the causes of prescribing errors.
Methods: This descriptive study extracted data from physician’s orders as recorded in the hospital computer system during office hours from 1 September 2023 - 29 February 2024. The data were collected in medication error report forms for statistical analysis.
Results: A total of 549 prescribing errors were recorded. The five most common errors were supra-therapeutic dosages (186 times, 33.88%), sub-therapeutic dosages (118 times, 21.49%), cases of the wrong drug (114 times, 20.77%), the need for additional drug therapy (45 times, 8.20%), and duplicate drug treatments (22 times, 4.01%).
Conclusion: According to the study, the most common prescribing errors were high dosages. Therefore, provision of strategies should be established to develop a system that prevents prescribing errors, along with a program to continuously collect data, monitoring the system’s effectiveness as more improvements are made.
References
Wongtanu S, Watcharathanakij S, Jinatongthai P. Effectiveness of development of medication errors reporting system in middle size hospital. Thai J Hosp Pharm. 2023; 33: 186-96. (in Thai)
Sukngam P. Electronic prescribing in accordance with standard for clinical decision support. CUAST Journal. 2021; 10: 180-8. (in Thai)
Alanazi MA, Tully MP, Lewis PJ. A systematic review of the prevalence and incidence of prescribing errors with high-risk medicines in hospitals. J Clin Pharm Ther. 2016; 41: 239-45.
Rattanadechsakul J, Rattanadechsakul P. Medication error and use in the drug management system.[Internet]. 2017 [cited 2023 Dec 15]. Available from: https://ccpe.pharmacycouncil.org/index.php?option=article_detail&subpage=article_detail&id=303 (in Thai)
Lumlao S, Chalongsuk R. Development of a pre-dispensing system in in-patient department at Luangpho Thaweesak Hospital, Bangkok. Veridian E-Journal, Science and Technology Silpakorn University. 2017; 4: 117-37. (in Thai)
Strand LM, Morley PC, Cipolle RJ, Ramsey R, Lamsam GD. Drug-related problems: their structure and function. Dicp. 1990; 24: 1093-7.
Jullasattee P. The development of adrug order screening system of patients at H.R.H The Princess Mother’s Centenary Celebrations Hospital, Nakhon Ratchasima Province. J D HSS. 2022; 18: 5-16. (in Thai)
Aungsathammarat A, Tangmankhongworakul S. The results of prescribing screening and incidence of medication error in out patient, Sawanpracharak Hospital. Sawanpracharak Med J. 2021; 18: 1-10. (in Thai)
Sanongdech S. Studies of medication errors in pharmaceutical services for out patients in the pharmacy work group, Loei Hospital. Udonthani Hosp Med J. 2016; 24: 123-32. (in Thai)
Wongwatanasathien C. Analysis of medication errors and adverse event reporting from the medication risk reporting program at Buriram Hospital. Thai J Clin Pharm. 2023; 29: 177-88. (in Thai)
Chanatepaporn P. Development of prescribing error program for reporting in Srinagarind Hospital. Srinagarind Med J. 2019; 34: 261-70. (in Thai)
Khrueawang K. Medication error. JPHLaw. 2018; 4: 251-65. (in Thai)
Wadudom J. Development of a predispensing system in inpatient pharmacy services to reduce medication error. Thai J Clin Pharm. 2020; 26: 24-38. (in Thai)
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