Study of Medication Errors on In-Patients in a 350-Bed Multi-Speciality Hospital

Kumar, Naveen P (2011) Study of Medication Errors on In-Patients in a 350-Bed Multi-Speciality Hospital. Indian Journal of Hospital Pharmacy, 48. pp. 112-116.

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One of the requirements of accreditation bodies around the world in the medication use process is the prospective audit of the medication orders for appropriateness by trained professionals prior to administration. The medication management process at this hospital was restructured and new check points were added so that all stages of the medication use process – selection, storage, ordering, dispensing, administration, and monitoring, as defined by Joint Commission International(JCI)requirements – are appropriately integrated into a comprehensive medication management system. Medication error data from clinical pharmacologist was collected as secondary data. The errors were identified based on the classification which is mentioned in the main text of the article. The interventions during the preceding 1 year like setting up a dedicated team for transcription of indents in the system in the wards, enhancing the computer skills to nursing staff, helped in significantly reducing the transcription errors from 43.2 errors per 1,000 orders to 5.2 errors per 1000 orders. Improved compliance is evident by the fact that the number of prescription errors related to no adjustments of drug dosage for special populations – which constituted 15% of total prescription errors at the start of the review process – dropped to 3.4% after 1 year 3 months. Similarly, number of patients prescribed the drugs to which they were allergic fell from 18% to 6% Introduction of a Training process to a team of Pharmacists & their evaluation helped in reducing the prescription errors. The study was conducted in a 350-beded multi-specialty tertiary care hospital in Bangalore.

Item Type: Article
Subjects: Medicine > KMC Manipal > Hospital Administration
Depositing User: KMC Manipal
Date Deposited: 15 Mar 2012 05:53
Last Modified: 09 Oct 2014 04:37

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