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Article
Evaluation of Medication Errors in Hospitalized Patients

Author: Hamoudi A. Mosah, Ph.D.; Ahmed S. Sahib, M.Sc., Ph.D.; Haedar A. AL-Biati , B.Sc.,MSc
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2012 Volume: 8 Issue: 2 Pages: 75-79
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives: Many medication errors occur in the hospital, and these can endanger patients. The purpose of this study was to evaluate the incidence of medication errors in hospitalized patients, and to categorize the most frequent types of errors, and to asses the possible measures that may prevent the occurrence of such errors.Methods: A prospective, exploratory, and evaluative study, using direct observation method to detect medication errors in adult hospitalized patients in medical and surgical units in Baquba Teaching Hospital- Diyala-Iraq.. The files of 299 patients had been reviewed from July 2009 to September 2009, including medication orders and treatment sheets to detect existing errors. The detected errors were recorded and classified using special form designed according to standard classification of medication errors.Results: During the study period, a total of 299 patient's files were reviewed and identified. The incidence of medication errors was 8.7%. The most common types of errors; where incorrect medication which includes 38.46% for not indicated drugs and 19.23% for drug-drug interaction. The incorrect dose represents the second common type of medication errors which include 15.38% for over dose and 3.85% for under dose. The classification of medication errors in this study were 61.54% prescribing errors, followed by 19.23% for each of dispensing errors and administration errors. Conclusions: Medication errors occur for a variety of reasons, including inaccurate communications and deficits in knowledge and performance by and among all health care professionals. In this study we addressed and identified that prescribing errors are the most common type of medication errors followed by dispensing and admintration types, so, all health care professionals have a responsibility in identifying contributing factors to medication errors and to use obtained information to reduce further error occurrence. Keywords: medication errors, patient safety, system errors.


Article
Barriers that Preventing the Nursing StafffromReportingMedication Errors in Kirkuk City Hospitals
المعوقات التي تمنع الملاك التمريضي من الابلاغ عن الاخطاء الدوائية في مستشفيات مدينة كركوك

Authors: Faisal Younus Sameen --- Dhiaa Alrahman H.Abdullah
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2017 Volume: 7 Issue: 1 Pages: 103-111
Publisher: University of Kufa جامعة الكوفة

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Abstract

Background: reporting medication administering errors (MAEs) among nursing staff can improve patient's safety and quality of nursing care. Objectives: to assess the causes of medication errors as well as barriers to report (MAEs).Methodology:A descriptive study was carried out at Kirkuk city hospitals. From the period August 1st 2016 until of February 1st, 2017.A non-probability (convenience) sample of (150) nurses working at Kirkuk city hospitals was used. The tool used in the study called Medication Administration Errors (MAEs) Reporting Questionnaire was developed by Wakefield et al. It consisted of three parts. The data was collected by self-reporting technique. Data was analyzed by using descriptiveand inferential statistical data analysis.Results: The findings of the study revealed that (37.3%) of the samples were in the age group (24-29) years, (51.3%) of study sample were female, (38%) of the sample were graduate from secondary nursing school, (44%) of them having 1-5 years of experience in the nursing profession, (73.3%) of the sample having no administrative task in the hospital.Conclusions: the study concluded that most of nurses report that pharmacy reasons and medicationpackaging reasonsleading to medication errors. Also the result of the study revealed that the most common barriers to report medication errors were fear reason and administrative reason.Recommendation: Administrative systems should support nurses,pharmacists, or physicians to report medication errors the when errors occurs

خلفية البحث:الإبلاغ عن الأخطاء أثناء إعطاء الأدوية بين الملاك التمريضي ممكن أن يحسن من سلامة المريض ويحسن جودة العناية التمريضية.الهدف: تهدف الدراسة الىتقييم الأسباب التي تؤدي الى الأخطاء الدوائية بالإضافة إلى معرفة المعوقات التي تمنع الملاك التمريضي من الإبلاغ عن الأخطاء الدوائية.المنهجية:أجريت دراسة وصفية في مستشفيات مدينة كركوك للفترة من الأول من آب 2016 الى الأول من شباط 2017,أختيرت عينة غير عشوائية(ملائمة)ل(150)ممرض وممرضة يعملون في مستشفيات مدينة كركوك.ولغرض جمع المعلومات تم استخدام إستمارة الإستبانةالمتطورة(أخطاء إعطاء الادوية) صممت من قبل ((Wakefield et.al.,وتتكون الاستبانة من ثلاثة أجزاء وقد جمعت العينة عن طريق توزيعالإستبانةعلى الممرضين.تم تحليل النتائج بإستخدام الإحصاء الوصفي والإحصاء الاستدلالي.النتائج : من خلال تحليل البياناتتبين أن (37.3%) من الممرضين كانوا ضمن الفئة العمرية (24-29) سنة، و(51.3%) منهم كانوا من الاناث، (38%) منهم خريجين من إعدادية التمريض، (44%)من الممرضين لديهم 1-5 سنوات من الخبرة في مهنة التمريض، (73.3%) من الممرضين ليس لديهم مهام إدارية في المستشفى.الاستنتاج : أستنتجت الدراسة ان السبب الذي يؤدي الى الأخطاء الدوائية لدى معظم الممرضين هو أسباب تتعلق بالصيدلاني وأسباب تتعلق بتغليف و تعبئة الادوية.أيضا أستنتجت الدراسة ان اكثر المعوقات التي تمنع الممرضين من الإبلاغ عن الاخطاء كانت أسباب تتعلق بالخوف و أسباب إدارية.التوصيات: يجب ان يكون هناك نظام إداري يساند الممرضين والصيادلة والاطباء للإبلاغ عند حدوث الاخطاء الدوائية.

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