Indian Journal of Pharmacy and Pharmacology 2021;8(3):220–225
Content available at: https://www.ipinnovative.com/open-access-journals
Indian Journal of Pharmacy and Pharmacology
Journal homepage: https://www.ijpp.org.in/
Original Research Article
A prospective longitudinal study of medication errors in private hospital of
metropolitan city of Gujarat
Jalpa V. Suthar
1,
*, Disha Patel
1
1
Dept. of Pharmacology & Clinical Pharmacy, Ramanbhai Patel College of Pharmacy, Charotar University of Science and
Technology, Changa, Gujarat, India
ARTICLE INFO
Article history:
Received 10-08-2021
Accepted 21-08-2021
Available online 04-09-2021
Keywords:
Medication errors
Geriatric
Prescribing errors
Administration errors
Surgical ward
Occurrence rate
ABSTRACT
Objective: To identify occurrence rate and to suggest management strategies for medication errors in a
multi-speciality private hospital of metropolitan city of Gujarat.
Materials and Methods: A prospective, longitudinal study was conducted in surgery and medicine ward
of the hospital, during 15th July’2014 to 15th Jan’2015 after approval from human ethics committee.
Medication errors (MEs) were categorized as prescription error (PE) and administration error (AE). The
case records and treatment charts were reviewed and root causes were identified. The investigator also
accompanied the staff nurse during the ward rounds and interviewed patients or care taker to gather
information, if necessary.
Results: A total of 230 geriatric patients (81 in Medical and 149 in surgical ward) were included. Total 23
(10.5%) in medicine and 82(37.43%) in surgical wards MEs were reported. Greater number of MEs were
found in female patients 68(64.76%) as compared to male 37(35.24%). The most common ME was PEs
98 (93.33%) followed by AEs 7 (6.67%). On second day of stay higher 99(68.28%) number of MEs were
found. Incomplete patient information and miscommunication were common cause of PE. Moreover, lack
of communication and requisition errors was common to AEs.
Conclusion: A high occurrence rate (45.65%) of MEs was observed with no serious outcome. The root
causes of errors were identified and training was provided to minimized errors in future.
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1. Introduction
Any preventable event that may cause or lead to
inappropriate medication use or patient harm, while the
medication is in the control of the health care professional,
patient or consumer- medication errors; defined by The
National Coordinating Council for Medication Error
(NCCMER).
1
Medication errors are a common occurrence
and continue to be a problem in the health care industry.
It depends on successful interaction among health care
professionals functioning at different areas. Errors may
occur at any stage of prescribing, documenting, dispensing,
* Corresponding author.
E-mail address: jalpasuthar.84@gmail.com (J. V. Suthar).
preparation, or administration.
2,3
It may also a leave a
negative impression on the minds of people about the
hospital and may directly impact their lives. Approximately,
28% of adverse drug events (ADEs) are related to
medication errors Estimation of drug-related morbidity
and mortality is nearly $ 177 billion in the US. There
is at least one death per day and 1.3 million people
are injured each year due to medication errors
4,5
other
factors that can contribute are job-related stress, improper
training or education and sound-alike lookalike packaging
of medications. This issue has also received considerable
attention in the lay press.
6
Phillips J. et al. did a
retrospective analysis of medication errors between 1993
https://doi.org/10.18231/j.ijpp.2021.038
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