期刊论文详细信息
International Archives of Medicine
Medication prescribing errors and associated factors at the pediatric wards of Dessie Referral Hospital, Northeast Ethiopia
Mirkuzie Woldie3  Tesfahun Chanie1  Abebe Zeleke2 
[1] Department of Pharmacy, Jimma University, Jimma, Ethiopia;Department of Pharmacy, Wollo University, P.O. Box: 1145, Dessie, Ethiopia;Department of Health Services Management, Jimma University, Jimma, Ethiopia
关键词: Pediatrics;    Dessie;    Prescribing errors;    Medication errors;   
Others  :  802431
DOI  :  10.1186/1755-7682-7-18
 received in 2013-07-15, accepted in 2014-04-16,  发布年份 2014
PDF
【 摘 要 】

Background

Medication error is common and preventable cause of medical errors and occurs as a result of either human error or a system flaw. The consequences of such errors are more harmful and frequent among pediatric patients.

Objective

To assess medication prescribing errors and associated factors in the pediatric wards of Dessie Referral Hospital, Northeast Ethiopia.

Methods

A cross-sectional study was carried out in the pediatric wards of Dessie Referral Hospital from February 17 to March 17, 2012. Data on the prescribed drugs were collected from patient charts and prescription papers among all patients who were admitted during the study period. Descriptive statistics was used to determine frequency, prevalence, means, and standard deviations. The relationship between dependent and independent variables were computed using logistic regression (with significance declared at p-value of 0.05 and 95% confidence interval).

Results

Out of the 384 Medication order s identified during the study, a total of 223 prescribing errors were identified. This corresponds to an overall medication prescribing error rate of 58.07%. Incomplete prescriptions and dosing errors were the two most common types of prescribing errors. Antibiotics (54.26%) were the most common classes of drugs subjected to prescribing error. Day of the week and route of administration were factors significantly associated with increased prescribing error.

Conclusions

Medication prescribing errors are common in the pediatric wards of Dessie Referral Hospital. Improving quick access to up to date reference materials, providing regular refresher trainings and possibly including a clinical pharmacist in the healthcare team are recommended.

【 授权许可】

   
2014 Zeleke et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140708023726201.pdf 357KB PDF download
Figure 1. 59KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Krahenbuhl-Melcher A, Krahenbuhl S: Hospital drug safety: medication errors and adverse drug reactions. Praxis (Bern 1994) 2005, 94(24–25):1031-1038.
  • [2]Kozer E, Scolnik D, Macpherson A, Keays T, Shi K, Luk T, Koren G: Variables associated with medication errors in pediatric emergency medicine. Pediatrics 2002, 110(4):737-742.
  • [3]Kozer E, Berkovitch M, Koren G: Medication errors in children. Pediatr Clin North Am 2006, 53(6):1155-1168.
  • [4]Otero P, Leyton A, Mariani G, Ceriani Cernadas JM: Medication errors in pediatric inpatients: prevalence and results of a prevention program. Pediatrics 2008, 122(3):e737-e743.
  • [5]Tully MP, Ashcroft DM, Dornan T, Lewis PJ, Taylor D, Wass V: The causes of and factors associated with prescribing errors in hospital inpatients: a systematic review. Drug Saf 2009, 32(10):819-836.
  • [6]Stefl ME: To Err is Human: Building a Safer Health System in 1999. Front Health Serv Manage 2001, 18(1):1-2.
  • [7]Moyen E, Camire E, Stelfox HT: Clinical review: medication errors in critical care. Crit Care 2008, 12(2):208. BioMed Central Full Text
  • [8]Aronson JK: Medication errors: what they are, how they happen, and how to avoid them. QJM 2009, 102(8):513-521.
  • [9]Graham AS: Prescribing errors. J Health Syst Pharm 2008, 5-15.
  • [10]Evans J: Prevalence, risk factors, consequences and strategies for reducing medication errors in Australian hospitals: a literature review. Contemp Nurse 2009, 31(2):176-189.
  • [11]Kaushal R, Jaggi T, Walsh K, Fortescue EB, Bates DW: Pediatric medication errors: what do we know? What gaps remain? Ambul Pediatr 2004, 4(1):73-81.
  • [12]Stucky ER: Prevention of medication errors in the pediatric inpatient setting. Pediatrics 2003, 112(2):431-436.
  • [13]Ferner RE: The epidemiology of medication errors: the methodological difficulties. Br J Clin Pharmacol 2009, 67(6):614-620.
  • [14]Vila-de-Muga M, Colom-Ferrer L, Gonzalez-Herrero M, Luaces-Cubells C: Factors associated with medication errors in the pediatric emergency department. Pediatr Emerg Care 2011, 27(4):290-294.
  • [15]Sanghera N, Chan PY, Khaki ZF, Planner C, Lee KKC, Cranswick NE, Wong ICK: Interventions of hospital pharmacists in improving drug therapy in children: a systematic literature review. Drug Saf 2006, 29(11):1031-1047.
  • [16]Gonzales K: Medication administration errors and the pediatric population: a systematic search of the literature. J Pediatr Nurs 2010, 25(6):555-565.
  • [17]Feinberg J, Med Pass Survey: A continuous quality improvement approach. In Edited by ASCP. 2003.
  • [18]Drug Administration and Control Authority of Ethiopia: Standard treatment guideline for general hospitals. 2010.
  • [19]Ministry of Health Ethiopia and WHO: Pocket book of pediatric hospital care: Ethiopia. Guidelines for the management of common illnesses in hospitals. 2010.
  • [20]Al- Jeraisy MI, Alanazi MQ, Abolfotouh MA: Medication prescribing errors in a pediatric inpatient tertiary care setting in Saudi Arabia. BMC Res Notes 2011, 4:294-299. BioMed Central Full Text
  • [21]Alaqha HZ, Badary OA, Ibrahim HM, Sabri NA: Reducing prescribing errors in the paediatric intensive care unit:an experience from Egypt. Foundation Acta Pædiatrica 2011, 100:169-174.
  • [22]Folli HL, Poole RL, Benitz WE, Russo JC: Medication error prevention by clinical pharmacists in Two Children’s hospitals. Pediatrics 1987, 79(5):718-723.
  • [23]Ghaleb MA, Barber N, Franklin BD, Wong ICK: The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child 2010, 95:113-118.
  • [24]Condren M, Studebaker IJ, John BM: Prescribing Errors in a Pediatric Clinic. Clin Pediatr 2010, 49(1):49-53.
  • [25]Monica VLC, Mariona G, Carles LC: Factors Associated With Medication Errors in the Pediatric Emergency Department. Pediatr Emerg Care 2011, 27(4):290-294.
  文献评价指标  
  下载次数:20次 浏览次数:24次