Assessment of the Medication Administration Errors in the Tertiary Hospital in Saudi Arabia: A prospective Observational Study

Ahmed Altowairqi, A. Althomali, Abdulrahman Althobati, Hind A. Almalki, Mohammad Al-Thomali, Khulud Alosaimi, Marzokah A. Almalki, Raniyah Alrubaie, Muruj Almuwallad, Sara Alharbi, Ghuzayyil Alkhamash, Ashwaq Alshehri, Manal Alosaimi
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Abstract

Medication errors can occur at any of the three steps of the medication use process: prescribing, dispensing and administration. Drug administration errors were the second most frequent type of medication error, after prescribing errors, but the latter were often intercepted; hence, administration errors were more probably to reach the patients. Therefore, this study was conducted to determine the frequency and types of drug administration errors in a Taif hospital ward. Prospective study based on a disguised observation technique in nine wards in a general hospital in Taif, Saudi Arabia (800 beds). A pharmacist accompanied nurses and witnessed the preparation and administration of drugs to all patients during the three drug rounds on each of six days per ward. The main outcomes were the number, type and clinical importance of errors and associated risk factors. The drug administration error rate was calculated. Relationships between the drug dose frequency, dosage form and types of medication administration error were measured. A total of 7105 medications administered by 250 nursing staff members to 700 patients were observed. Observers intervened in seven administrations. There are 1769 medication administration errors confirmed. The most common medication administration errors were drug preparation error (40.56%, n =727) then, improper dose error (18.58%, n=333); the most common drug class error was Antibiotic (38.9%, n =399) then Analgesic and anti-inflammatory drugs (17%, n =176). The most drug dose frequency had Drug preparation error was seen in a drug used three times a day by 484. MAEs were more likely to occur in the evening shift compared to the morning and afternoon shifts. The study indicates that the frequency of drug administration errors in developing countries such as Malaysia is similar to that in developed countries.
沙特阿拉伯三级医院用药错误评估:一项前瞻性观察研究
用药错误可能发生在用药过程的三个步骤中的任何一个:开处方、配药和给药。药物管理错误是第二常见的用药错误类型,仅次于处方错误,但后者经常被拦截;因此,给药错误更有可能到达患者。因此,本研究旨在确定台湾某医院病房给药错误的频率和类型。基于伪装观察技术的前瞻性研究在沙特阿拉伯塔伊夫一家综合医院的9个病房(800张床位)。一名药剂师陪同护士,并在每个病房每周六天的三轮药物查房期间见证所有患者的药物制备和给药。主要结果是错误的数量、类型和临床重要性以及相关的危险因素。计算给药错误率。测定给药频率、剂型与给药误差类型之间的关系。观察由250名护理人员对700例患者共使用7105种药物。观察员干预了七届政府。有1769个用药错误被确认。最常见的给药错误是药物制备错误(40.56%,n =727),其次是剂量错误(18.58%,n=333);最常见的药物类别错误是抗生素(38.9%,n =399),其次是镇痛和抗炎药(17%,n =176)。药物制备错误最多的是每天使用3次的484例。与早班和中班相比,夜班更容易发生MAEs。该研究表明,马来西亚等发展中国家的药物管理错误频率与发达国家相似。
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