Prescribing Errors in an Ambulatory Care Setting: Mitigating Risks in Outpatient Medication Orders, Cross-Sectional Review.

Global journal on quality and safety in healthcare Pub Date : 2024-09-03 eCollection Date: 2024-11-01 DOI:10.36401/JQSH-24-2
Wesam S Abdel-Razaq, Ghada Mardawi, Aiman A Obaidat, Lama Aljahani, Maram Almutairi, Reham Almotiri, Nataleen A Albekairy, Tariq Aldebasi, Abdulkareem M Albekairy, Mohammad S Shawaqfeh
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Abstract

Introduction: Prescribing errors (PEs) are the most common type of medication error, which may occur by prescribing the wrong medication, improper dose, dosage, and/or even prescribing a drug to the wrong patient. The present study aims to compile PEs that were generated in an ambulatory care setting at a tertiary-care hospital in Saudi Arabia.

Methods: A retrospective cross-sectional review was conducted for all reported PEs in ambulatory care clinics for 3 years. The potential hazardous outcomes of these PEs were classified according to the medication error index.

Results: A total of 897 records containing 1199 PEs were retrieved. More than a third of prescribers had frequently committed PEs-ranging from 2 to 39 times. The most encountered errors were prescribing incorrect doses, medication duplication, incorrect dosing frequency, and inappropriate duration (34.5%, 14.1%, 11.6%, and 9.8%, respectively). The most frequent mistakes were when prescribing antibiotics (22.9%) and drugs for cardiovascular conditions (18.5%). Most errors were of mild to moderate severity, mostly type-B near-miss errors and did not reach patients. Only two prescription events (0.17%) had severe consequences that required intervention to avoid any subsequent harm or damage.

Conclusion: The current investigation has revealed a substantial percentage of PEs, mostly in internal medicine and cardiology departments. Although PEs are undoubtedly not easy to avoid, monitoring and recognizing these inaccuracies is pivotal to preventing potential harm and promoting patient safety.

门诊护理环境中的处方错误:降低门诊用药单中的风险,横断面回顾。
导言:处方错误(PEs)是最常见的用药错误类型,可能通过开错药、不适当的剂量、用法和/或甚至给错误的病人开药而发生。本研究旨在对沙特阿拉伯一家三级医院门诊护理环境中发生的用药错误进行汇编:方法:对门诊护理诊所 3 年内报告的所有 PE 进行了回顾性横断面审查。根据用药错误指数对这些 PE 的潜在危险结果进行了分类:结果:共检索到 897 份记录,其中包含 1199 例 PE。超过三分之一的处方者经常发生 PE,次数从 2 次到 39 次不等。最常见的错误是处方剂量错误、用药重复、用药频率错误和用药时间不当(分别占 34.5%、14.1%、11.6% 和 9.8%)。最常见的错误是开抗生素(22.9%)和治疗心血管疾病的药物(18.5%)。大多数错误的严重程度为轻度至中度,多为 B 类近乎失误的错误,且未波及患者。只有两起处方事件(0.17%)造成了严重后果,需要进行干预以避免任何后续伤害或损害:目前的调查显示,PE 占了相当大的比例,主要发生在内科和心内科。尽管 PE 无疑不容易避免,但监测和识别这些不准确性对于防止潜在伤害和促进患者安全至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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