Impact of round-the-clock pharmacist inpatient medication chart review on medication errors

2020 ◽  
Author(s):  
Tat Ming Ng ◽  
Chong Junn Teo ◽  
Shi Thong Heng ◽  
Yi Rong Chen ◽  
Wan Peng Lim ◽  
...  
Keyword(s):  
Medication Errors ◽  
Chart Review ◽  
Medication Chart

Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases

2018 ◽  
Vol 75 (19) ◽  
pp. 1460-1466 ◽  
Author(s):  
Jessica M. Zacher ◽  
Francesca E. Cunningham ◽  
Xinhua Zhao ◽  
Muriel L. Burk ◽  
Von R. Moore ◽  
...  
Keyword(s):  
Medication Errors ◽  
Chart Review ◽  
Veterans Affairs ◽  
Error Rates ◽  
High Rate ◽  
Administrative Databases ◽  
Potential Error ◽  
Actual Error ◽  
History Of ◽  
History Of Use

Abstract Purpose Results of a study to estimate the prevalence of look-alike/sound-alike (LASA) medication errors through analysis of Veterans Affairs (VA) administrative data are reported. Methods Veterans with at least 2 filled prescriptions for 1 medication in 20 LASA drug pairs during the period April 2014–March 2015 and no history of use of both medications in the preceding 6 months were identified. First occurrences of potential LASA errors were identified by analyzing dispensing patterns and documented diagnoses. For 7 LASA drug pairs, potential errors were evaluated via chart review to determine if an actual error occurred. Results Among LASA drug pairs with overlapping indications, the pairs associated with the highest potential-error rates, by percentage of treated patients, were tamsulosin and terazosin (3.05%), glipizide and glyburide (2.91%), extended- and sustained-release formulations of bupropion (1.53%), and metoprolol tartrate and metoprolol succinate (1.48%). Among pairs with distinct indications, the pairs associated with the highest potential-error rates were tramadol and trazodone (2.20%) and bupropion and buspirone (1.31%). For LASA drug pairs found to be associated with actual errors, the estimated error rates were as follows: lamivudine and lamotrigine, 0.003% (95% confidence interval [CI], 0–0.01%); carbamazepine and oxcarbazepine, 0.03% (95% CI, 0–0.09%); and morphine and hydromorphone, 0.02% (95% CI, 0–0.05%). Conclusion Through the use of administrative databases, potential LASA errors that could be reviewed for an actual error via chart review were identified. While a high rate of potential LASA errors was detected, the number of actual errors identified was low.

scholarly journals Prevalence of Medication Errors in Admitted Patients at the Philippine General Hospital

2017 ◽  
Vol 51 (2) ◽  
Author(s):  
Paul Matthew D. Pasco ◽  
Ruzanne M. Caro ◽  
Connie L. Cruz ◽  
Nerissa M. Dando ◽  
Iris Thiele C. Isip-Tan ◽  
...  
Keyword(s):  
Medication Errors ◽  
Chart Review ◽  
Prospective Observational Study ◽  
Adverse Drug Events ◽  
Medical Center ◽  
Inappropriate Drug ◽  
Systematic Sampling ◽  
First Year ◽  
True Prevalence ◽  
Review Study

Background. Medication errors are preventable events that can cause or lead to inappropriate drug use. Knowing the prevalence and types of errors can help us institute corrective measures and avoid adverse drug events. Objective. This study determined the prevalence of medication errors and its specific types in the four main service wards of a tertiary government training medical center. Methods. This is a retrospective, descriptive chart review study. From the master list of admissions, systematic sampling was done to retrieve the required number of charts. Relevant pages such as order sheets, nurses’ notes, therapeutic sheets were photographed. For prolonged admissions, only the first 7 days were reviewed. Each chart was evaluated by two people who then met and agreed on the errors identified. Results. The overall prevalence of medication errors is 97.8%. Pediatrics had the most (63.3/chart), followed by Medicine, OBGynecology, and Surgery (7.3/chart). The most common type of errors identified were prescribing, followed by compliance, then administration errors. Conclusion. Medication errors are present in the four main wards in our hospital. We recommend orientation of all incoming first year residents on proper ordering and prescribing of drugs, as well as a prospective observational study to determine true prevalence of all types of medication errors.

scholarly journals Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review

CMAJ Open ◽  
2017 ◽  
Vol 5 (2) ◽  
pp. E345-E353 ◽  
Author(s):  
Kaitlin R. Stockton ◽  
Maeve E. Wickham ◽  
Simon Lai ◽  
Katherin Badke ◽  
Karen Dahri ◽  
...  
Keyword(s):  
Medication Errors ◽  
Medication Reconciliation ◽  
Chart Review ◽  
Retrospective Chart Review

Medication chart review at end of life of paediatric palliative patients

2021 ◽  
Author(s):  
Jie Er Janice Soo ◽  
Mei Yoke Chan ◽  
Noor Aisah Bee Bte Adb Rashid ◽  
Lilis Irwani Bte Mohamad Yusri ◽  
Yi Yi Wynn ◽  
...  
Keyword(s):  
End Of Life ◽  
Chart Review ◽  
Medication Chart ◽  
Palliative Patients

What could go wrong? Preventing medication errors before they happen

2015 ◽  
Vol 21 (12) ◽  
pp. 69-81
Author(s):  
American Pharmacists Association
Keyword(s):  
Medication Errors

Next Up for MC-FP: Chart Review Process

2005 ◽  
Vol 35 (5) ◽  
pp. 86
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Chart Review ◽  
Review Process
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