ASSESSMENT, EVALUATION AND ANALYSIS OF THE MEDICATION ERRORS OF THE PATIENTS ADMITTED AT THE EMERGENCY DEPARTMENT OF A TERTIARY CARE TEACHING HOSPITAL OF A SOUTH INDIAN CITY

  • NARNE AKHIL BAPUJI PHARMACY COLLEGE
  • Preethi P Thomas BAPUJI PHARMACY COLLEGE
  • Shivaraj D R BAPUJI PHARMACY COLLEGE
  • Susmi Mariyam Thomas BAPUJI PHARMACY COLLEGE
  • Sushilkumar P Londhe BAPUJI PHARMACY COLLEGE

Abstract

OBJECTIVE: The study was to assess, evaluate and analyze the medication errors of the patients admitted at the Emergency Department of a tertiary care teaching hospital.

METHODS: The study was conducted for 6 months. Data was collected from the patients  admitted in the Emergency Department. The collected data was analyzed to identify medication errors and prescription errors in emergency unit in hospital by using drug information tools like Micromedex, Drug interaction checker, Stockley drug interaction text, BNF, Journals with good impact factor etc.

RESULTS: A total of 200 patients were enrolled in the study according to the inclusion criteria and exclusion criteria in which 108 were males and 92 were females. 340 medication errors were obtained in 122 patients and 78 patients did not have any error. Medication errors were more commonly in the age group of 61-70 years (49%). In 340 medication errors, DDIs were the most (63.3%), followed by drug duplication (13.53%) and drugs given without indication (8.5%). In DDIs moderate interactions were the mostly seen error. On prescription analysis, drugs prescribed without strength (67.6%), omission error (16.4%), drugs prescribed without frequency (16%) was the most commonly seen. The most common pharmacological classification of drugs associated with medication errors were Antibiotics (25.6%), Anti-hypertensive drugs (13.65%) and Anti-platelet drugs (12.9%).

CONCLUSION: Incidence of medication errors was mainly due to the use of Antibiotics. Due to the fast paced nature and overcrowding in ED, more number of prescription errors were obtained.

  

 

 

Keywords: Medication errors, Emergency department, Drug-drug interactions, Drug duplications.

Author Biographies

NARNE AKHIL, BAPUJI PHARMACY COLLEGE

PHARMACY PRACTICE 

PHARM D INTERN

Preethi P Thomas, BAPUJI PHARMACY COLLEGE

PHARMACY PRACTICE 

PHARM D INTERN

Shivaraj D R, BAPUJI PHARMACY COLLEGE

PHARMACY PRACTICE 

PHARM D INTERN

Susmi Mariyam Thomas, BAPUJI PHARMACY COLLEGE

PHARMACY PRACTICE 

PHARM D INTERN

Sushilkumar P Londhe, BAPUJI PHARMACY COLLEGE

PHARMACY PRACTICE 

ASST PROFESSOR 

References

1. Basarkar S. Patient safety and erroneous medication in healthcare organisation: A learning lesson. Int J Sci Res Publ 2015;5(6):1-9.
2. Reddy LV, Modi AG, Chaudhary B, Modi V, Patel M. Medication errors-A case study. J Acad Hosp Adm 2009;21(1-2):28-34.
3. American Society of Hospital Pharmacists. ASHP guidelines on preventing medication errors in hospitals. Am J Hosp Pharm 1993;50:305-14.
4. Parthasarathi G. A Text Book of Clinical Pharmacy Practice Essential Concepts and Skills. Hyderabad: Universities Press; 2008.
5. Barker KN, Flynn EA, Pepper GA, Bates DW, Mikeal RL. Medication errors observed in 36 health care facilities. Arch Intern Med 2002;162(16):1897-903.
6. Karna K, Sharma S, Inamdar S, Bhandari A. Study and evaluation of medication errors in tertiary care teaching hospital- A base line study. Int J Pharm Pharm Sci 2012;4(5):587-93.
7. Nikitha MK, Vinay BC, Sunil PB, Devi OJ. To identify medication errors in treatment charts in pediatric and medication wards in a tertiary careteaching hospital in Davangere. Int J Pharm Bio Sci 2015;6(3):126-32.
8. Tam VC, Knowles SR, Cornish PL, Fine N, Marchesano R, Etchells EE. Frequency, type and clinical importance of medication history errors at admission to hospital: A systematic review. CMAJ 2005;173(5):510-5.
9. Academy of Managed Care Pharmacy. Medication errors. The Academy of Managed Care Pharmacy’s Concepts in Managed Care Pharmacy. AMCP Board; 2010. p. 1-9.
10. Poornima P, Reshma P, Ramakrishnan TV, Rani NV, Devi GS, Seshadri RS. Medication reconciliation and medication error prevention in an emergency department of a tertiary care hospital. J Young Pharm 2015;7(3):241-9.
11. Zeraatchi A, Talebian MT, Nejati A, Dashti-Khavidaki S. Frequency and types of the medication errors in an academic emergency department in Iran: The emergent need for clinical pharmacy services in emergency departments. J Res Pharm Pract 2013;2(3):118-22.
12. Lee SB, Lee LL, Yeung RS, Chan JT. A continuous quality improvement project to reduce medication error in the emergency department. World J Emerg Med 2013;4(3):179-82.
13. Weant KA, Bailey AM, Baker SN. Strategies for reducing medication errors in the emergency department. Open Access Emerg Med 2014;6:45-55.
14. Pote S, Tiwari P, D’cruz S. Medication prescribing errors in a public teaching hospital in India: A prospective study. Pharm Pract (Granada) 2007;5(1):17-20.
15. Dabaghzadeh F, Rashidian A, Torkamandi H, Alahyari S, Hanafi S, Farsaei S, et al. Medication errors in an emergency department in a large teaching hospital in Tehran. Iran J Pharm Res 2013;12(4):937-42.
16. Ehsani SR, Cheraghi MA, Nejati A, Salari A, Esmaeilpoor AH, Nejad EM. Medication errors of nurses in the emergency department. J Med Ethics Hist Med 2013;6:11.
17. Samiya NK, Sibi J, Sasidharan P. A study of clinical pharmacist initiated intervention for the optimal use of medications in a neonatal intensive care unit (NICU) of a tertiary care hospital, South India. Int J Pharm Pharm Sci 2016;8(1):23-6.
18. Vecchione A. USP Drug Safety Review: Medication errors in the emergency room. Drug Top 2004;148:HSE11.
19. Stoppler M, Marks J. The Most Common Medication Errors. Available from: http://www.medicine.net.
20. Khowaja K, Nizar R, Merchant RJ, Dias J, Bustamante-Gavino I, Malik A. A systematic approach of tracking and reporting medication errors at a tertiary care university hospital, Karachi, Pakistan. Ther Clin Risk Manag 2008;4(4):673-9.
21. Academy of Managed Care Pharmacy. Medication Errors. The Academy of Managed Care Pharmacy’s Concepts in Managed Care
Pharmacy. AMCP Board; 2010. p. 1-9.
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NARNE AKHIL, P. P. Thomas, S. D. R, S. M. Thomas, and S. P. Londhe. “ASSESSMENT, EVALUATION AND ANALYSIS OF THE MEDICATION ERRORS OF THE PATIENTS ADMITTED AT THE EMERGENCY DEPARTMENT OF A TERTIARY CARE TEACHING HOSPITAL OF A SOUTH INDIAN CITY”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 10, no. 5, May 2017, pp. 161-5, doi:10.22159/ajpcr.2017.v10i5.17170.
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