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Article: A 3-year study of medication incidents in an acute general hospital

TitleA 3-year study of medication incidents in an acute general hospital
Authors
KeywordsAcute general hospital
Medication errors
Medication incidents
Prescription errors
Issue Date2008
PublisherBlackwell Publishing Ltd
Citation
Journal Of Clinical Pharmacy And Therapeutics, 2008, v. 33 n. 2, p. 109-114 How to Cite?
AbstractBackground and objective: Inappropriate medication use may harm patients. We analysed medication incident reports (MIRs) as part of the feedback loop for quality assurance. Methods: From all MIRs in a university-affiliated acute general hospital in Hong Kong in the period January 2004-December 2006, we analysed the time, nature, source and severity of medication errors. Results: There were 1278 MIRs with 36 (range 15-107) MIRs per month on average. The number of MIRs fell from 649 in 2004, to 353 in 2005, and to 276 in 2006. The most common type was wrong strength/dosage (36.5%), followed by wrong drug (16.7%), wrong frequency (7.7%), wrong formulation (7.0%), wrong patient (6.9%) and wrong instruction (3.1%). 60.9%, 53.7% and 84.0% of MIRs arose from handwritten prescription (HP) rather than the computerized medication order entry in 2004, 2005 and 2006 respectively. In 43.1% of MIRs, preregistration house officers were involved. Most errors (80.2%) were detected before any drug was wrongly administered. The medications were administered in 212 cases (19.7%), which resulted in an untoward effect in nine cases (0.8%). Conclusions: The most common errors were wrong dosage and wrong drug. Many incidents involved preregistration house officers and HPs. Our computerized systems appeared to reduce medication incidents. © 2008 Blackwell Publishing Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/91567
ISSN
2023 Impact Factor: 2.1
2023 SCImago Journal Rankings: 0.569
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSong, Len_HK
dc.contributor.authorChui, WCMen_HK
dc.contributor.authorLau, CPen_HK
dc.contributor.authorCheung, BMYen_HK
dc.date.accessioned2010-09-17T10:21:29Z-
dc.date.available2010-09-17T10:21:29Z-
dc.date.issued2008en_HK
dc.identifier.citationJournal Of Clinical Pharmacy And Therapeutics, 2008, v. 33 n. 2, p. 109-114en_HK
dc.identifier.issn0269-4727en_HK
dc.identifier.urihttp://hdl.handle.net/10722/91567-
dc.description.abstractBackground and objective: Inappropriate medication use may harm patients. We analysed medication incident reports (MIRs) as part of the feedback loop for quality assurance. Methods: From all MIRs in a university-affiliated acute general hospital in Hong Kong in the period January 2004-December 2006, we analysed the time, nature, source and severity of medication errors. Results: There were 1278 MIRs with 36 (range 15-107) MIRs per month on average. The number of MIRs fell from 649 in 2004, to 353 in 2005, and to 276 in 2006. The most common type was wrong strength/dosage (36.5%), followed by wrong drug (16.7%), wrong frequency (7.7%), wrong formulation (7.0%), wrong patient (6.9%) and wrong instruction (3.1%). 60.9%, 53.7% and 84.0% of MIRs arose from handwritten prescription (HP) rather than the computerized medication order entry in 2004, 2005 and 2006 respectively. In 43.1% of MIRs, preregistration house officers were involved. Most errors (80.2%) were detected before any drug was wrongly administered. The medications were administered in 212 cases (19.7%), which resulted in an untoward effect in nine cases (0.8%). Conclusions: The most common errors were wrong dosage and wrong drug. Many incidents involved preregistration house officers and HPs. Our computerized systems appeared to reduce medication incidents. © 2008 Blackwell Publishing Ltd.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Ltden_HK
dc.relation.ispartofJournal of Clinical Pharmacy and Therapeuticsen_HK
dc.subjectAcute general hospital-
dc.subjectMedication errors-
dc.subjectMedication incidents-
dc.subjectPrescription errors-
dc.subject.meshDrug Prescriptions - statistics & numerical dataen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHospitals, General - statistics & numerical dataen_HK
dc.subject.meshHospitals, University - statistics & numerical dataen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMedical Order Entry Systems - statistics & numerical dataen_HK
dc.subject.meshMedication Errors - statistics & numerical dataen_HK
dc.titleA 3-year study of medication incidents in an acute general hospitalen_HK
dc.typeArticleen_HK
dc.identifier.emailCheung, BMY:mycheung@hku.hken_HK
dc.identifier.authorityCheung, BMY=rp01321en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1365-2710.2007.00880.xen_HK
dc.identifier.pmid18315775-
dc.identifier.scopuseid_2-s2.0-40349087014en_HK
dc.identifier.hkuros180100-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-40349087014&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume33en_HK
dc.identifier.issue2en_HK
dc.identifier.spage109en_HK
dc.identifier.epage114en_HK
dc.identifier.eissn1365-2710-
dc.identifier.isiWOS:000253710500003-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridSong, L=23969284300en_HK
dc.identifier.scopusauthoridChui, WCM=23968813900en_HK
dc.identifier.scopusauthoridLau, CP=7401968501en_HK
dc.identifier.scopusauthoridCheung, BMY=7103294806en_HK
dc.identifier.citeulike2486183-
dc.identifier.issnl0269-4727-

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