2018
DOI: 10.5649/jjphcs.44.270
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Analysis of Contributing Factors and Related Drugs in Incidents of Excessive Dosing or Underdosing

Abstract: The most frequently reported medical incidents were drug-related and made by nurses. Excessive dosing can cause adverse reactions and possibly lead to patient deaths. On the other hand, underdosing can delay treatment and prolong hospitalization. We investigated drugs associated with and factors leading to excessive dosing or underdosing incidents to clarify when pharmacists should intervene to reduce medication-related incidents. We analyzed incident reports collected by the Japan Council for Quality Health C… Show more

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Cited by 2 publications
(3 citation statements)
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“…The related drugs in this study were operating room-specific related drugs, including anesthetics, narcotic analgesics, pressor drugs, and muscle relaxants versus those in medication error reports in the hospital as a whole. 20,21 In this study, the most common medication error factor was neglecting to check before administering it, followed by the administrator's lack of knowledge, inadequacy of education, and training system. Therefore, it is recognized that there is a need for doctors and nurses to be better educated to identify the medication name and doses to be checked in the operating room.…”
Section: Discussionmentioning
confidence: 83%
See 1 more Smart Citation
“…The related drugs in this study were operating room-specific related drugs, including anesthetics, narcotic analgesics, pressor drugs, and muscle relaxants versus those in medication error reports in the hospital as a whole. 20,21 In this study, the most common medication error factor was neglecting to check before administering it, followed by the administrator's lack of knowledge, inadequacy of education, and training system. Therefore, it is recognized that there is a need for doctors and nurses to be better educated to identify the medication name and doses to be checked in the operating room.…”
Section: Discussionmentioning
confidence: 83%
“…The results of this study were similar to previous studies of medication errors in operating rooms 1–3,10,19 and reflected a trend of medication errors, with incorrect doses or related drugs being administered, such as antibiotics, anesthetics, narcotic analgesics, pressor drugs, and muscle relaxants. The related drugs in this study were operating room–specific related drugs, including anesthetics, narcotic analgesics, pressor drugs, and muscle relaxants versus those in medication error reports in the hospital as a whole 20,21 . In this study, the most common medication error factor was neglecting to check before administering it, followed by the administrator’s lack of knowledge, inadequacy of education, and training system.…”
Section: Discussionmentioning
confidence: 91%
“…A relationship between medication factors such as related medication has been reported [ 3 , 4 ]. In addition, the number of medications and administrations per day, Medication Regimen Complexity Index (MRCI), which indicates the complexity of prescribing in self-management were reported to be associated with adherence and medication error [ 5 9 ].…”
Section: Introductionmentioning
confidence: 99%