Drug administration errors - time for national action

Llewellyn, R L; Gordon, P C; Reed, Anthony

doi:10.7196/samj.4782

Cited by 7 publications

(5 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, the finding may also be related to evidence that suggest that many countries including those in Africa either lack a defined medication error reporting system [ 45 , 46 ] or where available such systems are primarily independent and/or based within a specific healthcare facility [ 45 , 47 ]. Given the broad similarities in pharmacy practice reported in countries within the African region [ 48 ] and published reports of high incidence of patient harm due to medication errors in some of the countries represented in this survey [ 49 , 50 ]. This finding underscores the need to review current practice and incorporate robust dispensing and medication error reporting processes in community practice with oversight functions by pharmacists in order to assure patient safety.…”

Section: Discussionmentioning

confidence: 99%

A survey of pharmacists’ perception of foundation level competencies in African countries

2018

View full text Add to dashboard Cite

BackgroundEvidence from published literature in pharmacy practice research demonstrate that the use of competency frameworks alongside standards of practice facilitate improvement in professional performance and aid expertise development. The aim of this study was to evaluate pharmacists’ perception of relevance to practice of the competencies and behaviours contained in the FIP Global Competency Framework (GbCF v1). The overall objective of the study was to assess the validity of the GbCF v1 framework in selected countries in Africa.MethodsA cross-sectional survey of pharmacists practicing in 14 countries in Africa was conducted between November 2012 and December 2014. A combination of purposive and snowball sampling method was used. Data was analysed using SPSS v22.ResultsA total of 469 pharmacists completed the survey questionnaire. The majority (91%) of the respondents were from four countries: Ghana, Kenya, Nigeria and South Africa. The study results showed broad agreement on relevance to practice for 90% of the behaviours contained in the GbCF v1 framework. Observed disagreement was associated with area of pharmacy practice and the corresponding patient facing involvement (p ≤ 0.05). In general, the competencies within the ‘pharmaceutical care’ and ‘pharmaceutical public health’ clusters received higher weighting on relevance compared to the research-related competencies which had the lowest. Specific inter-country variability on weighting of relevance was observed in five behaviours in the framework although, this was due to disparity in ‘degree of relevance’ that was related to sample composition in the respective countries.ConclusionThe competencies contained in the GbCF v1 are relevant to pharmacy practice in the study population; however, there are some emergent differences between the African countries surveyed. Overall, the findings provide preliminary evidence that was previously lacking on the relevance of the GbCF v1 competencies to pharmacy practice in the countries surveyed.Electronic supplementary materialThe online version of this article (10.1186/s12960-018-0280-1) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

A survey of pharmacists’ perception of foundation level competencies in African countries

2018

View full text Add to dashboard Cite

show abstract

“…These reports add to an everincreasing body of evidence testifying to a persistent failure to address the safe management of medications adequately during anaesthesia and the perioperative period despite numerous calls to arms in regard to this fundamental aspect of anaesthetists' practice. 8,[15][16][17][18][19][20][21] At the same time, the reports of near misses provide an opportunity to learn from cases that have gone well, thereby adding a Safety-II approach to that of Safety-I. 22,23 These near miss reports strongly reinforce the value of repeated checking, whether by the individual practitioner, with a second practitioner (be it another anaesthetist or a colleague from another discipline), or with a device such as a barcode reader.…”

Section: Discussionmentioning

confidence: 99%

Analysis of medication errors during anaesthesia in the first 4000 incidents reported to webAIRS

Kim

Moore

Culwick

et al. 2021

Anaesth Intensive Care

View full text Add to dashboard Cite

Medication error is a well-recognised cause of harm to patients undergoing anaesthesia. From the first 4000 reports in the webAIRS anaesthetic incident reporting system, we identified 462 reports of medication errors. These reports were reviewed iteratively by several reviewers paying particular attention to their narratives. The commonest error category was incorrect dose (29.4%), followed by substitution (28.1%), incorrect route (7.6%), omission (6.5%), inappropriate choice (5.8%), repetition (5.4%), insertion (4.1%), wrong timing (3.5%), wrong patient (1.5%), wrong side (1.5%) and others (6.5%). Most (58.9%) of the errors resulted in at least some harm (20.8% mild, 31.0% moderate and 7.1% severe). Contributing factors to the medication errors included the presence of look-alike medications, storage of medications in the incorrect compartment, inadequate labelling of medications, pressure of time, anaesthetist fatigue, unfamiliarity with the medication, distraction, involvement of multiple people and poor communication. These data add to current evidence suggesting a persistent and concerning failure effectively to address medication safety in anaesthesia. The wide variation in the nature of the errors and contributing factors underline the need for increased systematic and multifaceted efforts underpinned by a strengthening of the current focus on safety culture to improve medication safety in anaesthesia. This will require the concerted and committed engagement of all concerned, from practitioners at the clinical workface, to those who fund and manage healthcare.

show abstract

“…A high incidence of medication errors related to IV therapy was found in Germany, where 23% of the total medication errors occur during IV administration. In Ethiopia, the prevalence of medication administration errors (MAEs) was reported to be 55% [9,10].…”

Section: Introductionmentioning

confidence: 99%

Effect of In-service Training Program on Minimizing Nursing Intravenous Medication Process Errors by Syringe Through Intravenous Catheter

Ahmed¹

2019

AJNS

View full text Add to dashboard Cite

The dangerous events caused by medication errors are one of the main challenges faced in the hospital. The current study aimed to evaluate the effect of in-service training program on minimizing nursing intravenous medication process errors by syringe through intravenous catheter. Design; Quasi-experimental study was used in this study. Setting: Surgical wards (A, B, and C) at Assuit University Hospital. Subjects: all available nurses were in the age group between 18-60 years, and both male and female. Tools: Nurses knowledge questionnaire sheet, Nurses' practice checklist for intravenous medication process, and in-service training program. Results: the majority of nurses were females, two thirds their age ranged from (20 >30 years), and their years of work experience were more than 10 years. The majority of them had not attainting training program related to intravenous medication process. Conclusion: there was statistically significant difference between pre and post implementation of in-service training program as regard total scores of knowledge and practice about nursing intravenous medication process errors. Recommendations: Development of standard guideline medication administration process should be available at all units in the hospitals.

show abstract

Drug administration errors - time for national action

Cited by 7 publications

References 17 publications

A survey of pharmacists’ perception of foundation level competencies in African countries

A survey of pharmacists’ perception of foundation level competencies in African countries

Analysis of medication errors during anaesthesia in the first 4000 incidents reported to webAIRS

Effect of In-service Training Program on Minimizing Nursing Intravenous Medication Process Errors by Syringe Through Intravenous Catheter

Contact Info

Product

Resources

About