Drug Errors: What Role do Nurses and Pharmacists have in Minimizing the Risk?

Guy, Jalila; Persaud, John; Davies, E. Rhys; Harvey, Dale

doi:10.1177/13674935030074004

Cited by 19 publications

(10 citation statements)

References 10 publications

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“…This is higher than reported in most studies which found an incidence ranging from 0.2% to 1.28%,21–23 with one study describing a higher incidence of 5.6% 7. None of the studies mention any harmful effects on the patients, probably because the errors were corrected prior to administration 15…”

Section: Discussioncontrasting

confidence: 56%

Impact of clinical pharmacist interventions in reducing paediatric prescribing errors

et al. 2012

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Section: Discussioncontrasting

confidence: 56%

Impact of clinical pharmacist interventions in reducing paediatric prescribing errors

et al. 2012

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“…Condren et al [24] reported that during 12 months 91% of 4605 interventions performed for 3978 patients were accepted by the physicians. A lower acceptance rate of 80% was reported in a study by Guy et al [25]. These findings demonstrated that reasonable suggestions provided by clinical pharmacists are generally accepted by physicians.…”

Section: Discussionmentioning

confidence: 65%

Clinical Pharmacists on Medical Care of Pediatric Inpatients: A Single-Center Randomized Controlled Trial

Zhang

Huang

et al. 2012

PLoS ONE

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ObjectiveTo explore the best interventions and working patterns of clinical pharmacists in pediatrics and to determine the effectiveness of clinical pharmacists in pediatrics.MethodsWe conducted a randomized controlled trial of 160 pediatric patients with nerve system disease, respiratory system disease or digestive system disease, who were randomly allocated into two groups, with 80 in each group. Interventions by clinical pharmacists in the experimental group included answering questions of physicians and nurses, giving advice on treating patients, checking prescriptions and patient counseling at discharge. In the control group, patients were treated without clinical pharmacist interventions.ResultsOf the 109 interventions provided by clinical pharmacists during 4 months, 47 were consultations for physicians and nurses, 31 were suggestions of treatment, with 30 accepted by physicians (96.77%) and 31 were medical errors found in 641 prescriptions. Five adverse drug reactions were submitted to the adverse drug reaction monitoring network, with three in the experimental group and two in the control group. The average length of stay (LOS) for patients with respiratory system diseases in the experimental group was 6.45 days, in comparison with 10.83 days in the control group, which was statistically different (p value<0.05); Average drug compliance rate in the experimental group was 81.41%, in comparison with 70.17% of the control group, which was statistically different (p value<0.05). Cost of drugs and hospitalization and rate of readmission in two weeks after discharge in the two groups were not statistically different.ConclusionParticipation by clinical pharmacists in the pharmacotherapy of pediatric patients can reduce LOS of patients with respiratory system disease and improve compliance rate through discharge education, showing no significant effects on prevention of ADR, reduction of cost of drugs and hospitalization and readmission rate in two weeks.Trial RegistrationChinese Clinical Trial Registry ChiCTR-TRC-10001081

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“…Several studies have confirmed that doses errors are medication errors most encountered in pediatrics. [6333435363738394041] In the study of Folli et al . [2] carried out in two children's hospitals, overdose was the most encountered dose error, and antibiotics were the most concerned by this DRP.…”

Section: Discussionmentioning

confidence: 99%

Assessment of a Clinical Pharmacy Activity in a Pediatric Inpatient Department in Cote D′ivoire

Abrogoua¹,

Békégnran²,

Gro³

et al. 2017

J Basic Clin Pharma

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Background:Clinical pharmacy activities in a pediatric inpatient department help to improve the management of patients clinically and economically.Objective:To assess the relevance of pharmaceutical interventions (PIs) in a pediatric inpatient department in Abidjan (Cote d’Ivoire).Materials and Methods:We carried out a cross-sectional, descriptive study from February to September 2014. The information collected was classified according to the classification of drug-related problems (DRPs) and PIs of the French Society of Clinical Pharmacy. The score assigned to each PI varied from PI0 (without direct clinical impact) to PI3 (vital clinical impact) as the importance of the potential clinical impact of the DRP was correlated to the severity of clinical consequences avoided by the PI. The relevance of PIs was assessed by their rate of acceptance by physicians and by the analysis of their clinical impact.Results:A total of 116 PIs were performed with 31% performed during medical rounds, 68.1% during patients’ records analysis, and 0.1% on patient's admission. The main DRPs were related to noncompliance with recommendations (24.1%), overdose (21.1%), and underdosing (13.8%). The most important PIs were dose adjustment (31.8%), accuracy of drugs administration modalities (29.3%), and proposals of therapeutic choice (27.6%). The acceptance rate of PIs was highly significant (94.8%). The majority of PIs (67.3%) was assessed as having a significant clinical impact (PI1) and 16.4% of PIs as very significant clinical impact (PI2). A single PI (0.9%) was found with vital clinical impact.Conclusion:PIs performed were relevant and contributed to the therapeutic optimization and the prevention of iatrogenic events in pediatric inpatients.

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Drug Errors: What Role do Nurses and Pharmacists have in Minimizing the Risk?

Cited by 19 publications

References 10 publications

Impact of clinical pharmacist interventions in reducing paediatric prescribing errors

Impact of clinical pharmacist interventions in reducing paediatric prescribing errors

Clinical Pharmacists on Medical Care of Pediatric Inpatients: A Single-Center Randomized Controlled Trial

Assessment of a Clinical Pharmacy Activity in a Pediatric Inpatient Department in Cote D′ivoire

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