Extent of Occurrence of Prescribing Errors in a Private Tertiary – Care Hospital in Dar es Salaam

Mugoyela, Veronica; Mung’ong’o, S; Mwita, Stanley

doi:10.4314/tmj.v23i1.39224

Cited by 6 publications

(9 citation statements)

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“…While compared to all health care facilities, missing of patient weight, patient age and patient sex was highest in prescriptions of PHCFs (99.3, 98, and 92.8%, respectively) and patient weight, patient age and patient sex was lowest in (43.6%) prescriptions of PTEHs, (7.5%) prescriptions of PHs and (6.2%) prescriptions of UH, respectively. Shumaila et al [21] and Mugoyela and Mwita [9] also reported that in 83.9 and 93.8% prescriptions, respectively the weight of the patient was not mentioned. The same findings also agreed with those reported by Phalke et al [24] and Irshaid et al [25] .…”

Section: Resultsmentioning

confidence: 99%

“…Prescribing error is an error that occurs as a result of a prescribing decision or that the in process of prescription writing, which might result in an accidental significant reduction in the therapeutic outcome of treatment and might also increase the risk or harm [7] . Prescribing errors can be classified into two main groups: a) omission errors which include those errors in which there is incomplete or missing information in the prescription as well as prescriptions, which are unreadable and prescriptions that do not conform to legal requirements and b) commission errors, which include incorrect or wrongly written information in the prescription [8,9] .…”

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Prescribing Errors in Prescription Orders Containing Non-Steroidal Antiinflammatory Drugs: A Comparative Study in different hospitals of District Khairpur, Sindh, Pakistan

Shaikh¹

2017

ijps

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Shaikh, et al.: Errors in Prescriptions Containing Non-steroidal Antiinflammatory DrugsPrescribing errors are one of the leading causes of diminished therapeutic outcomes even resulting in treatment failures. The Present study is a comparative evaluation of prescribing errors in non-steroidal antiinflammatory drugs containing prescriptions in four different health care facilities of District Khairpur, Sindh, Pakistan, since these drugs are among the widely-misused drugs. A total of 479 prescriptions, which were written in the primary health care facilities, public hospitals, university hospital and private hospitals were collected, compared and analysed for common omission and commission prescribing errors as per prescription writing guidelines/parameters established by the World Health Organization, The drug information book and the British National Formulary. Only 21 (4.4%) prescriptions consisting of 9 prescriptions of the university hospital and 12 prescriptions of the private hospitals were found error free and the rest 458 (95.6%) prescriptions from different health care facilities contained different types of omission and commission errors. In omission errors, patient diagnosis, registration number of the prescriber and duration of therapy was missing in 84, 88.9 and 82.8% prescriptions, respectively. Among commission errors, 85.2% of prescriptions were ambiguously written. A significant percentage of these errors were found in routine practice. As compared to all health care facilities, it was alarmingly found that, more number of prescribing errors were found in prescriptions of primary healthcare facilities followed by public hospitals followed by the university hospital and least number of prescribing errors were found in prescriptions of private hospitals. Computerized physician order entry and continuous educational training programs for prescribers to be executed in order to decrease these vital prescribing errors, besides that evaluation of prescriptions by pharmacists for prescribing errors can diminish the magnitude of these grave and life threatening errors.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Prescribing Errors in Prescription Orders Containing Non-Steroidal Antiinflammatory Drugs: A Comparative Study in different hospitals of District Khairpur, Sindh, Pakistan

Shaikh¹

2017

ijps

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“…Errors of commission accounted for 3.1% of all prescribed medicine. 10 Another study done in Mwanza showed that among all prescriptions observed, 485 (85.1%) had at least one or more errors. 13 The lack of self-awareness of errors among prescribers contributes to prescription writing errors.…”

Section: Introductionmentioning

confidence: 98%

“…In Tanzania, a descriptive study conducted in various private hospitals in Dar es Salaam showed that of all prescriptions studied, each prescription had at least more than one error in 99.6%. 10 Due to these high occurrences of prescription errors, there are different interventions that have been done to minimise prescription errors. In developed countries, a system of electronic prescription has been adopted and studies have shown that prescription writing errors can be minimised.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Prescriptions Dispensed in the Outpatient Pharmacies of a University Teaching Hospital in Moshi, Kilimanjaro Region, Tanzania: A Cross-Sectional Study

Audax

Muro

2019

EAHRJ

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Background: Prescriptions written in daily medical practice are associated with increasing numbers of prescription writing errors. Both omission and commission errors are encountered and caused by prescribers of different cadres. Prescribing errors are associated with adverse drug events (ADEs), which are harmful to patients. This study aimed to determine the common prescription errors, the categories of prescribers who commit prescription errors, and the most prescribed drugs in the outpatient pharmacies in general practice at Kilimanjaro Christian Medical Centre (KCMC). Methods: A prospective cross-sectional descriptive study was conducted at KCMC, a referral and teaching university hospital. All prescription dispensed on 2 June 2017 from the hospital's 2 outpatient pharmacies were reviewed, and our analysis determined the different types of prescription errors. A form designed by the authors was used to collect data from the prescription forms. Results: A total of 242 prescriptions were studied, and the most common omission errors were missing patients' weight (n=231, 95.5%), missing patients' address (n=213, 88.0%), missing drug dosage (n=159, 67.1%), and commission errors were due to wrong drug strength (n=10, 2.0%). Intern doctors were leading in writing prescriptions with errors (n=352, 25.6%), followed by residents (n=199, 14.5%), registrar doctors (n=167, 12.1%), and specialists (n=45, 3.3%). The most commonly prescribed drugs were antibiotics (n=120, 17.3%), antihypertensives (n=81, 11.7%), and analgesics (n=86, 12.4%). Conclusion: There were significant prescription errors at the study site, hence an intervention is needed to improve skills of prescribers. Educational interventions can substantially contribute to minimising such errors. Initaiting programmes and short courses on prescription writing before medical internship at the health facility might also be helpful.

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“…The occurrence of medication errors is unknown; valid comparisons of different studies on medication errors are extremely difficult because of differences in variables, measurements, populations and methods [6] .Prescribing error is an error which occurs when, as a result of a prescribing decision or prescription writing process, there is an unintentional noteworthy a) decrease in the probability of timely and effective treatment or b) increase the probability of harm [7] . Prescribing errors can be classified into two main groups: a) omission errors, which includes those errors in which there is incomplete or missing information in the prescription as well as prescriptions which are unreadable and prescriptions that do not conform to legal requirements; b) commission errors, which includes incorrect or wrongly written information in the prescription [8][9] .…”

Section: Introduction:-mentioning

confidence: 99%

Prescribing Errors in Prescription Orders Containing Non-Steroidal Anti-Inflammatory Drugs: A Case Study of District Khairpur, Sindh, Pakistan.

SamiShaikh¹,

Li²,

Wei³

et al. 2016

IJAR

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Shaikh, et al.: Errors in Prescriptions Containing Non-steroidal Antiinflammatory Drugs Prescribing errors are one of the leading causes of diminished therapeutic outcomes even resulting in treatment failures. The Present study is a comparative evaluation of prescribing errors in non-steroidal antiinflammatory drugs containing prescriptions in four different health care facilities of District Khairpur, Sindh, Pakistan, since these drugs are among the widely-misused drugs. A total of 479 prescriptions, which were written in the primary health care facilities, public hospitals, university hospital and private hospitals were collected, compared and analysed for common omission and commission prescribing errors as per prescription writing guidelines/parameters established by the World Health Organization, The drug information book and the British National Formulary. Only 21 (4.4%) prescriptions consisting of 9 prescriptions of the university hospital and 12 prescriptions of the private hospitals were found error free and the rest 458 (95.6%) prescriptions from different health care facilities contained different types of omission and commission errors. In omission errors, patient diagnosis, registration number of the prescriber and duration of therapy was missing in 84, 88.9 and 82.8% prescriptions, respectively. Among commission errors, 85.2% of prescriptions were ambiguously written. A significant percentage of these errors were found in routine practice. As compared to all health care facilities, it was alarmingly found that, more number of prescribing errors were found in prescriptions of primary healthcare facilities followed by public hospitals followed by the university hospital and least number of prescribing errors were found in prescriptions of private hospitals. Computerized physician order entry and continuous educational training programs for prescribers to be executed in order to decrease these vital prescribing errors, besides that evaluation of prescriptions by pharmacists for prescribing errors can diminish the magnitude of these grave and life threatening errors.

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Extent of Occurrence of Prescribing Errors in a Private Tertiary – Care Hospital in Dar es Salaam

Cited by 6 publications

References 0 publications

Prescribing Errors in Prescription Orders Containing Non-Steroidal Antiinflammatory Drugs: A Comparative Study in different hospitals of District Khairpur, Sindh, Pakistan

Prescribing Errors in Prescription Orders Containing Non-Steroidal Antiinflammatory Drugs: A Comparative Study in different hospitals of District Khairpur, Sindh, Pakistan

Evaluation of Prescriptions Dispensed in the Outpatient Pharmacies of a University Teaching Hospital in Moshi, Kilimanjaro Region, Tanzania: A Cross-Sectional Study

Prescribing Errors in Prescription Orders Containing Non-Steroidal Anti-Inflammatory Drugs: A Case Study of District Khairpur, Sindh, Pakistan.

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