Incidence and pattern of medication errors in a general paediatric ward in a developing nation

Tang, Kai Lun; Wimmer, Barbara C.; Akkawi, Muhammad Eid; Ming, Long Chiau; Ibrahim, Baharudin

doi:10.1016/j.sapharm.2017.03.053

Cited by 6 publications

(6 citation statements)

References 9 publications

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“…The use of lower-than-recommended doses were mainly associated with the use of cefuroxime for pneumonia. This finding is in consistent with a previous study conducted in a general pediatric ward in Malaysia, where incorrect dosage represented 31% of the overall identified medication errors [ 31 ]. In fact, the scenario was worse among Malaysian pediatric outpatients where wrong antibiotic dosing was identified in 64% of the prescriptions [ 16 ].…”

Section: Discussionsupporting

confidence: 92%

Evaluation of Antibiotic Prescribing Pattern and Appropriateness among Hospitalized Pediatric Patients: Findings from a Malaysian Teaching Hospital

Akkawi

Taffour²,

Al-Shami³

2022

Infectious Disease Reports

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Background: Antibiotics are commonly prescribed for hospitalized children. However, only a limited number of studies have evaluated antibiotic use in this population. The current work assessed the indication, prescribing pattern and appropriateness of antibiotics among pediatric inpatients. Methods: A retrospective cross-sectional study was conducted at the pediatric wards of a teaching hospital in Malaysia. Electronic charts of inpatients (≤12 years old) admitted in 2019 were reviewed. Antibiotic indication, selection, dosing regimen, route of administration and duration of treatment were evaluated using the national antibiotic guidelines (NAG). A binomial logistic regression was applied to test potential predictors of inappropriate antibiotic prescribing (IAP) incidence. Results: Out of 702 pediatric inpatients, 292 (41.6%) patients were given antibiotics and met the inclusion criteria. More than half of the patients (57.9%) were males, with a median age of 2.5 years. A total of 385 and 285 antibiotics were prescribed during hospitalization and at discharge, respectively. Azithromycin, co-amoxiclav and cefuroxime were the top three prescribed agents. Out of 670 prescriptions, IAP was identified in 187 (28%) prescriptions that were issued for 169 (57.9%) out of the 292 patients included in the study. Improper antibiotic selection, wrong dose and unnecessary antibiotic prescribing accounted for 41%, 34% and 10% of the identified IAP, respectively. Giving lower-than-recommended doses (28%) was more prevalent than prescribing higher doses (5%). The use of two antibiotics and treating upper respiratory tract infections were independent risk factors for IAP incidence. Conclusions: Prescribers did not adhere to the NAG in more than one quarter of the prescriptions. This may increase the risk of treatment failure, adverse drug reactions and the development of antibiotic resistance.

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Section: Discussionsupporting

confidence: 92%

Evaluation of Antibiotic Prescribing Pattern and Appropriateness among Hospitalized Pediatric Patients: Findings from a Malaysian Teaching Hospital

Akkawi

Taffour²,

Al-Shami³

2022

Infectious Disease Reports

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“…The t-values of the MRA Model Similar findings have been observed in other studies. [15,25,26] also revealed that all these factors were significantly influential to the total accident costs (direct and indirect costs). Moreover, [24] described the costs of occupational injuries that presented as three influential factors, which were the industry level, worker characteristics, and event of the injury.…”

Section: T-testmentioning

confidence: 89%

“…Author S&H Cost Dimensions [17] Accident rate (phase of project implementation) [23] Accident frequency rate, Project hazard level [8] Type of accident, Number of lost days, and Number of days of temporary assignment [24] Event of injury [15] Direct costs-severity of the incident, Indirect Costs-duration of absence and nature [13] Days of absence from work (medical leave), Average number of days admitted in general ward, Number of days and income lost [25] Number of days lost, Temporary assignment and productivity [26] Length of hospital stay in a government hospital [27] Average Length of Stay in Hospital (Days) [16] Zone of accident…”

Section: Table 1 Summary Of Safety and Health Cost Dimensions And Catementioning

confidence: 99%

Exploring the Relationship between Safety and Health Cost Dimensions and Accident Costs to the Employer of Urban Rail Infrastructure Projects

et al. 2019

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The Klang Valley Mass Rapid Transit (KVMRT) System is set to be one of the mega projects in Malaysia. Many of the researches have focused on the causes of construction accident occurrences at the site. Whilst, this study focuses on the consequences (i.e., costs) of the occurrences of the accidents for the project. The work injuries create economic issues for our society. The awareness of accident costs is absent because the stakeholders always leave the matters to the insurance company. They are ignorant of the cost of an accident without realising the greatness of its impacts on the industry and the country. Therefore, this study aims to determine the relationship between accident costs and the factors influencing the accident costs of urban rail infrastructure projects to the Employer. All these factors are known as safety and health cost dimensions. For this research, the Employer, also known as a Contractor, is the person who bears the accident costs (direct and indirect costs) of the project. Multiple regression performed on the sixty-two (62) accident cases from the MRT 1 SBK (Sungai Buloh-Kajang) Line Projects. These findings could heighten the importance of the effect of an accident on the Employer’s company’s economics and budgeting.

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“…12 The patient's age and weight are used in dose determination, enabling the pharmacist to check if the written dose is appropriate. 13 Herein, 264 of prescriptions were for pediatric patients, of which 116 (43.93%) did not contain the patient's age, while 212 of them (80.30%) did not contain the patient's weight.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Completeness of Handwritten Prescriptions in Eastern Libya

Bousoik,

Alhusadi,

Alzawi

et al. 2023

Libyan International Medical University Journal

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Background Prescriptions, medicolegal documents issued by physicians to patients, must be written accurately and clearly, contain all the required information, and adhere to the guidelines for prescription writing. In eastern Libya, most prescriptions are handwritten. Incomplete prescriptions might lead to serious medication errors. Aim The aim of this article was to assess the completeness of handwritten prescriptions issued by physicians working in eastern Libya. Method A total of 1,080 handwritten prescriptions were collected from pharmacies in different parts of the city of Derna and its suburbs in eastern Libya. After the exclusion of three prescriptions that were defined as illegible by the researchers, the 1,077 remaining prescriptions were examined for completeness against a checklist designed according to the guidelines of the World Health Organization (WHO). Results Most of the prescriptions (84.12%) did not contain the name of the prescribing physician. The patient's name was not mentioned on 16.06% of the prescriptions. Patient-related information was missing in most of the prescriptions. Most of the physicians (91.27%) prescribed drugs using their trade names. Drug strength, route of drug administration, and duration of therapy were absent in 29.61, 87, and 56.17% of the prescriptions, respectively. Only 26% of the prescriptions contained the date. Conclusion Most of the prescriptions inspected in this study had some deficiencies and did not adhere to the WHO guidelines.

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Incidence and pattern of medication errors in a general paediatric ward in a developing nation

Cited by 6 publications

References 9 publications

Evaluation of Antibiotic Prescribing Pattern and Appropriateness among Hospitalized Pediatric Patients: Findings from a Malaysian Teaching Hospital

Evaluation of Antibiotic Prescribing Pattern and Appropriateness among Hospitalized Pediatric Patients: Findings from a Malaysian Teaching Hospital

Exploring the Relationship between Safety and Health Cost Dimensions and Accident Costs to the Employer of Urban Rail Infrastructure Projects

Assessment of Completeness of Handwritten Prescriptions in Eastern Libya

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