Medication prescribing errors in a pediatric inpatient tertiary care setting in Saudi ArabiaReport as inadecuate




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BMC Research Notes

, 4:294

First Online: 14 August 2011Received: 21 February 2011Accepted: 14 August 2011DOI: 10.1186-1756-0500-4-294

Cite this article as: Al-Jeraisy, M.I., Alanazi, M.Q. & Abolfotouh, M.A. BMC Res Notes 2011 4: 294. doi:10.1186-1756-0500-4-294

Abstract

BackgroundMedication errors MEs are among the most common types of medical errors and one of the most common and preventable causes of iatrogenic injuries. The aims of the present study were; i to determine the incidence and types of medication prescribing errors MPEs, and ii to identify some potential risk factors in a pediatric inpatient tertiary care setting in Saudi Arabia.

FindingsA five-week retrospective cohort study identified medication errors in the general pediatric ward and pediatric intensive care unit PICU at King Abdulaziz Medical City KAMC through the physical inspection of physician medication orders and reviews of patients- files. Out of the 2,380 orders examined, the overall error rate was 56 per 100 medication orders 95% CI: 54.2%, 57.8%. Dose errors were the most prevalent 22.1%. These were followed by route errors 12.0%, errors in clarity 11.4% and frequency errors 5.4%. Other types of errors were incompatibility 1.9%, incorrect drug selection 1.7% and duplicate therapy 1%. The majority of orders 81.8% had one or more abbreviations. Error rates were highest in prescriptions for electrolytes 17.17%, antibiotics 13.72% and bronchodilators 12.97%. Medication prescription errors occurred more frequently in males 64.5%, infants 44.5% and for medications with an intravenous route of administration 50.2%. Approximately one third of the errors occurred in the PICU 33.9%.

ConclusionsThe incidence of MPEs was significantly high. Large-scale prospective studies are recommended to determine the extent and outcome of medication errors in pediatric hospitals in Saudi Arabia.

Keywordsmedication errors prescriptions pediatric in-patient Saudi Arabia Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-4-294 contains supplementary material, which is available to authorized users.

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Author: Majed I Al-Jeraisy - Menyfah Q Alanazi - Mostafa A Abolfotouh

Source: https://link.springer.com/







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