Factors related to errors in medication prescribing.
- To quantify the type and frequency of identifiable factors associated with medication prescribing errors.
Design and Setting
- Systematic evaluation of every third prescribing error detected and averted by pharmacists in a 631-bed tertiary care teaching hospital between July 1,1994, and June 30,1995.
Each error was concurrently evaluated for the potential to result in adverse patient consequences.
Each error was retrospectively evaluated by a physician and 2 pharmacists and a factor likely related to the error was identified.
- All physicians prescribing medications during the study period and all staff pharmacists involved in the routine review of medication orders.
Main Outcome Measures
- Frequency of association of factors likely related to medication errors in general and specific to medication classes and prescribing services (needed for medical, pediatric, obstetric-gynecologic, surgical, or emergency department patients) ; and potential consequences of errors for negative patient outcomes.
- A total of 2103 errors thought to have potential clinical importance were detected during the 1-year study period.
The overall rate of errors was 3.99 errors per 1000 medication orders, and the error rate varied among medication classes and prescribing services.
A total of 696 errors met study criteria (ie, errors with the potential for adverse patient effects) and were evaluated for a likely related factor. (...)
Mots-clés Pascal : Médicament, Erreur humaine, Prescription médicale, Evaluation, Education santé, Médecin, Homme
Mots-clés Pascal anglais : Drug, Human error, Medical prescription, Evaluation, Health education, Physician, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0156023
Code Inist : 002B02W. Création : 21/05/1997.