A Comparative Analysis of Electronic Prescribing Near Misses in King Saud Medical City, Riyadh, Saudi Arabia
Journal Title: Journal of Pharmaceutical Research International - Year 2014, Vol 4, Issue 9
Abstract
Background: A “near miss” or close call is a medication error that happened but did not result in injury or damage to the patient. These medication errors (MEs) are captured and corrected before affecting the patient either fortuitously or purposefully by designed system controls imbedded in electronic health record (EHR) as well as electronic prescribing systems (EPS). Objective: This study analyzed the reported electronic prescribing near misses (NMs) in King Saud Medical City (KSMC) in Riyadh city. Methods: The ME report forms were consecutively collected over a period of one year, from 1 January to 31 December, 2012. These forms were evaluated for data abstraction and a comparative analysis of NMs/NM report forms of first 6-month (n=1025, timeline 1) versus second 6-month (n=2398, timeline 2) was carried out. No systematic intervention prior to timeline 2 was used in this study. Results: The total number of MEs/NMs report forms was 3423 and total number of reported NMs was 7415, as each form could contain more than one NM. Drug prescription items, medication dispensing stages, NM makers and identifiers, underlying causes, sites of errors, prescribed drugs and suggested actions to avoid NM errors all differed significantly between the two timelines, which could be attributed to natural, real world practices in KSMC. Conclusion: This prospective study found significant differences in factors related to NMs between two six month periods in a single year. Reasons for these differences between two timeframes remain poorly understood. NMs comparative studies using systematic interventions are warranted in the Kingdom of Saudi Arabia.
Authors and Affiliations
Dalal S. Al-Dossari, Ibrahim A. Al-Zaagi, Siham D. Al-Saud, Abdullah M. Al-Bedah, Naseem A. Qureshi
Keywords
Related Articles
- EP ID EP344908
- DOI 10.9734/BJPR/2014/8607
- Views 88
- Downloads 0
Introducing Malaria Rapid Diagnostic Tests (MRDTs) at Registered Retail Pharmacies in Ghana: Practitioners’ Perspective
Aims: In much of Africa, Ghana inclusive, malaria has traditionally been diagnosed and treated presumptively: any patient with fever was presumed to have malaria and treated with antimalarial drugs. In this study, the re...
Protective Effect of Alchornea laxiflora Methanolic Leaf Extract on CCL4-induced Hepatotoxicity and Reproductive Toxicity in Male Wistar Rats
Background: Alchornea laxiflora is a medicinal plant with immense health benefits. Aim: To verify the protective effects of methanol extract of Alchornea laxiflora (MEAL) leaf on hepatotoxicity and reproductive toxicity...
Adsorption of Amoxicillin Antibiotic from Pharmaceutical Wastewater by Activated Carbon Prepared from Azolla filiculoides
The Batch adsorption experiments were investigated for the adsorption of Amoxicillin (AMO) antibiotic on activated carbon prepared from Azolla filiculoides (ACAF). This study is influenced by different parameters such as...
Development and Validation of Densitometry TLC Stability Indicating Method for Quantitative Determination of Azelastine Hydrochloride and Emedastine Difumarate in Their Drug Products
Aims: Stability indicating densitometry-TLC assay was established and validated for determination of azelastine hydrochloride (AZT) and emedastine difumarate (ETD) in the presence of their acid and oxidative degradants....
Alterations in Biochemical Indices and Antioxidant Status in Rats Following Treatment with Gatifloxacin
Aim: Gatifloxacin (GTX) - an 8-methoxy fluoroquinolone antibacterial agent has been considered very effective in the treatment of respiratory and urinary tract infections. This study investigates the toxic potentials of...