Author, Subjects, Keywords

Cited Author

 

 
   » By Author or Editor
 » Browse Author by Alphabet
 » By Journal
 » By Subjects
 » By Affiliations
 » By Type
 » By Year
 » By Latest Additions
 
 
   » By Author
 » Top 20 Authors
 » Top 20 Article
 » Top 20 Journal Cited
 » Top 20 Cited
 » Top 20 Author Cited
 » Usage Since Sept 2007


 
 
 

Login | Create Account

Medication Errors Among Geriatrics At The Outpatient Pharmacy In a Teaching Hospital In Kelantan

Dellemin, C.A. and Noor Shufiza Ibrahim, and Mohamed Izham, M. (2004) Medication Errors Among Geriatrics At The Outpatient Pharmacy In a Teaching Hospital In Kelantan. Malaysian Journal of Medical Sciences, 11 (2). pp. 52-58. ISSN 1394195X

Full text not available from this repository.

Official URL: http://www.medic.usm.my/publication/mjms/

Affiliations

Hospital Universiti Sains Malaysia
Universiti Sains Malaysia, School of Pharmaceutical Sciences

Abstract

The main aim of this study was to determine the medication errors among geriatrics at the outpatient pharmacy in a teaching hospital in Kelantan and the strategies to minimize the prevalence. A retrospective study was conducted that involved screening of prescription for a one-month period (March 2001). Only 15.35% (1601 prescription) of a total 10,429 prescriptions were for geriatrics. The prescriptions that were found to have medication errors was 403. Therefore, the prevalence of
medication errors per day was approximately 20 cases. Generally, the errors between both genders were found to be comparable and to be the highest for Malays and at the age of 60-64 years old. Administrative errors was recorded to be the highest which included patient’s particulars and validity of the prescriptions (70.22%) and drugs that available in HUSM (16.13%). Whereas the total of prescribing errors were low. Under prescribing errors were pharmaceutical error (0.99%) and clinical error (8.68%). Sixteen cases or 3.98% had more than 1 error. The highest prevalence went to geriatrics who received more than nine drugs (32.16%), geriatrics with more than 3 clinical diagnosis (10.06%), geriatrics who visited specialist clinics (37.52%) and treated by the specialists ( 31.07%). The estimated cost for the 403 medication errors in March was RM9,327 or RM301 per day that included the cost of drugs and humanistic cost. The projected cost of medication errors per year was RM 111,924. In conclusion, it is very clear that the role of pharmacist is very great in preventing and minimizing the medication errors beside the needs of correct prescription writing and other strategies by all of the heath care components.

Item Type:Journal
Subjects:R Medicine
ID Code:614

Jay S.Cohen. Preventing Adverse Drug Reaction before They Occur. Medscape Pharmacotherapy, 1999.© 1999 Medscape, Inc.

Monette J, Gurwitz J.H, Avorn J. Epidemiology of adverse drug events in the nursing home setting. Drugs & Aging. 1995; 7(3): 203-11.

ASHP Statement on Reporting Medical Errors. Am J Health-Syst Pharm 57(16): 1531,2000.@2000 ASHP,Inc

Cohen M.R. Medication errors: prevention and management issues. Platform presentation of the American Pharmaceutical Association Annual Meeting; March 10-14, 2000; Washington, DC.

National council focuses on coordinating error reduction efforts. USP. Quality Review 1997; 57: 2.

Brennan T.A, Leape L.L, Laird N.M. Incidence of adverse events and negligence in hospitalized patients:results of the Harvard Medical Practice Study I. N Engl J Med. 1991; 324: 370-376.

Leape L.L, Brennan T.A, Laird N. The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study II. N Engl J Med. 1991; 324:

377-384

Manasse H.R Jr. Medication use in an imperfect world, I: drug misadventuring as an issue of public policy. Am J Hosp Pharm. 1989; 46: 1093-1097.

Manasse H.R Jr. Medication use in an imperfect world, II: drug misadventuring as an issue of public policy. Am J Hosp Pharm. 1989; 46: 1141-11152.

Johnson J.A, Bootman J.L. Drug-related morbidity and mortality: a cost-of-illness model. Arch Intern Med. 1995; 155: 1949-1956.

Bootman J.L, Harrison D.L, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med 1997; 157: 2089—96.

Bates D.W, Spell N, Cullen D.J. The costs of adverse drug events in hospitalized patients. JAMA. 1997; 277:307-11.

Thomas E.J, Studdert D.M, Burstin H.R. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000; 38: 261-271.

Thomas E.J, Studdert D.M, Newhouse J.P. Costs of medical injuries in Utah and Colorado. Inquiry. 1999; 36: 255-264.

Kuan Mun Ni, Chua Siew Siang, Mohamed Noor bin Ramli. Nonompliance with Prescription Writing Requirements and Prescribing Errors in a Outpatient

Department Malaysian Journal of Pharmacy 2002; 1:45-50

Barber N.D, Dean B.S. The incidence of medication errors and ways to reduce them. Clin Risk. 1998; 4:103-17.

Bates D.W, Spell N, Cullen D.J. The costs of adverse drug events in hospitalized patients. JAMA 1997; 227:307—11.

Josephine A.Vitillo. Adverse drug Reaction Surveillance: Practical Methods for Developing a Successful Monitoring Program. Medscape Pharmacists, 2000@2000 Medscape, Inc.

Cathy Tokarski. Medical Error-Prevention Strategies Face Barriers to Acceptance. Medscape Money & Medicine, 2000. © 2000 Medscape, Inc.

Tamar Nordenberg. Make No Mistake: Medical Errors Can Be Deadly Serious. FDA Consumer magazine. September-October 2000.

Repository Staff Only: item control page