Nature and frequency of medication errors in a geriatric ward: an Indonesian experience

Purpose: To determine the nature and frequency of medication errors during medication delivery processes in a public teaching hospital geriatric ward in Bali, Indonesia. Methods: A 20-week prospective study on medication errors occurring during the medication delivery process was conducted in a geri...

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Main Authors: Ernawati, D., Lee, Ya Ping, Hughes, Jeffrey David
Format: Journal Article
Published: Dove Medical Press 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/19113
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author Ernawati, D.
Lee, Ya Ping
Hughes, Jeffrey David
author_facet Ernawati, D.
Lee, Ya Ping
Hughes, Jeffrey David
author_sort Ernawati, D.
building Curtin Institutional Repository
collection Online Access
description Purpose: To determine the nature and frequency of medication errors during medication delivery processes in a public teaching hospital geriatric ward in Bali, Indonesia. Methods: A 20-week prospective study on medication errors occurring during the medication delivery process was conducted in a geriatric ward in a public teaching hospital in Bali, Indonesia. Participants selected were inpatients aged more than 60 years. Patients were excluded if they had a malignancy, were undergoing surgery, or receiving chemotherapy treatment. The occurrence of medication errors in prescribing, transcribing, dispensing, and administration were detected by the investigator providing in-hospital clinical pharmacy services. Results: Seven hundred and seventy drug orders and 7,662 drug doses were reviewed as part of the study. There were 1,563 medication errors detected among the 7,662 drug doses reviewed, representing an error rate of 20.4%. Administration errors were the most frequent medication errors identified (59%), followed by transcription errors (15%), dispensing errors (14%), and prescribing errors (7%). Errors in documentation were the most common form of administration errors. Of these errors, 2.4% were classified as potentially serious and 10.3% as potentially significant. Conclusion: Medication errors occurred in every stage of the medication delivery process, with administration errors being the most frequent. The majority of errors identified in the administration stage were related to documentation. Provision of in-hospital clinical pharmacy services could potentially play a significant role in detecting and preventing medication errors.
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spelling curtin-20.500.11937-191132017-09-13T15:43:29Z Nature and frequency of medication errors in a geriatric ward: an Indonesian experience Ernawati, D. Lee, Ya Ping Hughes, Jeffrey David medication errors inpatients geriatric medication delivery process Indonesian hospital Purpose: To determine the nature and frequency of medication errors during medication delivery processes in a public teaching hospital geriatric ward in Bali, Indonesia. Methods: A 20-week prospective study on medication errors occurring during the medication delivery process was conducted in a geriatric ward in a public teaching hospital in Bali, Indonesia. Participants selected were inpatients aged more than 60 years. Patients were excluded if they had a malignancy, were undergoing surgery, or receiving chemotherapy treatment. The occurrence of medication errors in prescribing, transcribing, dispensing, and administration were detected by the investigator providing in-hospital clinical pharmacy services. Results: Seven hundred and seventy drug orders and 7,662 drug doses were reviewed as part of the study. There were 1,563 medication errors detected among the 7,662 drug doses reviewed, representing an error rate of 20.4%. Administration errors were the most frequent medication errors identified (59%), followed by transcription errors (15%), dispensing errors (14%), and prescribing errors (7%). Errors in documentation were the most common form of administration errors. Of these errors, 2.4% were classified as potentially serious and 10.3% as potentially significant. Conclusion: Medication errors occurred in every stage of the medication delivery process, with administration errors being the most frequent. The majority of errors identified in the administration stage were related to documentation. Provision of in-hospital clinical pharmacy services could potentially play a significant role in detecting and preventing medication errors. 2014 Journal Article http://hdl.handle.net/20.500.11937/19113 10.2147/TCRM.S61687 Dove Medical Press fulltext
spellingShingle medication errors
inpatients
geriatric
medication delivery process
Indonesian hospital
Ernawati, D.
Lee, Ya Ping
Hughes, Jeffrey David
Nature and frequency of medication errors in a geriatric ward: an Indonesian experience
title Nature and frequency of medication errors in a geriatric ward: an Indonesian experience
title_full Nature and frequency of medication errors in a geriatric ward: an Indonesian experience
title_fullStr Nature and frequency of medication errors in a geriatric ward: an Indonesian experience
title_full_unstemmed Nature and frequency of medication errors in a geriatric ward: an Indonesian experience
title_short Nature and frequency of medication errors in a geriatric ward: an Indonesian experience
title_sort nature and frequency of medication errors in a geriatric ward: an indonesian experience
topic medication errors
inpatients
geriatric
medication delivery process
Indonesian hospital
url http://hdl.handle.net/20.500.11937/19113