Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care

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BOOSTANI KAMAL; NOSHAD HAMID; FARNOOD FARAHNOOSH; REZAEE HALEH; Teimouri Soheil; ENTEZARI MALEKI TAHER; Najafiazar Reyhane; Hassanpouri Olia Azam; GHAREKHANI AFSHIN

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Journal: Advanced Pharmaceutical Bulletin Year:2019 | Volume:9 | Issue:1 Page(s): 174-179

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Title

Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care

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Keywords

Clinical pharmacist

Medication errors

Pharmaceutical care

Internal medicine

Abstract

Purpose: Medication errors (MEs) are a leading cause of morbidity and mortality, yet they have remained as confusing and underappreciated concept. The complex pharmacotherapy in hospitalized patients necessitates continued report and surveillance of MEs as well as persistent Pharmaceutical care. This study evaluated the frequency, types, clinical significance, and costs of MEs in Internal medicine wards. Methods: In this 8-month prospective and cross-sectional study, an attending Clinical pharmacist visited the patients during each physician’ s ward round at the morning. All MEs including prescription, transcription, and administration errors were detected, recorded, and subsequently appropriate corrective interventions were proposed during these rounds. The changes in the medications’ cost after implementing Clinical pharmacist’ s interventions were compared to the calculated medications’ cost, assuming that the MEs would not have been detected by Clinical pharmacist and continued up to discharge time of the patients. Results: 89% of the patients experienced at least one ME during their hospitalization. A mean of 2. 6 errors per patient or 0. 2 errors per ordered medication occurred in this study. More than 70% of MEs happened at the prescription stage by treating physicians. The most prevalent prescription errors were inappropriate drug selection, unauthorized drugs and untreated indication. The highest MEs occurred on cardiovascular agents followed by antibiotics, and vitamins, minerals, and electrolytes. The net effect of Clinical pharmacist’ s contributions in medication therapy management was to decline medications’ costs by 33. 9%. Conclusion: The role of clinical pharmacy services in detection, prevention and reducing the cost of MEs is of paramount importance to Internal medicine wards.

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APA: Copy

BOOSTANI, KAMAL, NOSHAD, HAMID, FARNOOD, FARAHNOOSH, REZAEE, HALEH, Teimouri, Soheil, ENTEZARI MALEKI, TAHER, Najafiazar, Reyhane, Hassanpouri Olia, Azam, & GHAREKHANI, AFSHIN. (2019). Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care. ADVANCED PHARMACEUTICAL BULLETIN, 9(1), 174-179. SID. https://sid.ir/paper/755774/en

Vancouver: Copy

BOOSTANI KAMAL, NOSHAD HAMID, FARNOOD FARAHNOOSH, REZAEE HALEH, Teimouri Soheil, ENTEZARI MALEKI TAHER, Najafiazar Reyhane, Hassanpouri Olia Azam, GHAREKHANI AFSHIN. Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care. ADVANCED PHARMACEUTICAL BULLETIN[Internet]. 2019;9(1):174-179. Available from: https://sid.ir/paper/755774/en

IEEE: Copy

KAMAL BOOSTANI, HAMID NOSHAD, FARAHNOOSH FARNOOD, HALEH REZAEE, Soheil Teimouri, TAHER ENTEZARI MALEKI, Reyhane Najafiazar, Azam Hassanpouri Olia, and AFSHIN GHAREKHANI, “Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care,” ADVANCED PHARMACEUTICAL BULLETIN, vol. 9, no. 1, pp. 174–179, 2019, [Online]. Available: https://sid.ir/paper/755774/en

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