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71467

Detection of Medication Errors in Primary Care Units through Passive Voluntary Reporting Forms

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Last updated: 22 Jan 2023

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Abstract

The lack of a universally accepted terminology of what constitutes a Medication Error (ME), makes it difficult to report, detect, categorize and prevent MEs. Methodologically, there isn't a complete picture of the incidence and prevalence of MEs. The broad range of ME rates in literature reflects heterogeneity in the study designs and detection methods used. The current study aimed to detect MEs in reports received from Primary Care Units. A retrospective analysis was applied on such reports dated from March to November 2013 and some fatal cases are taken from 2014. All voluntary reports were included, excluded were errors not associated with drug use and pharmaceutical company reports. Eligible reports underwent assessment using predetermined criteria to pick up MEs. The criteria were applicable on 115 reports, in which MEs were detected. 60% (69/ 115) of ME cases were error cluster while 40% (46/115) were unknown due to either underreporting, lack of data or poor observation and correlation (p < 0.05). Only 7% (8/115) p < 0.001 of the reports were pregnancy cases. Moreover, errors associated with vaccine use accounted for 7% (8/115) of the cases while 93% accounted for errors from other drug use at p < 0.001. Long-term follow-up was needed but not done by the assessors in 41% (47 of 115) of ME cases at pvalue=0.05. Attachments were provided with the reports in 9% (10 /115) of the cases while the majority 91% (105/115) were not (p < 0.001). In conclusion, voluntary reporting is a major strategy to prevent MEs by learning from errors reported.

DOI

10.21608/APS.2019.45300

Keywords

Medication Errors, Passive Voluntary Reporting, Primary Care Units

Authors

First Name

Rowan

Last Name

Ahmed

MiddleName

W.

Affiliation

Clinical Pharmacy Department, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Nagwa

Last Name

Sabri

MiddleName

Ali

Affiliation

Clinical Pharmacy Department, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt

Email

nagwa.sabri@yahoo.com

City

-

Orcid

-

First Name

Manal

Last Name

El Hamamsy

MiddleName

H

Affiliation

Clinical Pharmacy Department, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt

Email

m_elhamamsy@hotmail.com

City

-

Orcid

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First Name

Amr

Last Name

Saad

MiddleName

A.

Affiliation

Former Head of the Egyptian Pharmaceutical Vigilance Center (EPVC), Egypt

Email

amr.saad@eda.mohealth.gov.eg

City

-

Orcid

-

Volume

3

Article Issue

1

Related Issue

2131

Issue Date

2019-01-01

Receive Date

2019-02-17

Publish Date

2019-06-01

Page Start

123

Page End

129

Print ISSN

2356-8380

Online ISSN

2356-8399

Link

https://aps.journals.ekb.eg/article_71467.html

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https://aps.journals.ekb.eg/service?article_code=71467

Order

11

Type

Original Article

Type Code

657

Publication Type

Journal

Publication Title

Archives of Pharmaceutical Sciences Ain Shams University

Publication Link

https://aps.journals.ekb.eg/

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Article

Created At

22 Jan 2023