Abstract
Background: Medication errors are a common problem in Chinese hospital, with potentially harmful consequences for patients. The objective of this study was to analyze the cause of typical serious medication errors in some first-class provincial hospital to prevent medication error and improve rational use of drug and ensure patients administration security. Medication errors were collected between September 1, 2012 and August 31, 2013. 332 cases’ medication errors were categorized as harmful or not according to NCC MERP’s Index and other indexes such as type of error and causes of error. We focus on analyzing the 3 serious cases (0.9%, n = 3) among the all MEs that may have contributed to or resulted in temporary harm to the patient and required intervention, including the process and the cause and the background of the errors. The case analysis reminds us to pay more attention to prevent medication errors. The preventive medication error’s measures are explored through the analysis of the causes, such as forcing functions and constraints, automation and standardization, double-checking systems, rules and policies, information and more careful working. Conclusion: This analytical study demonstrates that medication error is an objective existent in hospital. It is especially important to ensure patient medication safety for reporting and analyzing medication error in order to explore measures preventing medication error.
Highlights
Drug is a key factor in patient safety events [1]
This study focuses on analysis of 3 serious out errors in collecting medication errors of one first-class provincial hospital from 2012 to 2013, and analyzing the cause of error in order to make appropriate precautionary measures which could reduce errors and improve rational use of drug and ensure patients administration security
We will focus on 3 cases of lever E (NCC MERP’s Index) that may have contributed to or resulted in temporary harm to the patient and required intervention
Summary
Drug is a key factor in patient safety events [1]. Medication error (ME) is any preventable event that may causeHow to cite this paper: Hou, N. and Tang, H. (2014) Analysis of 3 Serious Medication Errors in Provincial Hospital. Medication error (ME) is any preventable event that may cause. (2014) Analysis of 3 Serious Medication Errors in Provincial Hospital. This study focuses on analysis of 3 serious out errors in collecting medication errors of one first-class provincial hospital from 2012 to 2013, and analyzing the cause of error in order to make appropriate precautionary measures which could reduce errors and improve rational use of drug and ensure patients administration security. The objective of this study was to analyze the cause of typical serious medication errors in some first-class provincial hospital to prevent medication error and improve rational use of drug and ensure patients administration security. It is especially important to ensure patient medication safety for reporting and analyzing medication error in order to explore measures preventing medication error
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