Medication errors: prescribing faults and prescription errors
Anno:
2009
Tipologia prodotto:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Lingua:
Inglese
Formato:
A Stampa
Referee:
Sì
Nome rivista:
British Journal of Clinical Pharmacology
ISSN Rivista:
0306-5251
N° Volume:
67
Numero o Fascicolo:
6
Intervallo pagine:
624-628
Parole chiave:
drug monitoring; drug prescription; fault; medication error; training
Breve descrizione dei contenuti:
1. Medication errors are common in general practice and in hospitals. Both errors in the act of writing (prescription errors) and
prescribing faults due to erroneous medical decisions can result in harm to patients.
2. Any step in the prescribing process can generate errors. Slips, lapses, or mistakes are sources of errors, as in unintended omissions in
the transcription of drugs. Faults in dose selection, omitted transcription, and poor handwriting are common.
3. Inadequate knowledge or competence and incomplete information about clinical characteristics and previous treatment of
individual patients can result in prescribing faults, including the use of potentially inappropriate medications.
4. An unsafe working environment, complex or undefined procedures, and inadequate communication among health-care personnel,
particularly between doctors and nurses, have been identified as important underlying factors that contribute to prescription errors
and prescribing faults.
5. Active interventions aimed at reducing prescription errors and prescribing faults are strongly recommended. These should be
focused on the education and training of prescribers and the use of on-line aids. The complexity of the prescribing procedure should
be reduced by introducing automated systems or uniform prescribing charts, in order to avoid transcription and omission errors.
Feedback control systems and immediate review of prescriptions, which can be performed with the assistance of a hospital
pharmacist, are also helpful. Audits should be performed periodically.