Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/19571
Title: The Prevalence and Nature of Medication Errors and Adverse Events Related to Preadmission Medications When Patients Are Admitted to an Orthopedic Inpatient Unit: An Observational Study.
Authors: Tran, Tim;Taylor, Simone E;Hardidge, Andrew;Mitri, Elise;Aminian, Parnaz;George, Johnson;Elliott, Rohan A
Affiliation: Austin Health, Heidelberg, Victoria, Australia
Monash University, Parkville, VIC, Australia
Issue Date: 20-Sep-2018
EDate: 2018-09-20
Citation: The Annals of pharmacotherapy 2018: 1060028018802472
Abstract: Medication errors commonly occur when patients move from the community into hospital. Whereas medication reconciliation by pharmacists can detect errors, delays in undertaking this can increase the risk that patients receive incorrect admission medication regimens. Orthopedic patients are an at-risk group because they are often elderly and use multiple medications. To evaluate the prevalence and nature of medication errors when patients are admitted to an orthopedic unit where pharmacists routinely undertake postprescribing medication reconciliation. A 10-week retrospective observational study was conducted at a major metropolitan hospital in Australia. Medication records of orthopedic inpatients were evaluated to determine the number of prescribing and administration errors associated with patients' preadmission medications and the number of related adverse events that occurred within 72 hours of admission. Preadmission, 198 patients were taking at least 1 regular medication, of whom 176 (88.9%) experienced at least 1 medication error. The median number of errors per patient was 6 (interquartile range 3-10). Unintended omission of a preadmission medication was the most common prescribing error (87.4%). There were 17 adverse events involving 24 medications in 16 (8.1%) patients that were potentially related to medication errors; 6 events were deemed moderate consequence (moderate injury or harm, increased length of stay, or cancelled/delayed treatment), and the remainder were minor. Conclusion and Relevance: Medication errors were common when orthopedic patients were admitted to hospital, despite postprescribing pharmacist medication reconciliation. Some of these errors led to patient harm. Interventions that ensure that medications are prescribed correctly at admission are required.
URI: http://ahro.austin.org.au/austinjspui/handle/1/19571
DOI: 10.1177/1060028018802472
ORCID: 0000-0002-2924-3466
0000-0002-7750-9724
0000-0002-0592-518X
PubMed URL: 30234367
Type: Journal Article
Subjects: drug-related problems
medication errors
medication safety
orthopedics
pharmaceutical care
pharmacist/physician issues
surgery
Appears in Collections:Journal articles

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