Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/23555
Title: "Iatrogenic Medication Errors reported to the Victorian Poisons Information Centre".
Authors: Bourke, Elyssia M;Greene, Shaun L;Macleod, Dawson;Robinson, Jeffrey
Affiliation: Victorian Poisons Information Centre, Austin Health, Heidelberg, Victoria, Australia
Department of Emergency Medicine, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 15-Jun-2020
EDate: 2020
Citation: Internal medicine journal 2020; online first: 15 June
Abstract: Iatrogenic medication errors are a cause of medical morbidity and mortality. They result in significant cost to the Australian healthcare system each year. There is limited Australian evidence describing the iatrogenic errors occurring within the hospital system. To examine and describe iatrogenic medication errors occurring in Victorian healthcare settings through analysis of referrals to a state Poisons Information Centre (PIC). A retrospective review of iatrogenic medication errors reported to the Victorian PIC from community and hospital healthcare settings from January 2015-December 2019. Over a five year period, 357 iatrogenic errors were identified, 63% (n = 224) of which occurred in a hospital setting. The remaining errors occurred in a community healthcare setting. One in five patients were symptomatic from the medication error at the time of the call to the VPIC, and a change in management was required in 45% (n = 165) of all cases. 5% (n = 17) of patients developed moderate to severe clinical toxicity as determined by the recorded PSS, and 88% (n = 18) of these required critical care management. Incorrect medication dosing accounted for 62% (n = 221) of errors. Common medication dosing errors included: double dose (51%, n = 114), incorrect medication administered (14%, n = 49), incorrect route (9%, n = 31), incorrect patient (6%, n = 22) and adult dose given to a child (4%, n = 15). Iatrogenic errors are occurring in the Victorian health care system. These errors can result in serious morbidity. Identification of causative factors and investment in preventative strategies will likely reduce associated morbidity and healthcare costs. This article is protected by copyright. All rights reserved.
URI: http://ahro.austin.org.au/austinjspui/handle/1/23555
DOI: 10.1111/imj.14940
ORCID: 0000-0001-5617-0955
0000-0002-7423-2467
PubMed URL: 32542970
Type: Journal Article
Subjects: General medicine
Toxicology
emergency medicine
iatrogenic disease
poison control centres
Appears in Collections:Journal articles

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