Medication errors in patients with dysphagia
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Published on: March 1, 2015
Jennifer Kelly1, David Wright, John Wood
1Queen Elizabeth Hospital King's Lynn Foundation Trust.
Background:
The administration of medicines to patients with dysphagia is complex and prone to errors.
Aim:
To determine the medicine administration error (MAE) rate for those with dysphagia in acute hospitals.
Method:
Data was collected on the preparation and administration of oral medicines to patients with and without dysphagia, including those with enteral feeding tubes, using direct observation of 65 nurse-led medicine administration rounds at four acute general hospitals.
Results:
Excluding time errors, the normalised frequency of MAEs for patients with dysphagia was 21.1% compared with 5.9% for those without the condition.
Conclusion:
The increased MAE rate in patients with dysphagia means extra care is needed when prescribing, dispensing and administering medicines to this group.
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