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[Medication errors in anesthesia: a Moroccan university hospitals survey]
M Amor1, M Bensghir, Z Belkhadir
1Département d'anesthésie et de réanimation, CHU Ibn Sina, Rabat, Maroc. mourad_amor_rea@yahoo.fr
Annales Francaises D'Anesthesie Et De Reanimation
|October 9, 2012
Summary
Medication errors in anesthesia occurred at an incidence of 1/575, primarily due to labeling mistakes and practitioner fatigue. Recommendations were developed to prevent future drug errors in anesthetic practice.
Area of Science:
- Anesthesiology
- Pharmacovigilance
- Public Health
Context:
- Medication errors pose significant morbidity and financial burdens.
- Few studies have prospectively assessed medication error incidence and outcomes in anesthesia.
- This study addresses the need for prospective data on drug errors in Moroccan university hospitals.
Purpose:
- To identify and describe medication errors in anesthesia.
- To determine the incidence and types of drug errors in four Moroccan university hospitals.
- To analyze the causes and consequences of medication errors in anesthetic procedures.
Summary:
- A prospective study in nine hospitals (October 2009-June 2010) analyzed 9199 anesthetic procedures.
- Sixteen medication errors were reported (incidence 1/575), with hypnotics and morphine most frequently involved.
- Errors stemmed mainly from labeling issues and practitioner fatigue, predominantly made by less experienced staff, leading to substitution errors.
Impact:
- The study identified key causes of medication errors, including labeling mistakes and fatigue.
- Findings informed recommendations approved by the Moroccan pharmacovigilance center.
- The research contributes to preventing medication errors in daily anesthetic practice, aligning with international standards.
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