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Published on: June 11, 2012
Opinions of Maltese doctors and pharmacists on medication errors
Amy Tanti1, Miriam Camilleri2, Andrew A Borg3
1Medicines Authority, Malta Life Sciences Park, Sir Temi Zammit Buildings, San Ġwann, Malta.
Background:
Pharmacovigilance directive 2010/84/EU focused attention on medication errors and encouraged regulators to identify causing and contributing factors.
Objectives:
(1) To study opinions of doctors/pharmacists on factors bearing a causal link to MEs as well as ways to minimise MEs (2) to test whether differences in opinion exist between subgroups of doctors and pharmacists working in community, hospital or office settings.
Methods:
Different questionnaires were circulated to doctors and pharmacists. Respondents were subdivided according to their primary practice.
Results:
320 responses were received (204 doctors/116 pharmacists). Differences in opinion reaching statistical significance were observed on distractions from staff, overwork and fatigue, availability of technical resources and having more than 1 doctor on duty. For pharmacists', differences on issues of generic medicine availability and interruptions were found.
Conclusion:
Distractions and interruptions while executing tasks was flagged as an area requiring attention. Issues of overwork and fatigue affect especially doctors in hospital the majority of which are of the opinion that regulatory control on patient numbers could minimize errors. Increasing technical resources and keeping knowledge up-to-date, addressing overwork and high patient workloads have been identified as important areas when looking to reduce MEs.
Insights
Healthcare professionals identified staff distractions, overwork, and fatigue as key factors contributing to medication errors (MEs). Addressing these issues and improving resources are crucial for reducing MEs.
Area of Science:
- Pharmacovigilance and patient safety
- Healthcare professional opinions
- Medication error analysis
Background:
- European Pharmacovigilance Directive 2010/84/EU highlighted medication errors (MEs) and the need to identify causal factors.
- Regulatory bodies were encouraged to investigate factors contributing to medication errors.
Purpose of the Study:
- To investigate healthcare professionals' views on factors causing medication errors.
- To explore strategies for minimizing medication errors.
- To determine if opinions on medication error causes and prevention differ among doctors and pharmacists in various practice settings (community, hospital, office).
Main Methods:
- Questionnaires were distributed to doctors and pharmacists.
- Respondents were categorized based on their primary practice setting.
Main Results:
- A total of 320 responses were analyzed (204 doctors, 116 pharmacists).
- Statistically significant differences in opinions were noted regarding staff distractions, overwork, fatigue, technical resource availability, and having multiple doctors on duty.
- Pharmacists specifically differed on opinions regarding generic medicine availability and interruptions.
Conclusions:
- Staff distractions and interruptions during task execution are significant areas needing attention.
- Overwork and fatigue particularly impact hospital doctors, who suggest regulatory control on patient numbers could reduce errors.
- Enhancing technical resources, continuous professional development, and managing workload are vital for medication error reduction.
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Pharmacovigilance
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In some cases, there...
Drug Regulation

