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The importance of intra-hospital pharmacovigilance in the detection of medication errors
Francisco Villegas1, David Figueroa-Montero2, Varenka Barbero-Becerra2
1Servicio de Farmacovigilancia. Fundación Clínica Médica Sur. Ciudad de México, México.
Introduction:
Hospitalized patients are susceptible to medication errors, which represent between the fourth and the sixth cause of death. The department of intra-hospital pharmacovigilance intervenes in the entire process of medication with the purpose to prevent, repair and assess damages.
Objective:
To analyze medication errors reported by Mexican Fundación Clínica Médica Sur pharmacovigilance system and their impact on patients.
Method:
Prospective study carried out from 2012 to 2015, where medication prescriptions given to patients were recorded. Owing to heterogeneity, data were described as absolute numbers in a logarithmic scale.
Results:
292 932 prescriptions of 56 368 patients were analyzed, and 8.9% of medication errors were identified. The treating physician was responsible of 83.32% of medication errors, residents of 6.71% and interns of 0.09%. No error caused permanent damage or death.
Conclusion:
This is the pharmacovigilance study with the largest sample size reported.
Insights
Hospital medication errors are a significant threat, but this large study found no permanent harm. The pharmacovigilance system is key to identifying and preventing these medication errors.
Area of Science:
- Pharmacovigilance
- Patient Safety
- Healthcare Quality
Background:
- Hospitalized patients face significant risks from medication errors, a leading cause of death.
- Intra-hospital pharmacovigilance departments play a crucial role in preventing and managing medication-related harm.
Purpose of the Study:
- To analyze medication errors reported by a Mexican pharmacovigilance system.
- To assess the impact of these medication errors on patient outcomes.
Main Methods:
- A prospective study was conducted from 2012 to 2015.
- Medication prescriptions for 56,368 patients (292,932 prescriptions) were analyzed.
- Data heterogeneity was managed using absolute numbers on a logarithmic scale.
Main Results:
- 8.9% of medication errors were identified.
- Treating physicians were responsible for the majority of errors (83.32%).
- No medication errors resulted in permanent damage or death.
Conclusions:
- This study represents the largest sample size reported for a pharmacovigilance analysis of medication errors.
- Effective pharmacovigilance systems are essential for identifying and mitigating medication errors in hospitals.
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