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An urban medical system's exploratory study of medication errors.

Skip G Morelock1, Jeffrey D Kirk2

  • 1Collin College School of Nursing McKinney Texas.

Nursing Open
|August 2, 2019
PubMed
Summary

Medication errors commonly involved antibiotics and dose omissions, with severity level 2 requiring increased monitoring. No significant differences were found between day and night shifts regarding error severity.

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Area of Science:

  • Healthcare Quality and Safety
  • Clinical Pharmacy
  • Patient Safety

Background:

  • Medication errors pose a significant risk to patient safety in healthcare settings.
  • Identifying patterns in medication errors is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To identify patterns of medication errors, including shifts, day of week, unit, severity, medication class, and causes.
  • To propose potential solutions for reducing medication errors.

Main Methods:

  • Retrospective explorative study of 605 medication events from two medical centers.
  • Analysis of medication type, error severity, time of order, unit, and day of the week.
  • Simple percentages and point-biserial correlation were used for data analysis.
Keywords:
medication errorsnursesnursing

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Main Results:

  • Antibiotics were the most frequent medication class involved in errors.
  • Dose omission was the most common cause of medication errors.
  • Severity level 2, requiring increased patient monitoring, was the most reported severity.

Conclusions:

  • Dose omissions and errors involving antibiotics are key areas for intervention.
  • Targeted strategies are needed to address the most common causes and classes of medication errors.
  • Further research may explore specific interventions to reduce these prevalent error types.