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Medication errors in a pharmacy-coordinated drug administration program.

K G Jozefczyk, P J Schneider, D S Pathak

American Journal of Hospital Pharmacy

|October 1, 1986

Summary

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This study found a 4.4% medication error rate in a pharmacy program, with wrong-time errors being most common. Excluding these, the rate dropped to 1.6%.

Area of Science:

Pharmacy Practice
Patient Safety
Healthcare Quality Improvement

Background:

Medication errors pose a significant risk to patient safety.
Pharmacy-coordinated drug administration programs aim to reduce these errors.
Quantifying error rates is crucial for targeted interventions.

Purpose of the Study:

To determine the medication error rate within a pharmacy-coordinated drug administration program.
To identify the types and frequency of medication errors occurring.
To provide data for improving medication administration processes.

Main Methods:

A five-week observational study involving pharmacy interns.
Observations of pharmacy technicians administering medications across five nursing units.

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Classification of errors based on the ASHP Standard Definition of a Medication Error.

Main Results:

A total of 2028 medication administration observations were analyzed.
The overall medication error rate was 4.4%.
Wrong-time errors were the predominant type, with the rate falling to 1.6% when excluded.

Conclusions:

Pharmacy-coordinated programs show a measurable medication error rate.
Wrong-time errors significantly contribute to the overall error rate.
Direct comparison with other studies requires careful consideration of methodologies.