A Comparative Analysis of Electronic Prescribing Near Misses in King Saud Medical City, Riyadh, Saudi Arabia
Journal Title: Journal of Pharmaceutical Research International - Year 2014, Vol 4, Issue 9
Abstract
Background: A “near miss” or close call is a medication error that happened but did not result in injury or damage to the patient. These medication errors (MEs) are captured and corrected before affecting the patient either fortuitously or purposefully by designed system controls imbedded in electronic health record (EHR) as well as electronic prescribing systems (EPS). Objective: This study analyzed the reported electronic prescribing near misses (NMs) in King Saud Medical City (KSMC) in Riyadh city. Methods: The ME report forms were consecutively collected over a period of one year, from 1 January to 31 December, 2012. These forms were evaluated for data abstraction and a comparative analysis of NMs/NM report forms of first 6-month (n=1025, timeline 1) versus second 6-month (n=2398, timeline 2) was carried out. No systematic intervention prior to timeline 2 was used in this study. Results: The total number of MEs/NMs report forms was 3423 and total number of reported NMs was 7415, as each form could contain more than one NM. Drug prescription items, medication dispensing stages, NM makers and identifiers, underlying causes, sites of errors, prescribed drugs and suggested actions to avoid NM errors all differed significantly between the two timelines, which could be attributed to natural, real world practices in KSMC. Conclusion: This prospective study found significant differences in factors related to NMs between two six month periods in a single year. Reasons for these differences between two timeframes remain poorly understood. NMs comparative studies using systematic interventions are warranted in the Kingdom of Saudi Arabia.
Authors and Affiliations
Dalal S. Al-Dossari, Ibrahim A. Al-Zaagi, Siham D. Al-Saud, Abdullah M. Al-Bedah, Naseem A. Qureshi
Keywords
Related Articles
- EP ID EP344908
- DOI 10.9734/BJPR/2014/8607
- Views 91
- Downloads 0
Synthesis and Evaluation of Analgesic and Anti-inflammatory Activities of Most Active Antioxidant Derivatives of Embelin
Objective: To evaluate antioxidant, analgesic and anti-inflammatory properties of embelin and its derivatives. Methods: In the present study embelin was condensed with various aliphatic substituted primary amines, hydra...
Batch Equilibrium, Kinetics and Thermodynamics Study of Sulfamethoxazole Antibiotics Onto Azolla filiculoides as a Novel Biosorbent
Azolla filiculoides (AF) were used as adsorbent for the sorption of Sulfamethoxazole (SMZ) from aqueous solution. Also adsorption Isotherms, kinetics and thermodynamics were studied. Experiments were conducted by varying...
Determination of the Infective Dose of Staphylococcus aureus (ATCC 29213) and Pseudomonas aeruginosa (ATCC 27853) When Injected Intraperitoneally in Sprague Dawley Rats
Objective: To determine the infective dose of Staphylococcus aureus (ATCC 29213) and Pseudomonas aeruginosa (ATCC 27853) in Sprague Dawley rats, when the inoculum is injected via the intraperitoneal route. Design and Met...
The Role of Coconut Oil on Pentylenetetrazole Induced Convulsion in Rats: An Electroencephalogram Study
Aim: This study was carried out to investigate the role of coconut oil on pentylenetetrazole (PTZ) induced convulsant activity in Wistar rats using the laboratory model. Convulsant activity was achieved by injection of P...
Phytochemical and Antimicrobial Properties of Crude n-Hexane and Methanol Extracts of Cola acuminata Nuts
Aim: To determine the phytochemical and antimicrobial properties of crude n-hexane and methanol extracts of Cola acuminata nuts against standard and clinical strains of pathogenic bacteria and fungi species implicated in...