Zirpe Kapil G, Seta Bhavika, Gholap Sharvari, Aurangabadi Khadija, Gurav Sushma K, Deshmukh Abhijeet M, Wankhede Prajkta, Suryawanshi Prasad, Vasanth Swapna, Kurian Mariamma, Philip Elizabeth, Jagtap Nirmala, Pandit Esther
Neuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Neuro Trauma Stroke Unit, Grant Medical Foundation's Ruby Hall Clinic, Pune, Maharashtra, India.
Indian J Crit Care Med. 2020 Sep;24(9):799-803. doi: 10.5005/jp-journals-10071-23556.
Medication error in developed countries is of primary concern when there is a question of adversity to a patient's health, but in developing countries like India, it is just a term and its significance is undervalued. The incidence of medication error is essential to estimate the proper medical care provided in the healthcare system.
The main objective of the study is to determine the incidences of medication error in critical care unit and to evaluate its risk outcomes.
This is a prospective observational study conducted over a period of 6 months in a critical care unit of a tertiary care hospital. Medication chart review method was opted for data collection. The medication errors were mainly classified as prescription, transcription, indenting, dispensing, and administration error. A total of 6,705 charts were reviewed. The NCCMERP risk index was used to evaluate the outcome of errors.
Of the total 6,705 charts, 410 medication errors were found, i.e., 6.11%. The most common error is transcription error that constitutes 44.1% of the total errors, followed by prescription error 40%, and administration error 14%. The frequency of indenting and dispensing errors is negligible with 1.5% and 0.5%, respectively. The main causes of medication errors are due to incomplete prescription 50.2% and wrong doses 22.9%. In drug class, antibiotics and antihypertensive agents are most prone to medication error. About 87.1% errors belonged to the Category B of National Coordinating Council for Medication Error Reporting and Prevention risk index.
Majority of the errors are transcription errors followed by prescription and administration errors. Consultant doctors have to be more vigilant during prescribing and verifying the medication charts. Clinical pharmacists should act as a checkpoint at each step of medication process to identify and prevent medication errors.
Zirpe KG, Seta B, Gholap S, Aurangabadi K, Gurav SK, Deshmukh AM, Incidence of Medication Error in Critical Care Unit of a Tertiary Care Hospital: Where Do We Stand? Indian J Crit Care Med 2020;24(9):799-803.
在发达国家，当涉及患者健康的不良事件问题时，用药错误是首要关注的问题，但在印度等发展中国家，它仅仅是一个术语，其重要性被低估了。用药错误的发生率对于评估医疗系统中提供的适当医疗护理至关重要。
本研究的主要目的是确定重症监护病房用药错误的发生率，并评估其风险结果。
这是一项在三级医院重症监护病房进行的为期6个月的前瞻性观察研究。选择用药图表审查方法进行数据收集。用药错误主要分为处方错误、转录错误、医嘱录入错误、调配错误和给药错误。共审查了6705份图表。使用美国国家用药错误报告及预防协调委员会（NCCMERP）风险指数来评估错误结果。
在总共6705份图表中，发现410例用药错误，即6.11%。最常见的错误是转录错误，占总错误的44.1%，其次是处方错误占40%，给药错误占14%。医嘱录入错误和调配错误的发生率可忽略不计，分别为1.5%和0.5%。用药错误的主要原因是处方不完整占50.2%和剂量错误占22.9%。在药物类别中，抗生素和抗高血压药物最容易发生用药错误。约87.1%的错误属于美国国家用药错误报告及预防协调委员会风险指数的B类。
大多数错误是转录错误，其次是处方错误和给药错误。会诊医生在开处方和核对用药图表时必须更加警惕。临床药师应在用药过程的每个步骤充当检查点，以识别和预防用药错误。
齐尔佩KG，塞塔B，戈拉普S，奥朗加巴迪K，古拉夫SK，德什穆克AM，《三级医院重症监护病房用药错误的发生率：我们处于什么水平？》，《印度重症监护医学杂志》2020年；24(9)：799 - 803。
