Egunsola Oluwaseun, Ali Sheraz, Al-Dossari Dalal S, Alnajrani Rahsid Hamoud
The University of Sydney, NSW, Australia.
King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia.
Hosp Pharm. 2021 Jun;56(3):172-177. doi: 10.1177/0018578719882318. Epub 2019 Oct 16.
The peculiarities of medication errors (MEs) among the pediatric population in the Middle East have not been adequately explored. In this study, we describe the MEs reported at the largest tertiary hospital in Saudi Arabia. This study is a retrospective analysis of MEs reported by health care professionals at a large tertiary hospital in Saudi Arabia between 2015 and 2016. There were a total of 9123 MEs involving 84 different medications. In total, 109 382 drugs were ordered. Thus, 8.3 MEs per 100 prescriptions were reported during the study period. Thirty-nine errors (0.4%) reached the patient, but did not cause any harm. Transcribing errors accounted for more than half of the MEs (n = 4856, 53.2%). Physicians were the least likely to report an ME (n = 159, 1.7%), whereas pharmacists reported more MEs than any other health care professional (n = 4924, 54%). The most common drug causes of MEs were paracetamol, salbutamol, and amoxicillin, which accounted for 21.0%, 16.6%, and 12.4% of MEs, respectively, over the study period. Medication errors are common in pediatric care, especially for drugs such as paracetamol and amoxicillin that are frequently prescribed. Transcription error was common in this study and is more likely to be reported by pharmacists.
中东地区儿科人群用药错误（MEs）的特点尚未得到充分研究。在本研究中，我们描述了沙特阿拉伯最大的三级医院报告的用药错误情况。本研究是对沙特阿拉伯一家大型三级医院2015年至2016年期间医护人员报告的用药错误进行的回顾性分析。共有9123起用药错误，涉及84种不同药物。总共开出了109382剂药物。因此，在研究期间，每100张处方报告8.3起用药错误。39起错误（0.4%）涉及患者，但未造成任何伤害。抄写错误占用药错误的一半以上（n = 4856，53.2%）。医生报告用药错误的可能性最小（n = 159，1.7%），而药剂师报告的用药错误比任何其他医护人员都多（n = 4924，54%）。用药错误最常见的药物原因是对乙酰氨基酚、沙丁胺醇和阿莫西林，在研究期间分别占用药错误的21.0%、16.6%和12.4%。用药错误在儿科护理中很常见，尤其是对于经常开处方的对乙酰氨基酚和阿莫西林等药物。抄写错误在本研究中很常见，并且药剂师更有可能报告。
