Rababa'h Abeer M, Mardini Afrah Nabil, Ababneh Mera A, Rababa Mohammad, Hayajneh Maisan
Department of Clinical Pharmacy, College of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
Department of Adult Health Nursing, College of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Int J Crit Illn Inj Sci. 2022 Apr-Jun;12(2):106-114. doi: 10.4103/ijciis.ijciis_72_21. Epub 2022 Jun 24.
Medication errors (MEs) present a significant issue in health care area, as they pose a threat to patient safety and could occur at any stage of the medication use process. The objective of this systematic review was to review studies reporting the rates, prevalence, and/or incidence of various MEs in different health care clinical settings in Jordan. We searched PubMed, HINARI, Google, and SCOPUS for relevant published studies. We included observational, cross-sectional or cohort studies on MEs targeting adults in different health-care settings in Jordan. A total of 411 records were identified through searching different databases. Following the removal of duplicates, screening of title, abstract and full-text screening, 24 papers were included for the final review step. Prescribing errors was the most common error reported in the included studies, where it was reported in 15 studies. The prevalence of prescribing errors ranged from 0.1% to 96%. Two studies reported unintentional discrepancies and documentation errors as other types of MEs, where the prevalence of unintentional discrepancies ranged from 47% to 67.9%, and the prevalence of documentation errors ranged from 33.7% to 65%. In conclusion, a wide variation was found between the reviewed studies in the error prevalence rates. This variation may be due to the variation in the clinical settings, targeted populations, methodologies employed. There is an imperative need for addressing the issue of MEs and improving drug therapy practice among health-care professionals by introducing education and training.
用药错误在医疗保健领域是一个重大问题,因为它们对患者安全构成威胁,并且可能在用药过程的任何阶段发生。本系统评价的目的是回顾报告约旦不同医疗临床环境中各种用药错误发生率、患病率和/或发病率的研究。我们在PubMed、HINARI、谷歌和SCOPUS上搜索了相关的已发表研究。我们纳入了针对约旦不同医疗环境中成年人用药错误的观察性、横断面或队列研究。通过搜索不同数据库共识别出411条记录。在去除重复项、筛选标题、摘要和全文后,24篇论文被纳入最终评审步骤。处方错误是纳入研究中报告的最常见错误,有15项研究报告了这一错误。处方错误的患病率从0.1%到96%不等。两项研究报告了无意差异和记录错误作为其他类型的用药错误,其中无意差异的患病率从47%到67.9%不等,记录错误的患病率从33.7%到65%不等。总之,在所审查的研究中,错误患病率存在很大差异。这种差异可能是由于临床环境、目标人群、所采用方法的不同。迫切需要通过开展教育和培训来解决用药错误问题,并改善医疗保健专业人员的药物治疗实践。