Simegn Wudneh, Weldegerima Berhanemeskel, Seid Mohammed, Zewdie Ayal, Wondimsigegn Dawit, Abyu Chilot, Kasahun Asmamaw Emagn, Seid Abdulwase Mohammed, Sisay Gashaw, Yeshaw Yigizie
Department of Social and Administrative Pharmacy, School of Pharmacy, University of Gondar, P.O. Box 196, Gondar, Ethiopia.
Gondar University Referral Hospital, University of Gondar, P.O. Box 196, Gondar, Ethiopia.
J Pharm Policy Pract. 2022 Oct 15;15(1):62. doi: 10.1186/s40545-022-00461-9.
Medication errors have serious consequences for patients' morbidity and mortality. The involvement of pharmacy professionals in the prescribing and dispensing procedure allowed the detection of a range of drug-related problems in addition to identification by prescribers. They are often the first point of contact in the healthcare system in identifying prescribing errors and intervening in these errors by dealing with the prescribers and the patients.
This study aimed to assess prescribing errors reported by community pharmacy professionals in Gondar Town, North West Ethiopia.
A self-administered cross-sectional survey was employed from February 29 to June 23, 2020, to collect data on prescribing errors reported by community pharmacy professionals. All community pharmacy professionals found in Gondar town were included. Community pharmacy professionals who were ill at the time of study and who had less than 6 months of work experience were excluded.
Seventy-four pharmacy professionals participated in the study with a response rate of 93.6%. The overall prevalence of prescribing errors was 75.1% (95% CI 71.08-78.70). Of these errors, drug selection was the most common (82.4%), followed by errors of commission (79.7%) and errors of omission (78.4%). Antibiotics (63.5%) were commonly involved in prescribing errors, followed by analgesics (44.5%) and antipsychotics (39.5%).
The findings of this study revealed a high prevalence of prescribing errors in Gondar, Ethiopia. Drug selection was the most prescribed error, followed by errors of commission. Stakeholders should design interventions such as training, integrating prescribers with clinical pharmacists and supervising interns by seniors. Large-scale studies that include potential factors of prescribing problems are recommended for future researchers.
用药错误对患者的发病率和死亡率有严重影响。药学专业人员参与处方开具和调配过程，除了能被开处方者识别外，还能发现一系列与药物相关的问题。他们往往是医疗系统中识别处方错误并通过与开处方者和患者沟通来干预这些错误的首要接触点。
本研究旨在评估埃塞俄比亚西北部贡德尔镇社区药学专业人员报告的处方错误情况。
采用自填式横断面调查，于2020年2月29日至6月23日收集社区药学专业人员报告的处方错误数据。纳入贡德尔镇所有社区药学专业人员。排除研究期间患病以及工作经验少于6个月的社区药学专业人员。
74名药学专业人员参与了研究，应答率为93.6%。处方错误的总体发生率为75.1%（95%可信区间71.08 - 78.70）。在这些错误中，药物选择错误最为常见（82.4%），其次是用药差错（79.7%）和用药遗漏（78.4%）。抗生素（63.5%）在处方错误中最为常见，其次是镇痛药（44.5%）和抗精神病药（39.5%）。
本研究结果显示埃塞俄比亚贡德尔镇处方错误发生率很高。药物选择是最常见的处方错误，其次是用药差错。利益相关者应设计干预措施，如培训、将开处方者与临床药师整合以及由资深人员监督实习生。建议未来的研究人员开展包括处方问题潜在因素的大规模研究。
