Department of Basic Medical Sciences, College of Medicine, University of Jeddah, Jeddah P.O. Box 45311, Saudi Arabia.
NHS Scotland, Aberdeen AB10 1AB, UK.
Medicina (Kaunas). 2024 Aug 29;60(9):1411. doi: 10.3390/medicina60091411.
Medication errors significantly impact patient safety, potentially causing adverse drug events (ADEs), increasing morbidity and mortality and prolonging hospital stays. This systematic review aimed to identify common medication errors in Saudi hospitals, their contributing factors, and effective prevention strategies. Following PRISMA-P guidelines, a comprehensive review of the literature published after 2019 was conducted. Inclusion criteria focused on peer-reviewed articles in English addressing medication errors in Saudi hospitals. Exclusion criteria eliminated reviews, opinion pieces, and non-peer-reviewed sources. A narrative synthesis identified common themes, and a descriptive analysis organized the data. Searches yielded 22 articles from Embase (n = 4), PubMed (n = 10), and Web of Science (n = 8). After removing duplicates and one review article, twelve studies remained. Hand-searching references added 16 more, totaling 28 articles. Of the 28 included studies, 20 (71.4%) reported the types of medication errors observed. Wrong dose and improper dose errors are among the most frequently reported across multiple studies, while prescribing errors remain consistently high, indicating a critical area for intervention. Although less frequent, omission errors still hold significance. This review emphasizes the importance of comprehensive, proactive approaches to preventing medication errors. Integrating evidence-based strategies, fostering a safety culture, and continuously monitoring and evaluating interventions can significantly enhance medication safety and improve patient outcomes in Saudi Arabian hospitals.
药物错误严重影响患者安全,可能导致药物不良事件(ADE),增加发病率和死亡率,并延长住院时间。本系统评价旨在确定沙特医院常见的药物错误、其促成因素以及有效的预防策略。
根据 PRISMA-P 指南,对 2019 年后发表的文献进行了全面综述。纳入标准侧重于以英语发表的、针对沙特医院药物错误的同行评审文章。排除标准排除了综述、观点文章和非同行评审来源。叙述性综合确定了常见主题,描述性分析对数据进行了组织。
搜索从 Embase(n=4)、PubMed(n=10)和 Web of Science(n=8)中获得了 22 篇文章。去除重复项和一篇综述文章后,仍有 12 项研究。通过手工检索参考文献,又增加了 16 项,总计 28 篇文章。在纳入的 28 项研究中,有 20 项(71.4%)报告了观察到的药物错误类型。多项研究报告了错误剂量和剂量不当错误是最常见的错误类型,而处方错误仍然居高不下,表明这是一个需要干预的关键领域。尽管不太常见,但遗漏错误仍然具有重要意义。
本综述强调了采取全面、积极的方法预防药物错误的重要性。整合基于证据的策略、培养安全文化以及持续监测和评估干预措施,可以显著提高沙特阿拉伯医院的药物安全性并改善患者结局。