MEDICATION PRESCRIBING ERROR: A SOURCE OF CONCERN
Sadia Zafar, Faaiza Qazi, Nusrat Bano, Rabia Sheikh
Faculty of Pharmacy, Jinnah University for Women, Karachi, Pakistan. Faculty of Pharmacy, Ziauddin College of Pharmacy, Ziauddin University, Karachi, Pakistan. Nigehban Compounding Pharmacy, Karachi, Pakistan
Keywords: Medication error, Prescribing guidelines, Protocol.
Background: There are different types of medication errors which are experienced by the pharmacists in hospital settings. In Pakistan number of attending Pharmacist per bed is low and is a major cause of fatal and life threatening events.
Aim: The aim of present retrospective study was to assess the extent and type of medication error in inpatient medical charts.
Method: The physician’s orders were analyzed by the clinical pharmacists in hospital setting during 2007-2008 in different wards. Various types of prescription errors had been reported and expressed in percentages.
Result:Out of 450 medical treatment charts, 381 medication errors were found in 350 charts. The highest rate of error was the wrong dose (25%) prescribed by physicians.Infrequent errors were lack of dosage frequency, protocol for treatment, dosage form and continuation of antibiotic after prescribed treatment days. However, most frequently occurring serious errors were wrong dosing frequency (17%) and no dose adjustment according to creatinine clearance (12.8%).3.41% errors were related to directions for use of medicines.
Conclusion:Our study has demonstrated large number of prescription errors and high proportion of themwere of serious nature therefore careful counter checking of medical charts is suggested.
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