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40 results for “medication error”
An Assessment of Medication Errors among Pediatric Patients in Three Hospitals in Freetown Sierra Leone: Findings and Implications for a Low-Income Country
<p> </p><p><strong>Background</strong></p><p>Pediatric patients are prone to medicine-related problems like medication errors (MEs), which can potentially cause harm. Yet, this has not been studied in this population in Sierra Leone. Therefore, this study investigated the prevalence and nature of MEs, including potential drug-drug interactions (pDDIs) in pediatric patients in three hospitals in Freetown, Sierra Leone.</p><p><strong>Methods: </strong>The study was conducted in three Hospitals among pediatric patients in Freetown and consisted of two phases. Phase one was a cross-sectional retrospective review of prescriptions for completeness and accuracy against standard prescription writing guidelines. Phase two was a point prevalence inpatient chart review of MEs that were categorized into prescription, administration, and dispensing errors and pDDIs. Data was analyzed using frequency, percentages, median, and interquartile range. Kruskal-Wallis H and Mann-Whitney U tests were used to compare the prescription accuracy between the hospitals, with p<0.05 considered statistically significant.</p><p><strong>Results: </strong>In phase one<strong>, </strong>while no prescription attained the global accuracy score (GAS) gold standard of 100%, 106 (29.0%) achieved the 80-100% mark. The patient 63 (17.2%), treatment 228 (62.3%), and prescriber 33 (9.0%) identifiers achieved an overall GAS range of 80-100%. Although the total GAS was not statistically significant (p=0.065), the date (p=0.041), patient (p=<0.001), treatment (p=0.022), and prescriber (p=<0.001) identifiers were statistically significant across the different hospitals. For phase two, the prevalence of MEs was 74 (56.1%), while that for pDDIs was 54 (40.9%). There was a statistically positive correlation between the occurrence of pDDI and the number of medicines prescribed (r=0.211, P=0.015).</p><p><strong>Conclusion: </strong>Low GAS depicts poor compliance with prescription writing guidelines and high prescribing errors. Medication errors were observed at each phase of the medication use cycle, while clinically significant pDDIs were also reported. Thus, there is a need for training on prescription writing guidelines and medication errors.</p><p> </p><p><strong>Keywords:</strong> Pediatrics, Prescription, Medication errors, Drug-drug interactions, Sierra Leone</p>
Intervening to Prevent Contextual Errors in Medical Decision Making
ClinicalTrials.gov study NCT00856557. IPD Sharing: Not stated. Countries: 1. Publications: 3.
Pharmacist Intervention to Decrease Medication Errors in Heart Disease Patients (The PILL-CVD Study)
ClinicalTrials.gov study NCT00632021. IPD Sharing: Not stated. Countries: 1. Publications: 3.
Reducing Prehospital Medication Errors & Time to Drug Delivery by EMS During Simulated Pediatric CPR
ClinicalTrials.gov study NCT03921346. IPD Sharing: YES. Countries: 1. Publications: 21.
Reducing Medication Errors and Time to Drugs Delivery During Pediatric Cardiopulmonary Resuscitation: a Multicenter RCT
ClinicalTrials.gov study NCT03021122. IPD Sharing: YES. Countries: 1. Publications: 5.
Preventing Medication Dispensing Errors in Pharmacy Practice with Interpretable Machine Intelligence: Wave 2
ClinicalTrials.gov study NCT06795477. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Effect and Associated Factors of the Clinical Pharmacy Model in the Incidence of Medical Errors
ClinicalTrials.gov study NCT03338725. IPD Sharing: NO. Countries: 1. Publications: 2.
Impact of Computerized Physician Order Entry on Medication Prescription Errors in the Intensive Care Unit: a Controlled Cross-Sectional Trial.
ClinicalTrials.gov study NCT00287274. IPD Sharing: Not stated. Countries: 1. Publications: 1.
A National Study of Intravenous Medication Errors
ClinicalTrials.gov study NCT02359734. IPD Sharing: Not stated. Countries: 1. Publications: 2.
Observational Study to Reduce Medication Errors
ClinicalTrials.gov study NCT01734642. IPD Sharing: Not stated. Countries: 1. Publications: 4.
Detection of Usability Errors of a Medical Device Zeneo®
ClinicalTrials.gov study NCT03808246. IPD Sharing: Not stated. Countries: 1. Publications: 0.
SCORE of Medication Error in Internal Medecin Unit
ClinicalTrials.gov study NCT03422484. IPD Sharing: UNDECIDED. Countries: 1. Publications: 1.
Efficacy of a Intervention to Reduce Medication Errors and Improve Adherence
ClinicalTrials.gov study NCT01291966. IPD Sharing: Not stated. Countries: 1. Publications: 2.
Preventing Medication Dispensing Errors in Pharmacy Practice With Interpretable Machine Intelligence
ClinicalTrials.gov study NCT06245044. IPD Sharing: Not stated. Countries: 1. Publications: 0.
The Effect of Intensive Inpatient Attending Supervision on Medical Errors, Patient Safety and Resident Education
ClinicalTrials.gov study NCT03318198. IPD Sharing: NO. Countries: 0. Publications: 3.
Medication Errors in the Spanish System of Communication of Incidents in Anaesthesia: Ten Year Analysis.
ClinicalTrials.gov study NCT03615898. IPD Sharing: NO. Countries: 0. Publications: 1.
RCT: The Effect of an Electronic Clinical Decision Support Application on Perioperative Medication Errors.
ClinicalTrials.gov study NCT04342013. IPD Sharing: Not stated. Countries: 0. Publications: 1.
Reducing Medication Errors on Basis of an Individual Risk Assessment
ClinicalTrials.gov study NCT01814280. IPD Sharing: Not stated. Countries: 1. Publications: 0.
The Effect of SBAR Communication Program on Nursing Students' Perceptions of Clinical Decision Making and Medical Error Prevention Levels: A Mixed Methods Study
ClinicalTrials.gov study NCT06978634. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
Nursing Perspective on Burnout and Medical Errors in the Intensive Care Unit During Covid-19 Pandemic
ClinicalTrials.gov study NCT04371302. IPD Sharing: NO. Countries: 1. Publications: 0.
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