作者: Tracy Rogers , Carina Livingstone , Jane Nicholls , Sandra Wolper
DOI: 10.1136/EJHPHARM-2015-000848
关键词: Patient safety 、 Medical prescription 、 Emergency medicine 、 Psychological intervention 、 Family medicine 、 Clinical pharmacy 、 Pharmacy 、 Medicine 、 Mental health 、 Intervention (counseling) 、 Community hospital
摘要: Objectives To quantify medication-related errors, in particular prescribing identified by pharmacists and assess their potential impact on inpatients community hospitals. Methods Pharmacists recorded all interventions to optimise medication for hospital over 14 days November 2013. Interventions were subsequently classified type (prescribing error; omitted or delayed drug administration; attributable other issues) rated clinical impact. Results 15 organisations participated the study reporting 4077 charts. In total, 52 033 orders screened pharmacists. A intervention was made 1 3 charts one more medications. total of 2782 recorded. The majority categorised as a prescriber error (67%, 1872/2782). remainder (33%, 910/2782) not directly these medicine administration accounted 11% (298/2782). Of 1872 classed error, third, if left undetected, might have caused moderate severe patient harm. rate 3.6 errors per 100 orders. Conclusions reported intervening improve care provided third patients this study. Two-thirds response which, could led results suggest that hospitals are subject at comparable those seen acute mental health pharmacy service is vital ensure safety