Evaluation of a medication error monitoring system to reduce the incidence of medication errors in a clinical setting |
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| Affiliation: | 1. Department of Pharmacy, Xiamen Maternity and Child Care Hospital, Xiamen, 361003, China;2. Department of Pediatrics, Xiamen Maternity and Child Care Hospital, Xiamen, 361003, China;3. Centenary Institute, The University of Sydney, Camperdown, 2007, NSW, Australia;4. Sydney Medical School, The University of Sydney, Sydney, NSW, Australia;1. Geneva Children''s Hospital, Department of Paediatric Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland;2. Division of Medical Information Sciences, Department of Radiology and Medical Informatics, Geneva University Hospitals, Geneva, Switzerland;3. Division of Clinical Epidemiology, Department of Health and Community Medicine, University of Geneva and Geneva University Hospitals, Geneva, Switzerland;4. Faculty of Medicine, University of Geneva, Geneva, Switzerland;1. Department of Emergency Medicine, Mayo Clinic, Jacksonville, FL;2. Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN;3. Department of Nursing, Mayo Clinic, Rochester, MN;4. Department of Information Technology, Mayo Clinic, Rochester, MN;5. Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN;6. Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN;7. Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN;1. Department of Pharmacy, Charle-Nicolle Hospital, 1006 Tunis, Tunisia;2. College of Pharmacy, 5000 Monastir, Tunisia;3. Neonatal intensive care unit, Charles-Nicolle Hospital, 1006 Tunis, Tunisia;1. University of Eastern Finland: Department of Nursing Science, Academy of Finland, Yliopistoranta 1c, Kuopio, Finland;2. University of Eastern Finland: Department of Nursing Science, Kuopio University Hospital, Yliopistoranta 1c, Kuopio, Finland;3. King''s College London: Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK;4. Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London/UCL School of Pharmacy, London, UK |
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| Abstract: | BackgroundMedication errors have significant health and economic consequences. Monitoring medication errors by implementing monitoring systems proved in the USA and European countries since 1990s to be an effective method for error detection, leading to improved safety at all levels of health care. Currently, China does not have a universal medication error monitoring system.ObjectiveTo evaluate the effectiveness of the Medication Error Monitoring System for the reduction of medication errors in Xiamen Maternity and Child Care Hospital.MethodsBetween January–June 2014, the Medication Error Monitoring System developed by Xiamen Maternity and Child Care Hospital was employed to monitor medication errors through error reporting by physicians and pharmacists. The errors collected by this system were then thoroughly assessed and addressed by specific improvements including more frequent training, introducing computerised prescribing systems and a bar-coding medicine dispensing system. Data collected from January–June 2015, was then compared with the data collected in 2014 to determine whether medication errors had been reduced.ResultsBetween 2014 and 2015, the total medication errors in prescribing and dispensing were reduced by approximately 27%. Compared with 2014, there was a marked reduction in the number of errors due to misdiagnoses and inappropriate usage/dosage in 2015, while the number of data entry errors increased and became the most common cause of medication error. The success rate of pharmacy interventions increased from 95.25% to 96.88%, albeit modest. However, across all medication errors in the stage of prescribing and dispensing, non-human-related errors significantly decreased from 44.25% in 2014 to 37.94% in 2015 with a p value of 0.021.ConclusionThe Medication Error Monitoring System is effective at monitoring medication error data, leading to a reduction in reported medication errors. Better training for hospital staff including doctors and pharmacists will be critical to reduce human-related medication errors in the hospital. |
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