Background Pharmacist interventions and medication errors potentially differ between the People’s Republic of China and other countries. This study aimed to report interventions administered by clinical pharmacists and analyze medication errors in an intensive care unit (ICU) in a tertiary hospital in People’s Republic of China. Method A prospective, noncomparative, 6-month observational study was conducted in a general ICU of a tertiary hospital in the People’s Republic of China. Clinical pharmacists performed interventions to prevent or resolve medication errors during daily rounds and documented all of these interventions and medication errors. Such interventions and medication errors were categorized and then analyzed. Results During the 6-month observation period, a total of 489 pharmacist interventions were reported. Approximately 407 (83.2%) pharmacist interventions were accepted by ICU physicians. The incidence rate of medication errors was 124.7 per 1,000 patient-days. Improper drug frequency or dosing (n=152, 37.3%), drug omission (n=83, 20.4%), and potential or actual occurrence of adverse drug reaction (n=54, 13.3%) were the three most commonly committed medication errors. Approximately 339 (83.4%) medication errors did not pose any risks to the patients. Antimicrobials (n=171, 35.0%) were the most frequent type of medication associated with errors. Conclusion Medication errors during prescription frequently occurred in an ICU of a tertiary hospital in the People’s Republic of China. Pharmacist interventions were also efficient in preventing medication errors.
Implementation of pharmacists’ interventions and assessment of medication errors in an intensive care unit of a Chinese tertiary hospital
Saiping Jiang,Jing Chen,Xing-guo Zhang,Xiao-yang Lu,Qing-wei Zhao
Published 2014 in Therapeutics and Clinical Risk Management
ABSTRACT
PUBLICATION RECORD
- Publication year
2014
- Venue
Therapeutics and Clinical Risk Management
- Publication date
2014-10-09
- Fields of study
Medicine
- Identifiers
- External record
- Source metadata
Semantic Scholar, PubMed
CITATION MAP
EXTRACTION MAP
CLAIMS
CONCEPTS
- adverse drug reaction
A potential or actual harmful reaction to a medication recorded as an error category in the ICU.
Aliases: ADR
- antimicrobials
Anti-infective medications that were tracked as a drug class associated with errors.
Aliases: antibiotics, anti-infectives
- clinical pharmacist interventions
Actions taken by clinical pharmacists during ICU rounds to prevent or resolve medication errors.
Aliases: pharmacist interventions
- drug omission
A medication error category in which a prescribed drug was not given or recorded.
Aliases: omission error
- icu physicians
Physicians working in the intensive care unit who reviewed and accepted pharmacist interventions.
Aliases: intensive care unit physicians
- improper drug frequency or dosing
A medication error category involving an incorrect administration frequency or dose.
Aliases: wrong frequency or dose
- intensive care unit
The general ICU in a tertiary hospital where the interventions and medication errors were observed.
Aliases: ICU
- medication error incidence rate
The reported frequency of medication errors standardized per 1,000 patient-days.
Aliases: incidence rate of medication errors
- medication errors
Mistakes in prescribing or medication use that were documented and categorized in the ICU.
Aliases: drug errors
REFERENCES
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