The Challenge of Medication Errors in the Emergency Department Setting

Miladinia, Mojtaba; Mousavi Nouri, Elham

doi:10.34172/jept.2021.19

Document Type : Letter to Editor

Authors

Mojtaba Miladinia ¹^{, 2}
Elham Mousavi Nouri ³

¹ Nursing Care Research Center in Chronic Diseases, School of Nursing & Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

² Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

³ Emergency Clinical Nurse, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

https://doi.org/10.34172/jept.2021.19

Abstract

Medication errors (MEs) are considered the most common medical errors and as one of the major challenges threatening the health system, which can be also reduced. MEs threaten patients' safety and may increase the length of hospital stay, lead to unexpected complications, mortality and side costs. In 2017, the World Health Organization launched Medication without Harm to reduce severe avoidable medication-related damage by 50%, globally in the next 5 years. Emergency Departments (EDs) are stressful care environments which making EDs more prone to MEs. Therefore, EDs need to be seriously considered to reduce MEs and increase patients' safety. In this regard, it is of great significance to know about the most common stage of error in pharmacotherapy, the most common type of medication error and the most common causes of MEs in the emergency department practice setting. in conclusion, the most common types of MEs in EDs include drug omission error, wrong dose and strong infusion rate. In addition, the administration and prescribing are the most common stages of MEs in EDs. Also, the most common causes of MEs in EDs in Iran include nursing shortage (fatigue) and poor medication knowledge .

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Main Subjects

References

1. Miladinia M, Zarea K, Baraz S, Mousavi Nouri E, Pishgooie AH, Gholamzadeh Baeis M. Pediatric nurses’ medication error: the self-reporting of frequency, types and causes. Int J Pediatr 2016; 4(3): 1439-44. doi: 10.22038/ijp.2016.6593.

2. Asadi P, Modirian E, Dadashpour N. Medical errors in emergency department; a letter to editor. Emerg (Tehran) 2018; 6(1): e33.

3. World Health Organization (WHO). The third WHO Global Patient Safety Challenge: Medication Without Harm. WHO; 2017. Available from: https://www.who.int/ patientsafety/medication-safety/en/.

4. Dabaghzadeh F, Rashidian A, Torkamandi H, Alahyari S, Hanafi S, Farsaei S, et al. Medication errors in an emergency department in a large teaching hospital in Tehran. Iran J Pharm Res 2013; 12(4): 937-42.

5. Vazin A, Zamani Z, Hatam N. Frequency of medication errors in an emergency department of a large teaching hospital in southern Iran. Drug Healthc Patient Saf 2014; 6: 179-84. doi: 10.2147/dhps.s75223.

6. Flynn EA, Barker K, Barker B. Medication-administration errors in an emergency department. Am J Health Syst Pharm 2010; 67(5): 347-8. doi: 10.2146/ajhp090623.

7. Pérez-Díez C, Real-Campaña JM, Noya-Castro MC, Andrés-Paricio F, Reyes Abad-Sazatornil M, Bienvenido Povar-Marco J. [Medication errors in a hospital emergency department: study of the current situation and critical points for improving patient safety]. Emergencias 2017; 29(6): 412-5.

8. Zeraatchi A, Talebian MT, Nejati A, Dashti-Khavidaki S. Frequency and types of the medication errors in an academic emergency department in Iran: the emergent need for clinical pharmacy services in emergency departments. J Res Pharm Pract 2013; 2(3): 118-22. doi: 10.4103/2279- 042x.122384.

9. Ehsani SR, Cheraghi MA, Nejati A, Salari A, Haji Esmaeilpoor A, Mohammad Nejad E. Medication errors of nurses in the emergency department. J Med Ethics Hist Med 2013; 6: 11.

10. Shitu Z, Aung MMT, Tuan Kamauzaman TH, Ab Rahman AF. Prevalence and characteristics of medication errors at an emergency department of a teaching hospital in Malaysia. BMC Health Serv Res 2020; 20(1): 56. doi: 10.1186/s12913- 020-4921-4.

11. Selbst SM, Fein JA, Osterhoudt K, Ho W. Medication errors in a pediatric emergency department. Pediatr Emerg Care 1999; 15(1): 1-4. doi: 10.1097/00006565-199902000-00001.

12. Stasiak P, Afilalo M, Castelino T, Xue X, Colacone A, Soucy N, et al. Detection and correction of prescription errors by an emergency department pharmacy service. CJEM 2014; 16(3): 193-206. doi: 10.2310/8000.2013.130975.

13. Rothschild JM, Churchill W, Erickson A, Munz K, Schuur JD, Salzberg CA, et al. Medication errors recovered by emergency department pharmacists. Ann Emerg Med 2010; 55(6): 513-21. doi: 10.1016/j.annemergmed.2009.10.012.

14. Mohammad Nejad E, Ehsani SR, Salari A, Sajjadi A, Haji Esmaeilpoor A. Refusal in reporting medication errors from the perspective of nurses in emergency ward. Journal of Research Development in Nursing and Midwifery 2013; 10(1): 61-8. [Persian].

15. Macías Maroto M, Solís Carpintero L. [Medication administration errors at an emergency service: knowing to decrease risk]. Rev Esp Salud Publica 2018; 92.

16. Salavati S, Hatamvand F, Tabesh H, Salehi Nasab M. nurses’ perspectives on causes of medication errors and nonreporting at ED. Iran Journal of Nursing 2012; 25(79): 72- 83. [Persian].

Journal of Emergency Practice and Trauma

The Challenge of Medication Errors in the Emergency Department Setting

References

References

Volume 8, Issue 1
January 2022
Pages 1-2

The Challenge of Medication Errors in the Emergency Department Setting

References

References

Volume 8, Issue 1January 2022Pages 1-2

Volume 8, Issue 1
January 2022
Pages 1-2