Steffi Jerry Mammen
Associate professor
Title: A study of medication errors in a multispeciality hospital of Pune
Biography
Biography: Steffi Jerry Mammen
Abstract
Aim: To study medication errors in a multispecialty hospital of Pune Objectives: Identification and analyzing of medication errors during prescription, administration, indenting, & dispensing of drugs. Severity of medication errors analyzed by NCCMERP Methodology: It was conducted in a multispecialty hospital for 3 months dated from 10th Dec18-11th Mar 19. This study is an observational study which includes capturing of data by viewing every 3rd day admission IPD file for prescribing, administration, indenting, and dispensing errors. A pre-designed form was made for collection of these errors by auditing the IPD files in critical units and medical wards. The severity of medication errors was analyzed by using the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) proposed index for categorizing the medication errors. Result: A total of 203 IPD files were randomly taken and audited for medication errors. In that, 50.2%(102) patients showed about 157 medication errors. Out of which 94.9%(149) were actual errors and 5.09%(8) were potential errors. Prescribing errors were found to be 63.05% (99) followed by administration & indenting errors by nurses 22.2%(35) and dispensing & indenting errors by pharmacists 14.60%(23). In prescription error, incomplete prescription written by consultants 39.39%(39) were the most common error reported followed by administration errors, delay in administering stat medications 28.57%(10) was reported. Antimicrobials 76.4%(120) were the common drug class which had a huge number of medication errors. Most of the errors were under the NCCMERP index category B (Error, no harm). No incidence of category I (Error, death) was reported