Detection and Prevention of Medication Errors by the Network of Sentinel Pharmacies in a Southern European Region

A medication error (ME) is a drug-related problem that has been recognized as a common and serious threat to patient safety. The aim of this study was to detect and analyze ME reports occurring throughout the therapeutic process through the community's pharmacies in order to improve the efficac...

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Detalhes bibliográficos
Autores: Jambrina, Anna M.|||0000-0001-8030-4386, Santomà, Àlex, Rocher, Andrea, Rams, Neus, Cereza García, Gloria|||0000-0002-0328-100X, Rius, Pilar, Gironès, Montserrat, Pareja, Clara, Franch, Àngels|||0000-0002-2362-1374, Rabanal, Manel|||0000-0002-9458-1322
Formato: artículo
Fecha de publicación:2022
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:281704
Acesso em linha:https://ddd.uab.cat/record/281704
https://dx.doi.org/urn:doi:10.3390/jcm12010194
Access Level:acceso abierto
Palavra-chave:Adverse drug reaction (ADR)
Community pharmacies
Drug-related problems
Health services administration
Medication error
Medication safety
Pharmacoepidemiology
Descrição
Resumo:A medication error (ME) is a drug-related problem that has been recognized as a common and serious threat to patient safety. The aim of this study was to detect and analyze ME reports occurring throughout the therapeutic process through the community's pharmacies in order to improve the efficacy and safety of medications and contribute to the prevention of future MEs. This was a three-year descriptive, observational, and prospective study to detect and analyze the different MEs reported by the Catalan sentinel pharmacies network (Catalan SePhaNet). In total, 1394 notifications of MEs were reported (an incidence rate of 737.34 cases/100,000 inhabitants). MEs were detected more frequently in primary care centers. Most of the MEs reported were caused by an incorrect, incomplete, illegible, or verbal medical prescription (41.3%). Of the global notifications detected, 71.9% did not reach the patient (categories A and B). The drugs most frequently implicated in the reported ME cases were beta-lactam antibiotics. In 6.0% of the cases, the ME caused injury to the patient (categories E and F). In 72.0% of the global notifications, a pharmacist's intervention avoided the ME. The importance of a community pharmacy and the role of a pharmacist were demonstrated in aspects related to patient and drug safety.