Alharaibi, MA and Alhifany, AA and Asiri, YA and Alwhaibi, MM and Ali, S and Jaganathan, PP and Alhawassi, TM, Prescribing errors among adult patients in a large tertiary care system in Saudi Arabia, Annals of Saudi Medicine, 41, (3) pp. 147-156. ISSN 0256-4947 (2021) [Refereed Article]
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Copyright © 2021, Annals of Saudi Medicine, Saudi Arabia. This is an open access article under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) License. The details of which can be accessed at http://creativecommons.org/licenses/by-nc-nd/4.0/
Background: Multiple studies have investigated medication errors in hospitals in Saudi Arabia; however, prevalence data on prescribing errors and associated factors remains uncertain.
Objective: Assess the prevalence, type, severity, and factors associated with prescribing errors.
Design: Retrospective database review.
Setting: Large tertiary care setting in Riyadh.
Patients and methods: We described and analyzed data related to prescribing errors in adults (>14 years of age) from the Medication Error Electronic Report Forms database for the two-year period from January 2017 to December 2018.
Main outcome measure: The prevalence of prescribing errors and associated factors among adult patients.
Sample size: 315 166 prescriptions screened.
Results: Of the total number of inpatient and outpatient prescriptions screened, 4934 prescribing errors were identified for a prevalence of 1.56%. The most prevalent types of prescribing errors were improper dose (n=1516; 30.7%) and frequency (n=987; 20.0%). Two-thirds of prescribing errors did not cause any harm to patients. Most prescribing errors were made by medical residents (n=2577; 52%) followed by specialists (n=1629; 33%). Prescribing errors were associated with a lack of documenting clinical information (adjusted odds ratio: 14.1; 95% CI 7.7-16.8, P<.001) and prescribing anti-infective medications (adjusted odds ratio 2.9; 95% CI 1.3-5.7, P<.01).
Conclusion: Inadequate documentation in electronic health records and prescribing of anti-infective medications were the most common factors for predicting prescribing errors. Future studies should focus on testing innovative measures to control these factors and their impact on minimizing prescribing errors.
|Item Type:||Refereed Article|
|Research Division:||Biomedical and Clinical Sciences|
|Research Group:||Pharmacology and pharmaceutical sciences|
|Research Field:||Clinical pharmacy and pharmacy practice|
|Objective Group:||Human pharmaceutical products|
|Objective Field:||Human pharmaceutical treatments|
|UTAS Author:||Ali, S (Mr Sheraz Ali)|
|Web of Science® Times Cited:||1|
|Downloads:||13 View Download Statistics|
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