Abstract

DEVELOPMENT OF STRATEGIES FOR REDUCING ADMINISTRATION AND TRANSCRIPTION ERRORS IN TERTIARY CARE HOSPITAL

Akshitha Reddy G., Priscilla NikhithaT., Noman Nahdi, Shambavi P., Asha Jyothi V.* and Venkateshwarlu Konuru

ABSTRACT

Introduction: Medication errors are the most common medical errors which occur because of inappropriate use of medication in each of medicine prescription stages for patients. Nurses and nursing students in hospitals are people that are directly related to giving drug to patients and that they are referred to as people could build the medication errors. Nurses use 40% of their time on the average in hospital for giving drugs to their patient‟s and there are 20,000 forms of medicines within the world that every one of them despite their therapeutic effects has complications and their own directions which need an expertise in accuracy in handling them. Methods: The study was a prospective, observational study which was conducted over a period of six months October 2019 to March 2020. The necessary information was collected from in-patient case sheets, treatment charts and nursing staff. The collected data was analyzed using (NCC MERP) taxonomy and assessed the types, frequency and factors responsible for medication administration and transcription errors. Results: During the study period, 252 errors were identified in which Administration errors are 134(53.17%) and Transcription errors are 118(46.82%). Types of errors observed were wrong frequency (29.76%), Omission error (19.44%), wrong strength (15.07%), and improper dose (11.11%). Majority of errors belongs to Category B (43.65%) followed by Category C (25.79%) and Category D (23.80%). Contributing factors responsible for errors are frequent interruptions and distractions (25.39%), staffing (22.22%), inexperienced personnel (12.3%) and lack of availability of health care professionals (12.3%). Human factors responsible for errors are Stress (30.95%), Knowledge deficit (21.03%), Recopying MAR (18.25%), Fatigue (15.47%) and Performance deficit (14.28%). Conclusion: By developing strategies and reducing the administration and transcriptions errors by giving suggestion to the health care professionals in order to prevent the error reaching the patient made a huge impact in patient care, which highlights the role of a clinical pharmacist in detection, evaluation and prevention of medication errors in a hospital.

Keywords: .