Medication Error (ME) in the Pediatrics Service of the University Teaching Hospital (CHU) of Bouaké (Côte d’Ivoire)

Autor: Kouassi Christian Yao, Mocket Adolphe Ehouman, Richard Azagoh-Kouadio, Christelle Avi, Kossonou Roland Yeboua, Koko Aude Aka-Tanoh, Kouadio Vincent Asse, Kouie Jeannot Plo
Rok vydání: 2018
Předmět:
Zdroj: Open Journal of Pediatrics. :141-153
ISSN: 2160-8776
2160-8741
Popis: Introduction: Medication error (ME) is a common cause of childhood morbidity and mortality reported in developed countries. It has not yet been described in the pediatric services in Cote d’Ivoire. Objective: To evaluate ME in pediatrics for the improvement of professional practice. Materials and Methods: This was a cross-sectional, descriptive and analytical study conducted in the service of pediatrics at the University Teaching Hospital (CHU) of Bouake from January 11 to February 25, 2016. It involved 204 children hospitalized and treated with drugs. The variables studied were the prescription, dispensing and administration of the drugs. Results: A total of 483 prescriptions notes were recorded for 733 therapeutic lines, i.e. 2.3 prescriptions notes and 3.6 lines per child. The overall prevalence of ME was 31% (prescription 83%, dispensing 0%, administration 11%). The prescription error concerned the illegible writing (20%), the omission of the stamp & signature (47%), the omission of the date (33%), weight (66%), age (25%) and name of the child (9%).The drug name and the dosage were incorrect in 99% and 1% respectively. Regarding the administration error, care was provided by a person without a nursing qualification in 65.5% of cases. On the patient’s care record, the care giver’s name was omitted in 100%, the child’s name in 57% and the date in 47%. The route of administration and the administered dose were each incorrect in 5%. The student nurses and assistant nurse caregivers committed more prescription errors than doctors and nurses and midwives (p= 0,000 X2 = 44.91). Administration error was not significantly related to the service, the socio-professional category, the gender and the age of the patient. Conclusion: EM is common in pediatrics at the University Teaching Hospital (CHU) of Bouake. To prevent it, it is necessary to strengthen the staff’s capacity to prescribe and administer the drug in children.
Databáze: OpenAIRE