Patterns of Medication Errors Involving Older Adults Reported to the French Medication Error Guichet
| Autor: | Laure Thomas, Valérie Gras-Champel, Nadine Saleh, Delphine Allué, Patrick Maison, Christine Azar, Marie-Laure Laroche, Muriel Grau |
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| Přispěvatelé: | Epidemiology in Dermatology and Evaluation in Therapeutics (EpiDermE), Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), Hospices Civils de Lyon (HCL), Institut NeuroMyoGène (INMG), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), CHU Amiens-Picardie, Mécanismes physiopathologiques et conséquences des calcifications vasculaires - UR UPJV 7517 (MP3CV), Université de Picardie Jules Verne (UPJV)-CHU Amiens-Picardie, Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM), Ciblage individuel et prévention des risques de traitements immunosupresseurs et de la transplantation (IPPRITT), CHU Limoges-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Faculty of Public Health [Lebanese University] (FSP III), Lebanese University [Beirut] (LU) |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty Multivariate analysis animal structures Leadership and Management MEDLINE MESH: Medication Errors Psycholeptic Diabetes mellitus Antithrombotic medicine Humans Medication Errors Aged Retrospective Studies MESH: Aged MESH: Humans business.industry Public Health Environmental and Occupational Health Secondary data MESH: Retrospective Studies Odds ratio medicine.disease MESH: Hospitals Confidence interval Hospitals [SDV.SP.PHARMA]Life Sciences [q-bio]/Pharmaceutical sciences/Pharmacology business |
| Zdroj: | Journal of Patient Safety Journal of Patient Safety, Lippincott, Williams & Wilkins, 2022, 18 (2), pp.e514-e521. ⟨10.1097/PTS.0000000000000859⟩ |
| ISSN: | 1549-8425 1549-8417 |
| Popis: | Objectives The aims of the study were to describe medication errors (MEs) involving older adults reported to the French Medication Error Guichet and to compare them with MEs in younger adults, in each of the hospital and community settings. Methods Retrospective secondary data analysis of MEs reported throughout 2013 to 2017 was performed. Descriptive and multivariate analyses were performed to compare actual and potential ME reports between older adults (aged ≥60 y) and younger adults (aged ≥18, Results We analyzed 4979 reports. In older adults, both in hospital (n = 1329) and community (n = 1264) settings, antithrombotic agents were frequently reported in MEs and were significantly more likely to be associated with reported MEs in older adults compared with younger adults. In hospital setting, antibacterials for systemic use (adjusted odds ratio [aOR] = 1.87, 95% confidence interval [CI] = 1.19-2.93) and antineoplastic agents (aOR = 2.22, 95% CI = 1.34-3.69), whereas in community setting, psycholeptics (aOR = 1.43, 95% CI = 1.04-1.98) and drugs used in diabetes (aOR = 6.01, 95% CI = 3.21-11.2) were more likely to be associated with reported MEs in older adults. In both settings, wrong dose and wrong drug were the most frequently reported error types in older adults; however, wrong technique error type (aOR = 2.06, 95% CI = 1.30-3.28) in hospital setting and wrong patient (aOR = 2.17, 95% CI = 1.30-3.60) in community setting were more likely to be associated with reported MEs in older adults. Conclusions We identified specific ME patterns for older adults, including antithrombotic agents in both settings; antibacterials for systemic use, antineoplastic agents, and wrong technique in hospital setting; and psycholeptics, drugs used in diabetes, and wrong patient in community setting. These findings inform future studies investigating population-specific medication safety strategies. |
| Databáze: | OpenAIRE |
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