Investigation on The Medication Errors Factors of Physicians Pharmacists and Nurses From a District Teaching Hospital in Hsinchu Country

Autor: Lin,Pi-Chuan, 林碧娟
Rok vydání: 2013
Druh dokumentu: 學位論文 ; thesis
Popis: 101
According to a U.S. investigation report on medical errors (To Err is Human), there are up to 44,000~98,000 deaths reported every year due to medical errors. Medication errors that result in inappropriate dosing are also one of the key factors that contribute to medical errors. Therefore, from 2008 to 2013, the patient safety objective and the primary objective of strategy implementation in Taiwan are to enhance medication safety. Hence, it is apparent that medication safety among patients is still the most concerned issue of the medical community. The purpose of this study was to investigate the cognition of physicians, pharmacists and nursing staff in a district teaching hospital in HsinChu County towards factors contributing to medication errors, in order to lower the incidence of medical errors in the hospital. This study investigated a district teaching hospital in HsinChu County. Factors contributing to medication errors reported in the hospital during the past year were summarized based on the definition of medication errors defined by Gennaro. All factors were categorized and used as the basis for designing a questionnaire that explores the awareness of physicians, pharmacists and nursing staff towards factors contributing to medication errors. Physicians, pharmacists and nursing staff in the investigated hospital were targets for the questionnaire. According to the study result, the major factors that contribute to medication errors were perceived among the interviewed pharmacists as “similar drug names”, “similar appearance” and “close to position”. The major factors that contribute to medication errors were perceived among the interviewed physicians as “failure to reduce the dosage for patients with impaired hepatic and renal function”, “interaction effect that results in overdose or subtherapeutic dose” and “drug-drug interaction that results in adverse reaction”. The major factors that contribute to medication errors were perceived among the interviewed nursing staff as “wrong medication”, “wrong patient” and “failure to notice incompatibilities of injections”.
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