Pharmacoepidemiol Risk Manage.
2023 Mar;15(1):72-80. 10.56142/perm.23.0002.
Medications Commonly Involved in Medication Errors in Hospital: A CrossSectional Survey Study
- Affiliations
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- 1College of Pharmacy, Chungbuk National University, Cheongju, Korea
- 2College of Pharmacy, Seoul National University, Seoul, Korea
- 3Department of Surgery, Seoul National University Hospital, Seoul, Korea
- 4Quality and Patient Safety Center, Seoul National University Hospital, Seoul, Korea
- 5Drug Safety Monitoring Center, Seoul National University Hospital, Seoul, Korea
- 6Department of Pharmacy, Seoul National University Hospital, Seoul, Korea
- 7Department of Pharmacy, Seoul National University Bundang Hospital, Seongnam, Korea
- 8Department of Pharmacy, Chungnam National University Hospital, Daejeon, Korea
- 9Department of Pharmacy, Chungbuk National University Hospital, Cheongju, Korea
- 10College of Pharmacy, Yeungnam University, Gyeongsan, Korea
- KMID: 2544379
- DOI: http://doi.org/10.56142/perm.23.0002
Abstract
Objective
We aimed to identify medications commonly involved in dispensing and prescribing errors in hospitals, using a survey-based approach.
Methods
A cross-sectional questionnaire study was conducted by distributing questionnaires to representative pharmacists in charge of medication error reporting in 99 general or higher-level hospitals with 500 beds or more.
Results
Out of the 99 hospitals contacted, 38 hospital pharmacy departments (38.4%) responded. Most frequently reported medications involved in dispensing errors were total parenteral nutrition products (23.7% of respondents) followed by morphine (18.4%), lansoprazole (15.8%), and quetiapine (15.8%). Medications commonly involved in prescribing errors that were categorized as extremely or significant important included antineoplastic agents (platinumbased agents, fluorouracil, paclitaxel), systemic anti-infectives (vancomycin, levofloxacin), amiodarone, ketorolac, metoclopramide and dexamethasone.
Conclusion
The medications identified in this study as being frequently involved in hospital medication errors can be used as a reference when developing a high-alert medication list for hospitals in the acute care setting. (PeRM 2023;15:72-80)
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