Evaluation of Prescription Management in a Central Department District Hospital

Abstract

Introduction: A medication error is any avoidable event that may be related to professional practice, derived from misguided actions, which may affect health and that range from the time of prescription to the fulfillment of the medical order. Prescription errors are relevant, since, if they are not detected in time, they can mean harm or death to the patient. Objective: To evaluate outpatient prescriptions in the internal pharmacy of a district hospital between January and April 2017. Methodology: descriptive, retrospective observational study with simple random sampling. Data collection was performed by reviewing prescriptions prescribed to patients who go to the outpatient clinic, taking into account the indicators of the World Health Organization (WHO) for the use of drugs. Data were recorded in an Excel spreadsheet along with the parameters to be evaluated. Results: Out of the 3376 prescriptions analyzed, 1199 (35.5%) met all legal requirements, 2507 (74.3%) were written in legible letters, 3117 (92.3%) had the patient's diagnosis, 788 (53%) had specified the dose of the drug to be dispensed and 2672 (79.1%) had clarified the pharmaceutical form. Conclusion: Work should focus on detection, prevention and treatment of medication errors through the integration of a multidisciplinary team, standardization of medical prescription and implementation of electronic prescription in order to ease the medication prescription.

Author Biographies

Maria Fernanda Caballero, Hospital Distrital de Lambarè

Quìmica Farmacèutica. Hospital Distrital de Lambarè

Gloria Orrego, Hospital Distrital de Lambarè

Quìmica Farmacèutica. Hospital Distrital de Lambarè

Maria Gloria Domenech, Universidad Nacional de Asunción

Docente Investigadora, Departamento de Farmacia, Facultad de Ciencias Químicas, niversidad Nacional de Asunción, Paraguay.

Patricia Acosta, Universidad Nacional de Asunción

Facultad de Ciencias Químicas, Universidad Nacional de Asunción, Paraguay.

Zully Vera, Universidad Nacional de Asunción

Docente Investigadora, Departamento de Farmacia, Facultad de Ciencias Químicas, Universidad Nacional de Asunción, Paraguay.

Gladys Beatriz Lugo, Universidad Nacional de Asunción

Docente Investigadora. Departamento de Farmacia, Facultad de Ciencias Químicas, Universidad Nacional de Asunción, Paraguay.

Gladys Mabel Maidana, Universidad Nacional de Asunción

Docente Investigadora, Departamento de Farmacia, Facultad de Ciencias Químicas, Universidad Nacional de Asunción, Paraguay.

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Author Biographies

Maria Fernanda Caballero, Hospital Distrital de Lambarè

Quìmica Farmacèutica. Hospital Distrital de Lambarè

Gloria Orrego, Hospital Distrital de Lambarè

Quìmica Farmacèutica. Hospital Distrital de Lambarè

Maria Gloria Domenech, Universidad Nacional de Asunción

Docente Investigadora, Departamento de Farmacia, Facultad de Ciencias Químicas, niversidad Nacional de Asunción, Paraguay.

Patricia Acosta, Universidad Nacional de Asunción

Facultad de Ciencias Químicas, Universidad Nacional de Asunción, Paraguay.

Zully Vera, Universidad Nacional de Asunción

Docente Investigadora, Departamento de Farmacia, Facultad de Ciencias Químicas, Universidad Nacional de Asunción, Paraguay.

Gladys Beatriz Lugo, Universidad Nacional de Asunción

Docente Investigadora. Departamento de Farmacia, Facultad de Ciencias Químicas, Universidad Nacional de Asunción, Paraguay.

Gladys Mabel Maidana, Universidad Nacional de Asunción

Docente Investigadora, Departamento de Farmacia, Facultad de Ciencias Químicas, Universidad Nacional de Asunción, Paraguay.

References

Kohn L. Why do errors happen? En: Kohn LT, Corrigan JM, Donaldson MS, Editors, Committee on Quality of Health Care in America, To Err is Human: building a safer health system. Washington D.C, United States: National Academy Press 2000: 49-68.

Adubofour K, Keenan C, Daftary A, Mensah-Adubofour J, Dachman W. Strategies to reduce medication errors in ambulatory practice. J Natl Med Assoc 2004; 96 (12): 1558-64.

Otero López MJ. El Papel del farmacéutico en la gestión de la seguridad de los medicamentos diez años después de la publicación del informe "Errar es humano". Farmacia hospitalaria 2010; 34: 159-62.

https://doi.org/10.1016/j.farma.2010.05.001

Otero M. La gestión de riesgos en la prevención de los errores de medicación. En: Sociedad Española de Farmacia Hospitalaria, Curso de formación continuada en farmacoterapia de la SEFH. Madrid, España: Aran Ediciones; 2007. p 111-51.

Aronson J. Medications errors: definitions and classification. Br J Clin Pharmacol 2009; 67 (6): 599-604.

https://doi.org/10.1111/j.1365-2125.2009.03415.x

Cheung K, Bouvy M, De Smet P. Medications errors: the importance of safe dispensing. Br J Clin Pharmacol 2009; 67 (6): 676-80.

https://doi.org/10.1111/j.1365-2125.2009.03428.x

Knudsen P, Herborg H, Mortensen A, Knudsen M, Hellebek A. Preventing medication errors in community pharmacy: frequency and seriousness of medication errors. Qual Saf Health Care 2007; 16: 291-6.

https://doi.org/10.1136/qshc.2006.018770

Pastó Cardona L, Masuet Aumatell C, Bara Oliván B, Castro-Cels C, Clopés EA, Páez Vives F, et al. Estudio de incidencia de los errores de medicación en los procesos de utilización del medicamento: prescripción, trascripción, validación, preparación, dispensación y administración en el ámbito hospitalario. Farmacia Hospitalaria 2009; 33 (5): 257-68.

https://doi.org/10.1016/S1130-6343(09)72465-1

Berdot S, Sabatier B, Guillaizeau F, Caruba T, Prognon P. Durieux P. Evaluation of drug administration errors in a teaching hospital. BMC Health Serv Res 2012; 12 (60): 1-8.

https://doi.org/10.1186/1472-6963-12-60

Dos Santos L, Winkler N, Dos Santos M, Martinbiancho J. Description of medication errors detected at a drug information centre in Southern Brazil. Pharmacy Practice 2015; 1: 524.

https://doi.org/10.18549/PharmPract.2015.01.524

Tully M. Prescribing errors in hospital practice. Br J Clin Pharmacol 2012; 74 (4): 668-75.

https://doi.org/10.1111/j.1365-2125.2012.04313.x

Keers R. Williams S. Vattakatuchery J. Brown P. Miller J. Prescott L. Ashcroft D. Prevalence, nature and predictors of prescribing errors in mental health hospitals: a prospective multicentre study. British Medical Journal 2014; 4.

https://doi.org/10.1136/bmjopen-2014-006084

Ryan C, Ross S, Davey P, Duncan E, Francis J, Fielding S, et al. Prevalence and Causes of Prescribing Errors: The PR escribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) Study. Plos One 2014; 3: 9 (1)

https://doi.org/10.1371/journal.pone.0079802

Lee B, Lehmann C, Jackson E, Kost-Byerly S, Rothman S, Kozlowski L, et al. Assessing Controlled Substance Prescribing Errors in a Pediatric Teaching Hospital: An Analysis of the Safety of Analgesic Prescription Practice in the Transition From the Hospital to Home. The Journal of Pain 2009; 10 (2): 160-6.

https://doi.org/10.1016/j.jpain.2008.08.004

Graciano M, Borges M, Dean B, Moreira A, Anchieta L, Mota J. Concomitant prescribing and dispensing errors at a Brazilian hospital: a descriptive study. Clinics 2011; 66 (10): 1691-7

Díaz-Carrasco M, Pareja A, Yachachi A, Cortés F, Espuny A. Prescription errors in chemotherapy. Farmacia Hospitalaria 2007; 31 (3): 161-4

https://doi.org/10.1016/S1130-6343(07)75364-3

Velo G, Minuz P. Medication errors: prescribing faults and prescription errors. Br J Clin Pharmacol. 2009; 67:624-8.

https://doi.org/10.1111/j.1365-2125.2009.03425.x

Otero MJ, Martín R, Robles D, Codina C. Errores de medicación. En: Bonal Falgas J, Dominguez-Gil H, Gamundi Planas MC, editores. Farmacia Hospitalria. Madrid:SCM SL (Doyma);2002. P.713-47.

Bates K, Beddy D, Whirisky C, Murphy M, O'Mahony JB, Mealy K. Determining the frequency of prescription errors in an Irish hospital. Ir J Med Sci.2010;179:29-34.

https://doi.org/10.1007/s11845-010-0474-6

Pinedo Y, Romero JV, Merino FN. Cumplimiento de buenas prácticas de prescripción en pacientes hospitalizados. Interciencia RCCI. 2014;5(1):26-30.

Chen Y. Neil K. Avery A. Dewey M. Johnson C. Prescribing error and other problems reported by community pharmacists. Ther Clin Risk Manag 2005; 1 (4): 333-42.

Azevedo T, Perini E, Borges M, Comini C. Drug-dispensing errors in the hospital pharmacy. Clinics 2007; 62 (3): 243-50.

https://doi.org/10.1590/S1807-59322007000300007

Beso A, Franklin B, Barber N. The frequency and potential causes of dispensing errors in a hospital pharmacy. Pharm World Sci 2005; 27: 182-90.

https://doi.org/10.1007/s11096-004-2270-8

Maidana GM, Lugo GB, Vera Z, Pérez S, Mastroianni PC. Evaluación de un programa de Atención Farmacéutica en pacientes con Diabetes Mellitus Tipo 2. Pharm Care Esp. 2016; 18(1): 3-15.

How to Cite
Caballero, M. F., Orrego, G., Domenech, M. G., Acosta, P., Vera, Z., Lugo, G. B., & Maidana, G. M. (2019). Evaluation of Prescription Management in a Central Department District Hospital. Revista Med, 26(2), 29–35. https://doi.org/10.18359/rmed.3602
Published
2019-12-23
Section
Artículos

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