ArticleDrug, healthcare and patient safety2014
Frequency of medication errors in an emergency department of a large teaching hospital in southern Iran.
Article in Drug, healthcare and patient safety, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity.International journal of clinical pharmacy · 2024Pooled it
- Medication errors among Iranian emergency nurses: A systematic review.Epidemiology and health · 2020Pooled it
- Hospital errors and their consequences among healthcare professionals a: descriptive correlational investigation.Annals of medicine and surgery (2012) · 2025Article
- Medication Reconciliation of Patients by Pharmacist at the Time of Admission and Discharge from Adult Nephrology Wards.Pharmacy (Basel, Switzerland) · 2024Article
- Failure mode and effect analysis applied to improve the medication management process in a pharmacy of a teaching hospital and a proposal for a simplified rating system.European journal of hospital pharmacy : science and practice · 2023Article
- Occurrence and types of medication error and its associated factors in a reference teaching hospital in northeastern Iran: a retrospective study of medical records.BMC health services research · 2022Article
- Compliance with Antibiotics Prophylaxis Guideline in Surgical Patients in ICUs of a Teaching Referral Hospital.Health services insights · 2022Article
- The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems.Medicines (Basel, Switzerland) · 2021Review
- Factors Associated With Medication Errors at a Teaching Hospital in Malaysia.Hospital pharmacy · 2021Article
- Magnitude and associated factors of medication administration error among nurses working in Amhara Region Referral Hospitals, Northwest Ethiopia.Journal of drug assessment · 2020Article
- Prevalence and characteristics of medication errors at an emergency department of a teaching hospital in Malaysia.BMC health services research · 2020Article
- The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: a cross-sectional survey.BMC nursing · 2020Article
- Medication Administration Errors and Associated Factors Among Nurses.International journal of general medicine · 2020Article
- Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia.BMC nursing · 2020Article
- Evaluation of Medication Use Pattern Among Patients Presenting to the Emergency Department of Hiwot Fana Specialized University Hospital, Using WHO Prescribing Indicators.Frontiers in pharmacology · 2020Article
- An urban medical system's exploratory study of medication errors.Nursing open · 2019Article
- Adherence to American Heart Association and American College of Cardiology guidelines for exercise tolerance test in cardiovascular clinics.Journal of cardiovascular and thoracic research · 2019Article
- Evaluation of Faculty and Non-faculty Physicians' Medication Errors in Outpatients' Prescriptions in Shiraz, Iran.Iranian journal of pharmaceutical research : IJPR · 2018Article
- Proportion of medication error reporting and associated factors among nurses: a cross sectional study.BMC nursing · 2018Article
- Early rehospitalizations of frail elderly patients - the role of medications: a clinical, prospective, observational trial.Drug, healthcare and patient safety · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study was conducted with the purpose of determining the frequency of medication errors (MEs) occurring in tertiary care emergency department (ED) of a large academic hospital in Iran. The incidence of MEs was determined through the disguised direct observation method conducted by a trained observer. A total of 1,031 medication doses administered to 202 patients admitted to the tertiary care ED were observed over a course of 54 6-hour shifts. Following collection of the data and analysis of the errors with the assistance of a clinical pharmacist, frequency of errors in the different stages was reported and analyzed in SPSS-21 software. For the 202 patients and the 1,031 medication doses evaluated in the present study, 707 (68.5%) MEs were recorded in total. In other words, 3.5 errors per patient and almost 0.69 errors per medication are reported to have occurred, with the highest frequency of errors pertaining to cardiovascular (27.2%) and antimicrobial (23.6%) medications. The highest rate of errors occurred during the administration phase of the medication use process with a share of 37.6%, followed by errors of prescription and transcription with a share of 21.1% and 10% of errors, respectively. Omission (7.6%) and wrong time error (4.4%) were the most frequent administration errors. The less-experienced nurses (P=0.04), higher patient-to-nurse ratio (P=0.017), and the morning shifts (P=0.035) were positively related to administration errors. Administration errors marked the highest share of MEs occurring in the different medication use processes. Increasing the number of nurses and employing the more experienced of them in EDs can help reduce nursing errors. Addressing the shortcomings with further research should result in reduction of MEs in EDs.
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