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ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2020

Incidence of Medication Error in Critical Care Unit of a Tertiary Care Hospital: Where Do We Stand?

Kapil G Zirpe, Bhavika Seta, Sharvari Gholap, Khadija Aurangabadi, Sushma K Gurav, Abhijeet M Deshmukh, Prajkta Wankhede, Prasad Suryawanshi, Swapna Vasanth, Mariamma Kurian and 3 more

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Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

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0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Review
  2. Article
  3. Development and Validation of Indian Children Length-based Tape (InChiTape) for Use in Critically Sick Children.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  4. Article
  5. Epidemiology of Medication Errors in Indian Hospital Settings: A Systematic Literature Review.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  6. Medication Errors in Critical Care.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Are "High-alert Medication" Used Safely in Intensive Care Units?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  13. Assessment of Medication Safety Incidents Associated with High-alert Medication Use in Intensive Care Setting: A Clinical Pharmacist Approach.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kapil G ZirpeNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Bhavika SetaNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Sharvari GholapNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Khadija AurangabadiNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Sushma K GuravNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Abhijeet M DeshmukhNeuro Trauma Stroke Unit, Grant Medical Foundation's Ruby Hall Clinic, Pune, Maharashtra, India.
Prajkta WankhedeNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Prasad SuryawanshiNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Swapna VasanthNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Mariamma KurianNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Elizabeth PhilipNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Nirmala JagtapNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Esther PanditNeuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedication error in developed countries is of primary concern when there is a question of adversity to a patient's health, but in developing countries like India, it is just a term and its significance is undervalued. The incidence of medication error is essential to estimate the proper medical care provided in the healthcare system.

objectiveThe main objective of the study is to determine the incidences of medication error in critical care unit and to evaluate its risk outcomes. MATERIALS AND

methodsThis is a prospective observational study conducted over a period of 6 months in a critical care unit of a tertiary care hospital. Medication chart review method was opted for data collection. The medication errors were mainly classified as prescription, transcription, indenting, dispensing, and administration error. A total of 6,705 charts were reviewed. The NCCMERP risk index was used to evaluate the outcome of errors.

resultsOf the total 6,705 charts, 410 medication errors were found, i.e., 6.11%. The most common error is transcription error that constitutes 44.1% of the total errors, followed by prescription error 40%, and administration error 14%. The frequency of indenting and dispensing errors is negligible with 1.5% and 0.5%, respectively. The main causes of medication errors are due to incomplete prescription 50.2% and wrong doses 22.9%. In drug class, antibiotics and antihypertensive agents are most prone to medication error. About 87.1% errors belonged to the Category B of National Coordinating Council for Medication Error Reporting and Prevention risk index.

conclusionMajority of the errors are transcription errors followed by prescription and administration errors. Consultant doctors have to be more vigilant during prescribing and verifying the medication charts. Clinical pharmacists should act as a checkpoint at each step of medication process to identify and prevent medication errors. HOW TO CITE THIS ARTICLE: Zirpe KG, Seta B, Gholap S, Aurangabadi K, Gurav SK, Deshmukh AM,

Indexed as

Intensive careLegal issuesMedication errorRisk factor

Identifiers

PMID33132563
PMCPMC7584841

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.