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KMID : 1011320230150010072
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Journal of Pharmacoepidemiology and Risk Management
2023 Volume.15 No. 1 p.72 ~ p.80
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Medications Commonly Involved in Medication Errors in Hospital: A Cross-Sectional Survey Study
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Han Ji-Min
Heo Kyu-Nam
Lee Ah-Young
Min Sang-Il
Kim Hyun-Jee
Baek Jin-Hee
Roh Ju-Hyun
Kim Sue-In
Kim Ji-Yeon
Lee Hae-Won
Cho Eun-Ju
Lee Ju-Yeun
Ah Young-Mi
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Abstract
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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.
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KEYWORD
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Medication error, High alert medication, Parenteral nutrition, Antineoplastic agents, Anti-infective agents
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