Authors :
Simran Rai; Shakshi Ghangola; Tathastu Sharma; Pooja Bidhlan
Volume/Issue :
Volume 10 - 2025, Issue 4 - April
Google Scholar :
https://tinyurl.com/32xv7n94
Scribd :
https://tinyurl.com/kwv3jm38
DOI :
https://doi.org/10.38124/ijisrt/25apr042
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Abstract :
Medication errors pose a significant challenge in healthcare, potentially leading to harmful consequences,
increased hospital stays, and rising medical costs. Such errors encompass any avoidable incidents arising from improper
medication administration or patient harm during care provided by healthcare practitioners, patients, or caregivers.
Medication errors can occur at any stage of the medication process, including prescribing, dispensing, administering,
transcribing, and monitoring. Pharmacists, alongside doctors, nurses, and administrators, play a crucial role in evaluating
and improving the healthcare system to ensure patient safety. These errors contribute to increased illness rates, higher
healthcare costs, and a decline in patients' trust in the healthcare system.This article reviews the literature on medication
errors, their types, causes, and prevention approaches. The main contributing aspects to medication errors include patient-
related aspects, healthcare provider-related aspects, and system related aspects. Understanding the different kinds and
causes of medication errors is key to develop effective prevention strategies to decrease the medication error rates. Countries
like India, which are developing rapidly, urgently need to implement specialized training programs to enhance the
prescribing skills and knowledge of healthcare providers, while also promoting the advancement of nurses' drug
administration practices. Several strategies for preventing medication errors have been identified, and their effective
application can significantly enhance healthcare services. This review article aims to emphasize the critical role of healthcare
professionals, identify the different types and causes of medication errors, and discuss effective strategies for their
prevention.
Keywords :
Medication Errors, Types of Errors, Causes of Error, Preventive Strategies.
References :
- Dean, B., Barber, N., & Schachter, M. (2000). What is a prescribing error? BMJ Quality & Safety, 9(4), 232-237. https://doi.org/10.1136/qhc.9.4.232
- Tully, M. P., & Buchan, I. E. (2009). Prescribing errors during hospital inpatient care: Factors influencing identification by pharmacists. Pharmacoepidemiology and Drug Safety, 31(6), 682.. Pharmacoepidemiology and Drug Safety, 31(6), 682.
- 3 Shrestha, R., & Prajapati, S. (2019). Assessment of prescription pattern and prescription error in outpatient department at tertiary care district hospital, Central Nepal. Journal of Pharmaceutical Policy and Practice, 12(1), 1-9. https://doi.org/10.1186/s40545-019-0176-1
- Thomas, T., et al. (2011). An observational study to evaluate the factors which influence the dispensing errors in the hospital pharmacy of a tertiary care hospital. Journal of Clinical and Diagnostic Research, 5(6), 1214-1218. https://doi.org/10.7860/JCDR/2011/3044.1711
- Maharaj, S., et al. (2020). Identifying dispensing errors in pharmacies in a medical science school in Trinidad and Tobago. Journal of Pharmaceutical Policy and Practice, 13(1), 1-8. https://doi.org/10.1186/s40545-020-00237-2
- Zed, P. J., Abu-Laban, R. B., Balen, R. M., Loewen, P. S., Hohl, C. M., Brubacher, J. R., Wilbur, K., Wiens, M. O., Samoy, L. J., Lacaria, K., et al. (2008). Incidence, severity, and preventability of medication-related visits to the emergency department: A prospective study. Canadian Medical Association Journal, 178(12), 1563–1569. https://doi.org/10.1503/cmaj.071594
- Williams, D. J. P. (2007). Medication errors. Journal of the Royal College of Physicians of Edinburgh, 37(4), 343.
- Alldred, D. P., Standage, C., Zermansky, A. G., Jesson, B., Savage, I., Franklin, B. D., Barber, N., & Raynor, D. K. (2008). Development and validation of criteria to identify medication-monitoring errors in care home residents. International Journal of Pharmacy Practice, 16(5), 317-323. https://doi.org/10.1211/ijpp.16.5.0004
- Gandhi, T. K., Weingart, S. N., Borus, J., Seger, A. C., Peterson, J., Burdick, E., Seger, D. L., Shu, K., Federico, F., Leape, L. L., & Bates, D. W. (2003). Adverse drug events in ambulatory care. New England Journal of Medicine, 348(16), 1556-1564. https://doi.org/10.1056/NEJMsa022622
- Bourgeois, F. T., Shannon, M. W., Valim, C., & Mandl, K. D. (2010). Adverse drug events in the outpatient setting: An 11-year national analysis. Pharmacoepidemiology and Drug Safety, 19(9), 901-910. https://doi.org/10.1002/pds.1971
- Guthrie, B., McCowan, C., Davey, P., Simpson, C. R., Dreischulte, T., & Barnett, K. (2011). High risk prescribing in primary care patients particularly vulnerable to adverse drug events: Cross-sectional population database analysis in Scottish general practice. BMJ, 342, d3514. https://doi.org/10.1136/bmj.d3514
- Ferner, R. E., & Aronson, J. K. (1999). Errors in prescribing, preparing, and giving medicines – Definition, classification, and prevention. In J. K. Aronson (Ed.), Side Effects of Drugs, Annual (22nd ed., pp. xxiii–xxxvi). Elsevier.
- Cheung, K., Bouvy, M. L., & De Smet, P. A. G. M. (2009). Medication errors: The importance of safe dispensing. British Journal of Clinical Pharmacology, 67(6), 676–680. https://doi.org/10.1111/j.1365-2125.2009.03428.x
- McBride-Henry, K., & Foureur, M. (2006). Aust J Adv Nurs, 23(3), 33-41.
- Headford, C., McGowan, S., & Clifford, R. (2001). Analysis of medication incidents and development of a medication incident rate clinical indicator. Collegian, 8(3), 26–31. https://doi.org/10.1016/s1322-7696(08)60019-0
- Tissot, E., Comette, C., Limat, S., Mourand, J., Becker, M., Etievent, J., Dupond, J., Lacquet, M., & Woronoff-Lemsi, M. (2003). Pharmacy World Science, 25(6), 264–268. https://doi.org/10.1023/B:PHAR.0000006519.44483.a0
- Schneider, M. P., Cotting, J., & Pannatier, A. (1998). Pharmacy World Science, 20(4), 178–182. https://doi.org/10.1023/A:1012087727393
- `18. Campbell, D. A., Jr., & Thompson, M. (2007). Patient safety rounds: Description of an inexpensive but important strategy to improve the safety culture. American Journal of Medical Quality, 22(1), 26–33. https://doi.org/10.1177/1062860606295619
- Kachhadiya, R., Kumar, A., & Bhatia, R. K. (2009). International Journal of Pharmaceutical Research, 1(3), 21-34.
- Disease Management and Quality Improvement Report. (2001). Medication error reduction: Improving the process all the way from the factory to the point of care. Disease Management and Quality Improvement Report, 10, 1-9.
- Bates, D. W., Cohen, M., Leape, L. L., Overhage, M., Shabot, M. M., & Sheridan, T. (2001). The impact of computerized physician order entry on medication error prevention. Journal of the American Medical Informatics Association, 8(4), 299–308. http://jamia.bmj.com/content/8/4/299.full.pdf+htm
- Institute of Medicine. (2006). Preventing medication errors: Advising the nation, improving health. The National Academies Press. https://doi.org/10.17226/11623
- Leape, L. L., Lawthers, A. G., Brennan, T. A., & Johnson, W. G. (1993). Preventing medical injury. QRB - Quality Review Bulletin, 19(5), 144–149. https://doi.org/10.1016/s0097-5990(16)30608-x
- Velo, G. P., & Minuz, P. (2009). Medication errors: Prescribing faults and prescription errors. British Journal of Clinical Pharmacology, 67(6), 624–628. https://doi.org/10.1111/j.1365-2125.2009.03425.x
- Jha, A. K., Kuperman, G. J., Teich, J. M., Leape, L., Shea, B., Rittenberg, E., Burdick, E., Seger, D. L., Vander Vliet, M., & Bates, D. W. (1998). The use of computerized physician order entry systems in preventing medication errors in hospitals. Journal of the American Medical Informatics Association, 5(3), 305–314. https://doi.org/10.1136/jamia.1998.0050305
- Coelho, F., Furtado, L., Mendonça, N., Soares, H., Duarte, H., Costeira, C., Santos, C., & Sousa, J. P. (2024). Predisposing factors to medication errors by nurses and prevention strategies: A scoping review of recent literature. Nursing Reports, 14, 1553–1569. https://doi.org/10.3390/nursrep14030117
- Gleeson, L., Dalton, K., O'Mahony, D., & Byrne, S. (2020). Interventions to improve reporting of medication errors in hospitals: A systematic review and narrative synthesis. Research in Social and Administrative Pharmacy, 16(8), 1017-1025. https://doi.org/10.1016/j.sapharm.2019.10.007
28. Priscila Anesha, V., Shidqiyyah, D., Mustapha Kamal Basha, M. A., et al. (2023, July 27). A systematic review of knowledge, attitude, practice and the associated factors of medication error among registered nurses. PREPRINT (Version 1). Research Square. https://doi.org/10.21203/rs.3.rs-3184502
Medication errors pose a significant challenge in healthcare, potentially leading to harmful consequences,
increased hospital stays, and rising medical costs. Such errors encompass any avoidable incidents arising from improper
medication administration or patient harm during care provided by healthcare practitioners, patients, or caregivers.
Medication errors can occur at any stage of the medication process, including prescribing, dispensing, administering,
transcribing, and monitoring. Pharmacists, alongside doctors, nurses, and administrators, play a crucial role in evaluating
and improving the healthcare system to ensure patient safety. These errors contribute to increased illness rates, higher
healthcare costs, and a decline in patients' trust in the healthcare system.This article reviews the literature on medication
errors, their types, causes, and prevention approaches. The main contributing aspects to medication errors include patient-
related aspects, healthcare provider-related aspects, and system related aspects. Understanding the different kinds and
causes of medication errors is key to develop effective prevention strategies to decrease the medication error rates. Countries
like India, which are developing rapidly, urgently need to implement specialized training programs to enhance the
prescribing skills and knowledge of healthcare providers, while also promoting the advancement of nurses' drug
administration practices. Several strategies for preventing medication errors have been identified, and their effective
application can significantly enhance healthcare services. This review article aims to emphasize the critical role of healthcare
professionals, identify the different types and causes of medication errors, and discuss effective strategies for their
prevention.
Keywords :
Medication Errors, Types of Errors, Causes of Error, Preventive Strategies.