Much discussed topic in healthcare ever since is patient safety.

There are many stratums to achieve patient safety and one of the most important is preventing medication errors.  What if patient came to know that the harm he is experiencing can be prevented, the economic burden of treatment he is facing can be reduced, or in serious case what if healthcare professional came to know that the patient can be saved. What are these events which were in hand of healthcare professionals and patients that can be prevented? Medication errors are avoidable incidents that may result in patient being harmed or using medications inappropriately. It can happen within the prescription, dispensing, administering, and monitoring phases of the medication journey. These errors can originate from a number of things, including poor communication, insufficient understanding, or system defects. Medication errors have an effect on healthcare systems and raise total costs in addition to having an impact on individual patients. The need for efficient methods to reduce these mistakes is critical as healthcare gets increasingly complicated.

Crucial actions include identifying the underlying reasons, putting strict safety procedures into place, and encouraging an environment of open communication and ongoing education. It is impossible to overestimate the importance of medication errors in hospital settings since they present major threats to patient safety, the standard of care, and operational effectiveness. Here are a few salient features of their importance. Adverse drug events, such as serious consequences or even death, can result from medication errors. These mistakes can cause long-term physical and psychological suffering and erode people’ faith in medical professionals. Medication errors are a reflection of systemic problems with the way healthcare is delivered, such as poor staff training, poor communication, or faulty procedures. Elevated medication errors rates may indicate more serious issues with a hospital’s patient safety and quality control procedures. Medication errors might result in significant expenses. They might result in longer hospital stays, more procedures, and more medical expenses, which would eventually put a burden on hospital finances and resources. Medication errors can lead to malpractice lawsuits, which raises the financial responsibilities of healthcare organizations and professionals.

They also bring up moral questions about the duty of healthcare providers to deliver safe and efficient treatment. Staff unhappiness and exhaustion may be exacerbated by frequent prescription errors. When faced with the repercussions of mistakes, healthcare workers may experience stress and discouragement, which can further feed a vicious cycle of mistakes. In light of these elements, preventing medication errors is essential to raising patient safety, boosting the standard of healthcare, and encouraging a continuous improvement culture in hospital environments.

Global statistics of medication errors

Medication errors are a significant global concern, with concerning statistics showing their impact and frequency. Medication errors are thought to happen in between 5% and 10% of hospital medicine administrations, according to numerous research and reports. In the United States alone, medication errors can result in over 1.5 million avoidable adverse drug events annually, according to the World Health Organization (WHO). The financial ramifications are enormous; estimates indicate that medication errors cost the American healthcare system over $21 billion a year in additional treatments and prolonged hospital stays. According to a 2017 WHO report, medication errors are a major problem in low- and middle-income nations as well as contributing to up to 50% of medication-related harm in high-income countries. According to research, prescription errors may cause thousands of lives per year; in the United States alone, some estimates place the number of deaths at about 7,000. These figures highlight how urgently better pharmaceutical safety procedures and initiatives are needed in all healthcare systems across the globe.

A multimodal strategy including patient education, technology, and healthcare personnel is needed to reduce prescription errors. Numerous research and reports emphasize the frequency and consequences of dispensing errors, which are a major concern in the healthcare industry. These are some important dispensing error statistics. It has been found that between 1% and 5% of all prescriptions are filled incorrectly. Higher rates have been reported in some studies, especially in busy pharmacy environments. Incorrect drug, dosage, or instructions account for a large percentage of dispensing errors. For instance, a study revealed that the incorrect medication was involved in about 60% of mistakes. Clear protocol, checklist during dispensing, automated dispensing system, barcode system, clear labels, patient education, Verification by Multiple Staff Members and Medication Reconciliation can prevent such types of errors.

Conclusion

Patient safety is seriously threatened by medication errors, which can result in unfavorable results and raise medical expenses. A multimodal strategy is needed to address these problems, including standardizing processes, utilizing technology, improving communication, and educating patients and healthcare professionals. Healthcare systems can reduce the number of medication errors and guarantee that patients receive safe and efficient care by promoting a culture of safety and continuous improvement. In the end, putting pharmaceutical safety first is crucial to improving healthcare quality and safeguarding each patient’s wellbeing.

References
  1. Bates DW, Slight SP, (2014), Medication Errors: What is there impact, Volume 89, Mayo Clinic Proceeding, pp 1027-1029.
  2. Rasool MF, Rehman AU, Imran et al, (2020) Risk Factors Associated With Medication Errors Among Patients Suffering From Chronic Disorders, Volume 8, Frontier in public health, pp 1-7.
  3. Ahmad Z. Al Meslamani (2023) Medication errors during a pandemic: what have we learnt? Volume 22:2, Expert Opinion on Drug Safety, PP 115-118
  4. Cheragi MA, Manoocheri H, Mohammadnejad E, Ehsani SR. (2013) Types and causes of medication errors from nurse’s viewpoint. Volume 18 Iranian J Nursing Midwifery Res : pp 228-31.
  5. Zaree TY, Nazari J, Jafarabaadi MA et al (2018), Impact of Psychosocial Factors on Occurrence of Medication Errors among Tehran Public Hospitals Nurses by Evaluating the Balance between Effort and Reward, Volume 9, Safety and Health at Work, pp-447-453.
  6. Carrie A, (2022), The 8 Most Common Root Causes Of Medical Errors, Always Culture.
  7. Salar A, Kiani F, Rezaee N (2020), preventing the medication errors in hospitals: A qualitative study, Volume 13, International Journal of Africa Nursing Sciences, pp 1-5
  8. Medication without Harm – Global Patient Safety Challenge on Medication Safety (2017). Geneva: World Health Organization, License: CC BY-NC-SA 3.0 IGO.
  9. Sheikh AS, Dhingra-Kumar N, Kelley E et al (2017), the third global patient safety challenge: tackling medication-related harm, Volume 95, Bull World Health Organ, pp 546-56A
  10. Medication Safety in Transitions of Care. Geneva: World Health Organization; 2019 (WHO/UHC/SDS/2019.9). License: CC BY-NC-SA 3.0 IGO

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