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    Medication incidents reported to an online incident reporting system.

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    Authors
    Alrwisan, Adel
    Ross, Jennifer
    Williams, David
    Affiliation
    The National Pharmacovigilance Centre, Saudi Food and Drug Authority, Riyadh, Saudi Arabia, aarwisan@sfda.gov.sa.
    Issue Date
    2011-01-15
    
    Metadata
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    Citation
    Medication incidents reported to an online incident reporting system. 2011:notEur J Clin Pharmacol
    Journal
    European journal of clinical pharmacology
    URI
    http://hdl.handle.net/10147/127687
    DOI
    10.1007/s00228-010-0986-z
    PubMed ID
    21240481
    Abstract
    AIMS: Approximately 20% of deaths from adverse events are related to medication incidents, costing the NHS an additional £500 million annually. Less than 5% of adverse events are reported. This study aims to assess the reporting rate of medication incidents in NHS facilities in the north east of Scotland, and to describe the types and outcomes of reported incidents among different services. Furthermore, we wished to quantify the proportion of reported incidents according to the reporters' profession. METHODS: A retrospective description was made of medication incidents reported to an online reporting system (DATIX) over a 46-month-period (July 2005 to April 2009). Reports originated from acute and community hospitals, mental health, and primary care facilities. RESULTS: Over the study period there were 2,666 incidents reported with a mean monthly reporting rate of 78.2/month (SD±16.9). 6.1% of all incidents resulted in harm, with insulin being the most commonly implicated medication. Nearly three-quarters (74.2%, n=1,978) of total incidents originated from acute hospitals. Administration incidents were implicated in the majority of the reported medication incidents (59%), followed by prescribing (10.8%) and dispensing (9.9%), while the nondescript "other medication incidents" accounted for 20.3% of total incidents. The majority of reports were made by nursing and midwifery staff (80%), with medical and dental professionals reporting the lowest number of incidents (n=56, 2%). CONCLUSIONS: The majority of medication incidents in this study were reported by nursing and midwifery staff, and were due to administration incidents. There is a clear need to elucidate the reasons for the limited contribution of the medical and dental professionals to reporting medication incidents.
    Item Type
    Article In Press
    ISSN
    1432-1041
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00228-010-0986-z
    Scopus Count
    Collections
    Beaumont Hospital

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