Abstract:
:The aim of this paper is to describe the first 2 years of operation of an electronic system for reporting medication events in psychiatry (Medi-Event system). We have carried out a descriptive analysis of all medication events (errors, near misses and adverse drug reactions) reported between 1 March 2008 and 28 February 2010 at a large, specialist UK psychiatric hospital. A total of 406 medication errors, 40 near misses and no adverse drug reactions were reported in the study period, representing a very large increase in reporting frequency with respect to the previous paper system. The majority (88.8%) of incidents were medication administration errors. The most common error types were failure to sign for a drug and omission of a drug without valid clinical reason. Although most errors were of minor severity, 6.3% were rated as moderate or serious. Distraction was cited as the most common contributory factor, also poor communication and being unfamiliar with the ward. In conclusion, use of the Medi-Event system increased the reporting of medication errors. Analysis of the pattern of errors, as well as of contributory factors and suggestions for error prevention, may help reduce the frequency of medication events and hence improve patient care.
journal_name
J Psychiatr Ment Health Nursjournal_title
Journal of psychiatric and mental health nursingauthors
Haw C,Cahill Cdoi
10.1111/j.1365-2850.2010.01664.xsubject
Has Abstractpub_date
2011-05-01 00:00:00pages
308-15issue
4eissn
1351-0126issn
1365-2850journal_volume
18pub_type
杂志文章abstract::This paper presents part of a larger Grounded Theory study, which was designed to capture a sample of people's perceptions of living with or, caring for, individuals with depression. Data were collected from a focus group consisting of people with depression (n = 7). In-depth one-to-one interviews were undertaken with...
journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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journal_title:Journal of psychiatric and mental health nursing
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