Improving the Quality of Drug Error Reporting
Medications play an essential part in healthcare but can also be a significant leading cause of medical error and of adverse patient outcomes. Drug errors can occur in different ways like while prescribing, dispensing, or administering them to a patient. According to the article by Armitage, Newell, & Wright (2010), drug errors are a routine and constant problem in health care and are also linked with serious adverse events. In addition, most drug errors are preventable but yet cause hundreds of thousands of people injure or die each year in the United States (Mayo clinic, n.d.). In the article by Armitage, Newell, & Wright (2010), the reporting of drug errors should be used as an opportunity to …show more content…
Then, the reported form, which called incident report and was provided by the risk management department, had three parts. The first part was “circumstances”, a place, where the person who was first witness the drug error could freely document it. The second part was “underlying causes”, which would provide contributory factors associated with the drug error. The last part was “action to prevent recurrence”, which would provide preventive measures to avoid occurrence of another drug error. The second and last part were left to document by the unit manager without consulting the reporter. In this study, the sample was chosen randomly and consisted of 50 percent of all the reported errors within the two years. Then, the study was designed with a mixed method research to describe the development of a knowledge base for drug error reporting in an acute hospital, and a human error theory described the analysis of causation. In the qualitative research, the data was from the interview with the doctors, nurses, and pharmacists. They all were asking questions about how to improve the current strategy for reporting drug errors. In the quantitative research, a descriptive statistic method analyzed the data from the incident reports. Using Cohen’s weight Kappa, the category of drug errors, near misses, error types, and contributory causes from a random of 10 percent of all reports reviewed were co-rated (Armitage et al.,
Medications play an essential part in healthcare but can also be a significant leading cause of medical error and of adverse patient outcomes. Drug errors can occur in different ways like while prescribing, dispensing, or administering them to a patient. According to the article by Armitage, Newell, & Wright (2010), drug errors are a routine and constant problem in health care and are also linked with serious adverse events. In addition, most drug errors are preventable but yet cause hundreds of thousands of people injure or die each year in the United States (Mayo clinic, n.d.). In the article by Armitage, Newell, & Wright (2010), the reporting of drug errors should be used as an opportunity to …show more content…
Then, the reported form, which called incident report and was provided by the risk management department, had three parts. The first part was “circumstances”, a place, where the person who was first witness the drug error could freely document it. The second part was “underlying causes”, which would provide contributory factors associated with the drug error. The last part was “action to prevent recurrence”, which would provide preventive measures to avoid occurrence of another drug error. The second and last part were left to document by the unit manager without consulting the reporter. In this study, the sample was chosen randomly and consisted of 50 percent of all the reported errors within the two years. Then, the study was designed with a mixed method research to describe the development of a knowledge base for drug error reporting in an acute hospital, and a human error theory described the analysis of causation. In the qualitative research, the data was from the interview with the doctors, nurses, and pharmacists. They all were asking questions about how to improve the current strategy for reporting drug errors. In the quantitative research, a descriptive statistic method analyzed the data from the incident reports. Using Cohen’s weight Kappa, the category of drug errors, near misses, error types, and contributory causes from a random of 10 percent of all reports reviewed were co-rated (Armitage et al.,