Clinical Pharmacist's Role in Medication Error Detection and Management
Asian Journal of Medical Principles and Clinical Practice,
Page 11-20
Abstract
Medication errors (MEs) are a significant issue that can jeopardize treatment quality and patient safety while also instilling distrust in the system, organization, and experts' work. MEs are a complicated problem. They can arise at any point throughout the medication development process and are linked to a variety of healthcare professionals. Medication errors are a serious medical problem. However, the language connected with these beliefs may be puzzling even at the most basic level, and the influence on individuals and communities is sometimes understated.
When an error is detected, patients want immediate disclosure, in-person disclosure, an apology, and a discussion of steps to prevent future problems. Learning more about drug mistakes may help health care workers give their patients with safer therapy.
Keywords:
- Medication Error (M.E.)
- patient safety
- clinical pharmacist
How to Cite
Sharma, K. K., Jain, A., Tyagi, S. S., Goel, Y., Sebu, ., & Mittal, P. (2022). Clinical Pharmacist’s Role in Medication Error Detection and Management. Asian Journal of Medical Principles and Clinical Practice, 5(4), 11-20. Retrieved from https://journalajmpcp.com/index.php/AJMPCP/article/view/30199
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Ali MAS, Khedr EMH, Ahmed FAH, Mohamed NNE. Clinical pharmacist interventions in managing drug-related problems in hospitalized patients with neurological diseases. Int J Clin Pharm [Internet]. 2018;40(5):1257–64.
Shekelle PG, Wachter RM, Pronovost PJ, Schoelles K, McDonald KM, Dy SM, et al. Making health care safer II: an updated critical analysis of the evidence for patient safety practices. Evid Rep Technol Assess (Full Rep). 2013;(211):1–945.
World Health Organization. WHO launches global effort to halve medication-related errors in 5 years; 2017b.
https ://www.who.int/news-room/detai l/29-03-2017-who-launc hes-global-effortto-halve-medic ation-relat ed-errors-in-5-years, August 22; 2019.
National Coordinating Council for Medical Error Reporting and Prevention, NCCMERP; 2012.
Bates DW, Boyle DL, Vander Vliet MB, Schneider J, Leape L. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995; 10(4):199–205.
Cohen MR, Smetzer JL. ISMP medication error report analysis. Hosp Pharm. 2018; 53(4):217–9.
Nuckols TK, Smith-Spangler C, Morton SC, Asch SM, Patel VM, Anderson LJ, et al. The effectiveness of computerized order entry at reducing preventable adverse drug events and medication errors in hospital settings: a systematic review and meta-analysis. Syst Rev. 2014;3(1): 56.
Neal JM, Neal EJ, Weinberg GL., American Society of Regional Anesthesia and Pain Medicine Local Anesthetic Systemic Toxicity checklist: 2020 version. Reg Anesth Pain Med. 2021;46(1):81–2.
Kefale B, Degu A, Tegegne GT., Medication-related problems and adverse drug reactions in Ethiopia: A systematic review. Pharmacol Res Perspect. 2020; 8(5):00641.
Uhlenhopp DJ, Aguilar O, Dai D, Ghosh A, Shaw M, Mitra C., Hospital-wide medication reconciliation program: Error identification, cost-effectiveness, and detecting high-risk individuals on admission. Integr Pharm Res Pract. 2020; 9:195–203.
Mohamoud M, Horgan C, Eworuke E, Dee E, Bohn J, Shapira O, et al. Complementary use of U.S. FDA’s adverse event reporting system and Sentinel System to characterize direct oral anticoagulants-associated cutaneous small vessel vasculitis. Pharmacotherapy. 2020; 40(11):1099–107.
Zaidi AS, Peterson GM, Bereznicki LRE, Curtain CM, Salahudeen M., Outcomes of medication misadventure among people with cognitive impairment or dementia: A systematic review and meta-analysis. Ann Pharmacother. 2021;55(4):530–42.
Bennett G, Taing M-W, Hattingh HL, La Caze A., Pharmacists’ perceived responsibility for patient care when there is a risk of misadventure: a qualitative study. Int J Pharm Pract. 2020;28(6):599–607.
McGowan J, Wojahn A, Nicolini JR., Risk management event evaluation and responsibilities. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021.
DeVine JG, Chutkan N, Gloystein D, Jackson K. An update on wrong-site spine surgery. Global Spine J. 2020;10(1 Suppl):41S-44S.
Rodziewicz TL, Houseman B, StatPearls HJE. StatPearls Publishing; Treasure Island, Medical Error Reduction and Prevention., 2021 Jan 4.
Samaranayake NR, Cheung DST, Lam MPS, Cheung TT, Chui WCM, Wong ICK, et al. The effectiveness of a “Do Not Use” list and perceptions of healthcare professionals on error-prone abbreviations. Int J Clin Pharm. 2014;36(5):1000–6.
Cornuault L, Mouchel V, Phan Thi T-T, Beaussier H, Bézie Y, Corny J., Identification of variables influencing pharmaceutical interventions to improve medication review efficiency. Int J Clin Pharm. 2018;40(5):1175–9.
Isaacs AN, Ch’ng K, Delhiwale N, Taylor K, Kent B, Raymond A. Hospital medication errors: a cross-sectional study. Int J Qual Health Care. 2021;33.
Agarwal P, Sebu. Role of clinical pharmacist in healthcare: An overview. International Journal of Multidisciplinary Research and Growth Evaluation. Sep-Oct 2021; 409-415 2(5).
Ali MAS, Khedr EMH, Ahmed FAH, Mohamed NNE. Clinical pharmacist interventions in managing drug-related problems in hospitalized patients with neurological diseases. Int J Clin Pharm [Internet]. 2018;40(5):1257–64.
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