Linked to EAHP statements
5.2, 5.4, 5.5, 5.6
Medication error is defined as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is under the control of a health care professional, patient or consumer. These errors occur at all stages in medication use: ordering, prescription, dispensing and administration. Medication errors have significant implications on patient safety and their rates have been quoted to be in the region of 5-15 % per hospital admission in the developed world.
Error detection reveals those errors and thus, encourages a safe culture. There are multiple tools for error detection given the available resources. For instance, medication errors can be detected by voluntary reporting, direct observation or chart review. Converting the collected data into real system change can be challenging. It´s important to create tools which are accessible to all healthcare workers and facilitate education.
Learning from medication errors that occur in the practice is one of the best ways to prevent repeat occurrences. In a culture of safety, all errors should be viewed as learning opportunities, and information gathered from error analyses should be used to improve medication safety processes.
After the workshop, participants should be able to:
• Understand why medication errors occur;
• Identify which actions can be taken to improve patient safety;
• Identify local policies and procedures to improve safety of care to patients.
Educational need addressed
This workshop shares best practice for the prevention of medication errors and supports pharmacist involvement in minimizing medication errors.
Keywords: medication errors, error detection, patient safety, learning.