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首页> 外文期刊>Canadian Journal of Emergency Medicine >Detection and correction of prescription errors by an emergency department pharmacy service
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Detection and correction of prescription errors by an emergency department pharmacy service

机译：急诊室药房检测和纠正处方错误

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Objectives:Emergency departments (EDs) are recognized as a high-risk setting for prescription errors. Pharmacist involvement may be important in reviewing prescriptions to identify and correct errors. The objectives of this study were to describe the frequency and type of prescription errors detected by pharmacists in EDs, determine the proportion of errors that could be corrected, and identify factors associated with prescription errors.Methods:This prospective observational study was conducted in a tertiary care teaching ED on 25 consecutive weekdays. Pharmacists reviewed all documented prescriptions and flagged and corrected errors for patients in the ED. We collected information on patient demographics, details on prescription errors, and the pharmacists’ recommendations.Results:A total of 3,136 ED prescriptions were reviewed. The proportion of prescriptions in which a pharmacist identified an error was 3.2% (99 of 3,136; 95% confidence interval [CI] 2.5–3.8). The types of identified errors were wrong dose (28 of 99, 28.3%), incomplete prescription (27 of 99, 27.3%), wrong frequency (15 of 99, 15.2%), wrong drug (11 of 99, 11.1%), wrong route (1 of 99, 1.0%), and other (17 of 99, 17.2%). The pharmacy service intervened and corrected 78 (78 of 99, 78.8%) errors. Factors associated with prescription errors were patient age over 65 (odds ratio [OR] 2.34; 95% CI 1.32–4.13), prescriptions with more than one medication (OR 5.03; 95% CI 2.54–9.96), and those written by emergency medicine residents compared to attending emergency physicians (OR 2.21, 95% CI 1.18–4.14).Conclusions:Pharmacists in a tertiary ED are able to correct the majority of prescriptions in which they find errors. Errors are more likely to be identified in prescriptions written for older patients, those containing multiple medication orders, and those prescribed by emergency residents.
机译：目标：紧急部门（ED）被公认为处方错误的高风险机构。药剂师的参与可能对审查处方以识别和纠正错误很重要。这项研究的目的是描述药师在急诊室中发现的处方错误的频率和类型，确定可以纠正的错误比例，并确定与处方错误有关的因素。方法：这项前瞻性观察性研究是在第三级进行的。连续25个工作日进行ED护理教学。药剂师检查了所有记录在案的处方，并标记和纠正了急诊科患者的错误。我们收集了有关患者人口统计信息，处方错误的详细信息以及药剂师的建议。结果：共审查了3,136张ED处方。药剂师发现错误的处方比例为3.2％（3,136中的99; 95％置信区间[CI] 2.5-3.8）。识别出的错误类型包括剂量错误（99 of 28，28.3％），处方不完整（99 of 27，27.3％），错误频率（99 of 15，15.2％），药物错误（99 of 11，11.1％），错误路线（99之1，1.0％），以及其他（99之17，17.2％）。药房进行了干预，纠正了78个错误（占99个中的78个，占78.8％）。与处方错误相关的因素包括患者年龄超过65岁（赔率[OR] 2.34; 95％CI 1.32–4.13），处方不止一种药物的处方（OR 5.03; 95％CI 2.54–9.96）以及急诊药物处方与主治医师相比（OR 2.21，95％CI 1.18–4.14）。结论：第三级急诊科的药剂师能够纠正大多数发现错误的处方。在为年龄较大的患者开出的处方，包含多个用药处方的处方以及由急诊人员处方的处方中，更容易发现错误。

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