A comparison between Parkinson's medication errors identified through retrospective case note review versus via an incident reporting system during hospital admission

Mill Deanna; Bakker Michael; Corre Lauren; Page Amy; Johnson Jacinta

首页> 外文期刊>The International journal of pharmacy practice >A comparison between Parkinson's medication errors identified through retrospective case note review versus via an incident reporting system during hospital admission

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A comparison between Parkinson's medication errors identified through retrospective case note review versus via an incident reporting system during hospital admission

机译：通过回顾性案例票据在医院入院期间通过事件报告系统进行追溯案例识别帕金森药物错误的比较

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Objective To compare the frequency and type of inpatient Parkinson's medication errors reported through an incident report system versus those identified through retrospective case note review in a tertiary teaching hospital. Methods A search of inpatient medication-related incident reports identified those pertaining to Parkinson's medication. A discharge diagnoses search identified admissions for patients with Parkinson's disease over the same time period. A retrospective case note and incident report review were performed to describe and quantify medication-related events. Key findings Substantially, more medication-related problems were identified via case note review (n = 805) versus incident reporting system (n = 19). A significantly different pattern of error types was identified utilising case note review versus incident reporting, with case note review more likely to identify delayed dosing, and incident reports more likely to identify wrong dose or formulation administered errors. Conclusions Retrospective incident report and case note review can be used to characterise medication administration errors encountered in an inpatient setting. Incident report review alone is insufficient in estimating error rates, and dual data collection methods should be used.

机译：目的比较三级教学医院通过事件报告系统报告的帕金森病住院患者用药错误的频率和类型，以及通过回顾性病例记录审查发现的错误。方法对住院患者药物相关事件报告进行检索，找出与帕金森病药物相关的事件报告。出院诊断搜索确定了同期帕金森病患者的入院情况。进行回顾性病例记录和事件报告审查，以描述和量化药物相关事件。主要发现实质上，通过病例记录审查（n=805）和事件报告系统（n=19）发现了更多与药物相关的问题。利用病例记录审查和事件报告确定了一种明显不同的错误类型模式，病例记录审查更有可能确定延迟给药，而事件报告更有可能确定错误的剂量或给药错误。结论回顾性事件报告和病例记录回顾可用于描述住院患者中遇到的用药错误。单凭事故报告审查不足以估计错误率，应使用双重数据收集方法。

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来源
《The International journal of pharmacy practice》 |2020年第6期|共4页
作者
Mill Deanna; Bakker Michael; Corre Lauren; Page Amy; Johnson Jacinta;
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作者单位

SA Pharm Flinders Med Ctr SALHN Bedford Pk SA Australia;

SA Pharm Flinders Med Ctr SALHN Bedford Pk SA Australia;

SA Pharm Flinders Med Ctr SALHN Bedford Pk SA Australia;

Monash Univ Ctr Med Use &

Safety Melbourne Vic Australia;

SA Pharm Flinders Med Ctr SALHN Bedford Pk SA Australia;

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原文格式 PDF
正文语种 eng
中图分类药学;
关键词
incident report; inpatient; medication error; Parkinson's disease; voluntary reporting;

机译：事件报告;住院;药物错误;帕金森病;自愿报告;

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2. German critical incident reporting system database of prehospital emergency medicine: Analysis of reported communication and medication errors between 2005–2015 [J] . Christian Hohenstein, Thomas Fleischmann, Peter Rupp, 世界急诊医学杂志（英文） . 2016,第002期
3. German critical incident reporting system database of prehospital emergency medicine： Analysis of reported communication and medication errors between 2005-2015 [J] . Christian Hohenstein1, Thomas Fleischmann2, Peter Rupp3, 世界急诊医学杂志(英文版) . 2016,第002期
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A comparison between Parkinson's medication errors identified through retrospective case note review versus via an incident reporting system during hospital admission

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