Abstract
While medication errors are likely to occur more commonly in older adults, simply on the basis of the probability of the greater use of medication in this population, do these errors constitute a significant problem? This chapter discusses the types of errors that we are likely to see in older people and how those errors occur within the various healthcare settings. Incomplete reporting is a subject that little is known about. This issue, according to the Australian literature, highlights that a minority of doctors and nurses (<20%) are reporting near miss medication errors and only 40% of doctors report errors that resulted in a patient receiving therapeutic intervention. This is in spite of the belief among doctors and nurses in a cross-sectional survey that errors should be reported.
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References
Australian Bureau of Statistics (1995) National health survey: use of medications, Australia, Cat. no. 4377.0, Canberra, 1999.http://www.abs.gov.au/ausstats/abs@.nsf/productsbytitle/BF60D2B59D518692CA2568A9001393D1?OpenDocument
Australian Bureau of Statistics (2008) Population projections, Australia, 2006 to 2101. http://www.abs.gov.au/ausstats/abs@.nsf/mf/3222.0?OpenDocument. Accessed 10 Sep 2008
Lazarou J, Pomeranz BH, Corey PN (1998) Incidence of adverse drug reactions in hospitalized patients. JAMA 279:1200–1205
Kvasz M, Allen IE, Gordon MJ, et al (2000) Adverse drug reactions in hospitalized patients:a critique of a meta-analysis. Med Gen Med. http://www.medscape.com/viewarticle/408052_8
Ross SD (2001) Drug-related adverse events: a readers’ guide to assessing literature reviews and meta-analyses. Arch Intern Med 161:1041–1046
Nebeker J, Barach P, Samore M (2004) Clarifying adverse drug events: a clinician’s guide to terminology, documentation, and reporting. Ann Intern Med 140:795–801
National Coordinating Council for Medication Error Reporting and Prevention. What is a medication error? (2005) Available at http://www.nccmerp.org/aboutMedErrors.html. Accessed 15 July 2009
Miller G, Britt H, Valenti L (2006) Adverse drug events in general practice patients in Australia. Med J Aust 184(7):321–324
Bhasale AL, Miller GC, Reid SE, Britt HC (1998) Analysing potential harm in Australian general practice: an incident-monitoring study. Med J Aust 169(2):73–76
Kuperman GJ, Teich JM, Gandhi TK, Bates DW (2001) Patient safety and computerized medication ordering at Brigham and Women’s Hospital. Jt Comm J Qual Improv 27(10):509–521
Gilbert AL, Roughead EE, Beilby J, Mott K, Barratt JD (2002) Collaborative medication management services: improving patient care. Med J Aust 177(4):189–192
Holland R, Desborough J, Goodyer L, Hall S, Wright D, Loke YK (2008) Does pharmacist-led medication review help to reduce hospital admissions and deaths in older people? A systematic review and meta-analysis. Br J Clin Pharmacol 65:303–316
Royal S, Smeaton L, Avery AJ, Hurwitz B, Sheikh A (2006) Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis. Qual Saf Health Care 15:23–31
Krska J, Avery AJ, on behalf of The Community Pharmacy Medicines Management Project Evaluation Team (2008) Evaluation of medication reviews conducted by community pharmacists: a quantitative analysis of documented issues and recommendations. Br J Clin Pharmacol 65:386–396
Roughead EE, Lexchin J (2006) Adverse drug events: counting is not enough, action is needed. Med J Aust 184(7):315–316
Mamdani M, Juurlink DN, Kopp A et al (2004) Gastrointestinal bleeding after the introduction of COX2 inhibitors: ecological study. Br Med J 328:1415–1416
Carruthers A, Naughton K, Mallarkey G (2008) Accuracy of packaging of dose administration aids in regional aged care facilities in the Hunter area of New South Wales. Med J Aust 188(5):280–282
Hansen RA, Greene SB, Williams CE, Blalock SJ, Crook KD, Akers R et al (2006) Types of medication errors in North Carolina nursing homes: a target for quality improvement. Am J Geriatr Pharmacother 4(1):52–61
Garretson S (2004) Nurse to patient ratios in American health care. Nurs Stand 19(14–16):33–37
Runciman WB, Roughead EE, Semple SJ et al (2003) Adverse drug events and medication errors in Australia. Int J Qual Health Care 15(Suppl 1):i49–i59
Nichols P, Copeland TS, Craib IA, Hopkins P, Bruce DG (2008) Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust 188(5):276–278
Australian Commission on Safety and Quality in Health Care (2008) Windows into safety and quality in health care. ACSQHC, Sydney
Lewis PJ, Dornan T, Taylor D, Tully MP, Wass V, Ashcroft DM (2009) Prevalence, incidence and nature of prescribing errors in hospital inpatients: a systematic review. Drug Saf 32(5):379–389
Tam V, Knowles S, Cornish P, Fine N, Marchesano R, Etchells E (2005) Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. CMAJ 173(5):510–515
Hughes C (2008) Medication errors in hospitals: what can be done? Med J Aust 188(5):267–268
Franklin B, Vincent C, Schachter M, Barber N (2005) The incidence of prescribing errors in hospital in-patients. Drug Saf 28(10):891–900
McCarter T, Centafont R, Daly F, Kokoricha T, Leander J (2003) Reducing medication errors a regional approach for hospitals. Drug Saf 26(13):937–950
Camiré E, Moyen E, Stelfox H (2009) Medication errors in critical care: risk factors, prevention and disclosure. CMAJ 180(9):936–943
Barker KN, Flynn EA, Pepper GA, Bates DW, Mikeal RL (2002) Medication errors observed in 36 health care facilities. Arch Intern Med 162:1897–1903
Evans SM, Berry JG, Smith BJ et al (2006) Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care 15:39–43
NSW Health (2006) Patient safety and clinical quality program. Third report on incident management in the NSW public health system 2005–2006, Sydney, NSW Health. http://www.health.nsw.gov.au/pubs/2006/patient_safety_3.html. Accessed July 2009
Blendon RJ, DesRoches CM, Brode CM et al. (2002) Views of practicing physicians and the public on medical errors. N Engl J Med 24:1933–1940
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Murray, M. (2010). Is There a Problem? The Evidence of Types and Causes of Medication Errors by Healthcare Workers. In: Koch, S., Gloth, F., Nay, R. (eds) Medication Management in Older Adults. Springer, New York, NY. https://doi.org/10.1007/978-1-60327-457-9_1
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