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European Journal of Clinical Pharmacology

, Volume 75, Issue 12, pp 1739–1746 | Cite as

Medication errors in the care transition of trauma patients

  • Mª Ángeles Parro MartínEmail author
  • M. Muñoz García
  • E. Delgado Silveira
  • S. Martin-Aragón
  • T. Bermejo Vicedo
Pharmacoepidemiology and Prescription
  • 114 Downloads

Abstract

Rationale, aims, and objective

Traumatological patients are vulnerable to medication error given multiple handoffs throughout the hospital since they often require rapid diagnosis and management of multiple concurrent complex conditions. The purpose of this study was to analyze the medication errors (MEs) occurring in the care transition of the traumatological patient. The secondary objectives were to classify the MEs and the level of risk of the pharmacological groups involved. In addition, the causes and contributing factors of those MEs were analyzed.

Methods

An observational, descriptive, and prospective study, spanning 4 months, was performed in a tertiary hospital. All patients admitted to the traumatology service were selected for the study. Data were collected in different locations of the hospital stay: Emergency Service, Resuscitation and Post-Anaesthesia Unit, and Traumatology Hospitalization Unit. In each location, data from the different processes (reconciliation, prescription, validation, dispensing, and administration of medicines) were collected. The medication error (ME) was established as a dependent variable.

Results

A total of 31.3% (132) of the patients analyzed showed some ME. The Traumatology Unit was the location where most errors were detected, followed by the Emergency Service. Having analyzed all the locations, it was observed that 64.2% (172) of the MEs were detected in the reconciliation process, 29.5% (79) in the prescription, 3.7% (10) in the dispensing, 1.5% (4) in the administration, and 1.1% (3) in the validation. In terms of risk weighting, the drugs involved in the MEs detected were 53.8% of medium risk, 20.7% of high risk, and 20.3% of low risk.

Conclusions

There is a high prevalence of MEs in the reconciliation process of medication in traumatological patients (64.2%) from our hospital setting. Interestingly, most MEs occurred in this process regardless of the location in the healthcare chain.

Keywords

Medication error (ME) Traumatology Healthcare transition 

Notes

Acknowledgements

The authors would like to thank all the members of the Trauma Safety Group. They made this study feasible by their dedication to improving patient safety and safe practice in the healthcare chain.

Authors’ contributions

1. Design and conception of the manuscript: Parro Martín MA, Muñoz García M.

2. Data collection: Parro Martín MA.

3. Analysis and interpretation of data: Parro Martín MA, Muñoz García M.

4. Drafting, review, and approval of the submitted manuscript: Parro Martín MA, Muñoz García M, Delgado Silveira E, Martín-Aragón S, Bermejo Vicedo T.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

All the procedures performed in this study, which involved human participants, were conducted in accordance with the ethical standards of the institutional and/or national research committees, with the 1964 Helsinki declaration and its later amendments, or with comparable ethical standards.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Servicio de FarmaciaHospital Universitario Ramón y CajalMadridSpain
  2. 2.Departamento de Farmacología, Facultad de FarmaciaUniversidad ComplutenseMadridSpain

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