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5PSQ-111 Medication errors, their perception, analysis, and proposal of solutions in a public hospital
  1. H Komjathy1,
  2. V Gogolova2,
  3. K Tóthová1,
  4. D Tárnoková1,
  5. K Hajtmanová1,
  6. A Horváthova1,
  7. C Gálova1,
  8. L Masaryková3
  1. 1Hospital Agel Komárno, Hospital Pharmacy, Komárno, Slovakia
  2. 2Expiro, Pharmacy, Nové Zámky, Slovakia
  3. 3Faculty of Pharmacy Comenius University Bratislava, Department of Organisation and Management of Pharmacy, Bratislava, Slovakia


Background and Importance A medication error is a mistake in the use of a medicine that can result in harm to the patient. Medication errors can increase hospitalisation costs and prolong hospital stays. Whereas the medication errors are preventable, it is important to identify the most vulnerable steps.

Aim and Objectives The aim of our work was to analyse the perception of medication errors by healthcare professionals in our hospital concerning parenteral medicines. Subsequently to find the role of hospital pharmacists in the process of eliminating medication errors. Furthermore, to identify the medicines in which a medication error can occur most often.

Material and Methods Retrospective, observational study in a public hospital from August 2021 to December 2021. The study was conducted using questionnaires administered by hospital pharmacists filled by healthcare professionals (doctors and nurses). The questions focused on medication errors, their causes, and their future solutions. Several questions were focused on specific drugs regarding the preparation and administration of specific parenteral drugs.

Results 47 doctors and 72 nurses from the different departments participated in the survey. 72% doctors and 46% nurses encountered medication errors. Increased workload (87% doctors, 79% nurses) andnegligence (61% doctors, 47% nurses) were identified as the most common causes. The most frequently observed medication errors of parenteral drugs occurred during the process of prescription (75% doctors, 54% nurses) and administration (68% doctors, 50% nurses). While doctors most often consulted their colleagues (78%) or look for the literature (55%), nurses consulted doctors (81%) when solving issues concerning parenteral drugs preparation and administration. On the other hand, up to 49% of doctors also approached the hospital pharmacist, in the case of nurses it was only 22%. More than 87% of doctors and 76% of nurses would welcome lectures and training from pharmacists focused on the correct administration and prescription of parenteral drugs.

Conclusion and Relevance Our results confirm the literature data, which say that the most common medication errors occur during prescribing and administering drugs. Hospital pharmacists with their knowledge can significantly contribute to the elimination of medication errors and increase the safety of hospitalised patients.

Conflict of Interest No conflict of interest

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