Original Article

IJMDC. 2020; 4(7): 1031-1035

Incomplete prescription and medication error in hospital practice: a Saudi local experience

Authors: Fatima Ibrahim Almousa, Haya Hamd Alhaqbani, Rima Jamal lsagga, Abrar Mohamed Alshehri, Ibrahim A. Alsarra.

ABSTRACT

Background: Incomplete prescription is associated with a delay in the initiation of treatment and interruption of healthcare professionals; it is also considered a risk factor that can lead to medication errors and patient harm. The aim of this study was to assess the completeness of medication orders, in general practice, to determine the prevalence and nature of medication errors including prescribing errors due to the incomplete information, and to recommend proper solutions to minimize such errors. Methods: This observational prospective study was conducted at a governmental hospital for a period of 2 months. All handwritten prescriptions were collected at the spot of dispensing in an outpatient pharmacy, then 800 prescriptions (20 prescriptions/day) were randomly observed, checked for completeness, and assessed for the errors using a checklist. Results: A total of 800 prescriptions were reviewed with 100% medication errors. The highest omitted factor was the patientís file number and its frequency of occurrence was more than 90%, followed by the route of administration at 83.125%. The results also indicated that approximately 27% of the prescriptions had no diagnosis specified. Moreover, another type of error occurring considerably high (43%) was the date of the prescription. Conclusion: Handwritten prescriptions were associated with significant frequency of minor and major prescription error of omission. In addition, an illegible prescription is one of the factors which can increase the risk of medication errors. Education intervention programs and computer-aided prescription order entry can substantially contribute to lowering of these errors and impose prescription writing or other recognized and published standard.

Keywords:
Omission, medications errors, prescription, handwritten, adverse effects


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Incomplete prescription and medication error in hospital practice: a Saudi local experience


Authors
Fatima Ibrahim Almousa
King Salman Hospital, Riyadh, Saudi Arabia
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Haya Hamd Alhaqbani
Medical Center AlHazm, Riyadh, Saudi Arabia
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Rima Jamal lsagga
Riyadh, Saudi Arabia
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Abrar Mohamed Alshehri
Prince Sultan Military Medical City, Riyadh, Saudi Arabia
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Ibrahim A Alsarra
Professor of Pharmaceutics & Pharmaceutical Biotechnology, Department of Pharmaceutics, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
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Correspondence to:
. Fatima Ibrahim Almousa, King Salman Hospital, Riyadh, Saudi Arabia.; Fatima.almosa@hotmail.com

Publication history
Published online 01 Jan 1970
Received 30 Oct 2018
Accepted 09 Feb 2019
Published in print 10 Jul 2020

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Pubmed Style

Almousa FI, Alhaqbani HH, lsagga RJ, Alshehri AM, Alsarra IA. Incomplete prescription and medication error in hospital practice: a Saudi local experience. IJMDC. 2020; 4(7): 1031-1035. doi:10.24911/IJMDC.51-1540938203


Web Style

Almousa FI, Alhaqbani HH, lsagga RJ, Alshehri AM, Alsarra IA. Incomplete prescription and medication error in hospital practice: a Saudi local experience. http://www.ijmdc.com/?mno=15066 [Access: August 04, 2020]. doi:10.24911/IJMDC.51-1540938203


AMA (American Medical Association) Style

Almousa FI, Alhaqbani HH, lsagga RJ, Alshehri AM, Alsarra IA. Incomplete prescription and medication error in hospital practice: a Saudi local experience. IJMDC. 2020; 4(7): 1031-1035. doi:10.24911/IJMDC.51-1540938203


Vancouver/ICMJE Style

Almousa FI, Alhaqbani HH, lsagga RJ, Alshehri AM, Alsarra IA. Incomplete prescription and medication error in hospital practice: a Saudi local experience. IJMDC. (2020), [cited August 04, 2020]; 4(7): 1031-1035. doi:10.24911/IJMDC.51-1540938203


Harvard Style

Almousa, F. I., Alhaqbani, . H. H., lsagga, . R. J., Alshehri, . A. M. & Alsarra, . I. A. (2020) Incomplete prescription and medication error in hospital practice: a Saudi local experience. IJMDC, 4 (7), 1031-1035. doi:10.24911/IJMDC.51-1540938203


Turabian Style

Almousa, Fatima Ibrahim, Haya Hamd Alhaqbani, Rima Jamal lsagga, Abrar Mohamed Alshehri, and Ibrahim A. Alsarra. 2020. Incomplete prescription and medication error in hospital practice: a Saudi local experience. International Journal of Medicine in Developing Countries, 4 (7), 1031-1035. doi:10.24911/IJMDC.51-1540938203


Chicago Style

Almousa, Fatima Ibrahim, Haya Hamd Alhaqbani, Rima Jamal lsagga, Abrar Mohamed Alshehri, and Ibrahim A. Alsarra. "Incomplete prescription and medication error in hospital practice: a Saudi local experience." International Journal of Medicine in Developing Countries 4 (2020), 1031-1035. doi:10.24911/IJMDC.51-1540938203


MLA (The Modern Language Association) Style

Almousa, Fatima Ibrahim, Haya Hamd Alhaqbani, Rima Jamal lsagga, Abrar Mohamed Alshehri, and Ibrahim A. Alsarra. "Incomplete prescription and medication error in hospital practice: a Saudi local experience." International Journal of Medicine in Developing Countries 4.7 (2020), 1031-1035. Print. doi:10.24911/IJMDC.51-1540938203


APA (American Psychological Association) Style

Almousa, F. I., Alhaqbani, . H. H., lsagga, . R. J., Alshehri, . A. M. & Alsarra, . I. A. (2020) Incomplete prescription and medication error in hospital practice: a Saudi local experience. International Journal of Medicine in Developing Countries, 4 (7), 1031-1035. doi:10.24911/IJMDC.51-1540938203


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