Medication error in singapore. 4 Singapore National University Hospital (NUH) Centre for Evidence-Based Nursing: a Joanna Briggs Institute Centre of Excellence. 3 There are many more studies of hospitalized patients than of outpatients, but it is clear that medication errors NAN encourages the sharing and reporting of medication errors, so that lessons learned can be used to increase the safety of the medication use system. 5176/2251-3833_GHC17. Of all the intravenous medication errors committed, 186 (71%) had no These strategies had a significant effect on reducing medication errors related to handovers. Developing an effective medication training programs in all undergraduate nursing programs in Jordanis is vital to ensure patient safety and nursing educators in clinical and academic settings need to reinforce the importance of adherence to medication management best-practice in all courses. The secondary objectives were to evaluate the types The results showed that medication errors, effort, reward, and job commitment had a reliability of 0. Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. 16 The review of an SRE by the SRE QACs shall be carried out regardless of whether the SRE is reportable under any other statutory requirement (e. The National Reporting and Learning System (NRLS), has been launched in 2004 to collect information on “patient safety incidents”, including medication errors reports, from all NHS organisations in England and Wales. Despite the presence of medication reconciliation services (MRS), medication discrepancies are still prevalent, which has clinical costs and implications. The authors suggest that additional resources are needed to inform development and enhancement of existing strategies to combat the problem, including the use of technology and effective ISMP National Medication Errors Reporting Program (ISMP MERP), reports of harmful errors in the literature, studies that identify the drugs most often involved in harmful errors, and input from practitioners and safety experts, ISMP created and periodically updates a The Rate and Type of Medication Errors Made By Nurses: A Study from Northwestern Iran. Coordinating with senior leadership is needed to develop formal or informal authority to ensure that any unsafe practices are evaluated and immediately addressed if necessary []. Medication Safety. Search for other works by this author on: Oxford Academic. Correspondence: Ms. The test–retest stability reliability, as assessed by spearman–brown, resulted in 0. Patients’ demographic characteristics, number of prescription Introduction Medication errors are common causes of preventable adverse drug events and increase the risk of morbidity and mortality. To make the training more accessible, the modules will be made available on this E-learning platform. lack of justification for medication change) in physician discharge summaries can b) SRE No. The process of medication auditing is to ensure that a care service avoids potentially fatal errors. She was given a In the hospital, for example, medication errors are much more frequent in intensive care units where patients receive an average of 25 medications per day as compared to obstetrics where medications are typically avoided. Medication errors occur when weak medication systems and/or human factors such as fatigue, poor environmental conditions or staff shortages affect prescribing, transcribing, dispensing, administration and monitoring practices, which can then result in severe 1 National Healthcare Group Polyclinics, Singapore. 5. As the single biggest intervention used in the management of health problems, research Hospital 1 had less medication errors than hospital 2 preintervention was not statistically significant difference • Hospital 1 had less medication errors than hospital 2 postintervention was statistically significant • Process failures, human error, system failures. There was no data on MEs in Brunei, Laos, Cambodia, Myanmar and Timor. [Google Scholar] Effectiveness of an electronic inpatient medication record in reducing medication errors in Singapore. National Medication Reconciliation Guidelines 2018. 1st ed Addressing Medication Errors in Hospitals: Ten Tools Overview of the Tools Page 1 of 2 Overview of the Tools Regardless of whether an organization decides to implement new technologies or simply improve upon existing systems, it must first provide an environment in which there is heightened Downloadable! This study examined the effectiveness of an inpatient electronic medication record system in reducing medication errors in Singaporean hospitals. In one hospital the inpatient electronic medication record system was Most were errors in judgment or near misses: a procedure we thought could wait, a subtle abnormality in vital signs that didn't register as a harbinger of serious illness, an X-ray finding missed There is an increasing incidence of both adult and pediatric cancer cases in developing countries, thus, there is equally a rise in the use of anti-cancer drugs as one of the cancer treatments. The term “medication error” has been defined in many ways. Intangible costs are social, emotional and human According to a report by AIG, medical prescription errors are also a top concern as more patients get treated by multiple public and private healthcare professionals. . National Guidelines on Automated Medication Management Systems 2023 National Guidelines on High Alert Medications 2021 Literature focused on quantifying or reducing patient harm in anaesthesia uses a variety of labels and definitions to represent patient safety-related events, such as ‘medication errors', ‘adverse events', and ‘critical incidents'. lack of justification for medication change) in physician discharge summaries can lead to preventable medication errors and adverse outcomes. 2013, Nursing & Health Sciences. The Medication Safety Vests served as a visible signal to others that the nurse was preparing and administering medications and should not be disturbed. 4. Many were of poor quality. Kok Wai Kee, Toa Payoh Polyclinic, 2003 Toa Some studies had calculated the cost of any medication error, 3 12–14 while some had considered prescribing errors only. Figure 1. Back in 1999, the number in America was 98,000 per year. Considerable variability existed between studies in terms of financial cost, patients, settings and errors included. Additionally, WHO estimated the global impact of medication errors to be Pharmacy Department, Watson’s Personal Care Stores Pte Ltd, Singapore. Find out whether you will need to apply for an approval before bringing in your personal medications when travelling to Singapore. World Health Organisation. 21. This information expounds on what the guidelines mean and how the “you must” statements may be applied. About the PSS Medication Management Training for Nurses in Nursing Homes PSS has previously run medication management training for nurses in a classroom based setting. The minimum information required for the submission of your initial report is: of the new or unexpected serious AEs that have not been previously submitted and are not mentioned in the proposed Singapore package insert. EMS was defined as a computer-based system enabling the prescribing, supply, and/or Medication administration is a complex multistep process that errors can happen at any step. 3 Education 10 4. 4. The number of ADEs can increase due to: Results: The rate of reporting medication errors among nurses was far less than medication errors they had made. ; 3 208643Duke-NUS Graduate Medical School, Singapore. However, BCMA is subject to a number of usability issues and Medication errors (MEs) can lead to adverse effects and mortality, especially in older adults, due to physiological changes and accumulated multi-morbidities associated with ageing. At one of the In April, 2010, Medication Safety Vests were introduced at Joseph Brant Memorial Hospital Corporation on the Complex Continuing Care unit to make the delivery of medications as safe as possible. Medication-related harm affects 1 out of every 30 patients in health care, with more than a quarter of this harm regarded as severe or life threatening. The nursing profession has been identified as The list below presents the different types of medication safety related guidelines that have been developed as references specifically for doctors, pharmacists, nurses, and patient support staff. Although some progress has been made, ME measurement methods and prevention strategies remain important areas of research. Although most studies show an error-reducing effect of BCMA technology, Seventy percent of individuals in the U. In 2012, in a bid to enhance productivity and reduce medication errors, Block 3 Outpatient Pharmacy pioneered the use of Light Emitting Diode (LED)-guided picking. take at least one medication per day, and more than half of all Americans take two. 16 The review of an SRE by the SRE QACs shall be carried out regardless Note: Adverse events caused by accidental or deliberate overdoses and medication errors need not be reported. Methods. To improve the quality of Types of Medication Errors. 3 Care homes 13 6 Practical next steps 14 medication. Main resultsPre • Mean incidence difference = 0. “By consolidating the medications for the patient, the medication list serves as a communication tool to the care team to avoid therapeutic duplications or interactions, Introduction: Although medication errors may cause significant morbidity and mortality, the true cost of avoidable harm from such errors is unclear. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy. A professional audit can be carried out at random during any time of the year, therefore it is imperative that the service operates as it states to avoid poor quality care to the residents. From the observations conducted, the lack of Administration. The device serves as a constraint to prevent accidental overdose, caused by user unfamiliarity or autopilot administration. AU - Hong, Yet Hoi to reduce medication errors among older adults in Singapore Vignesh Sivasamy1 , King Fan Yip1, Kaysar Mamun1, and Kiat Wee Lim2 Abstract Background: Medication errors (MEs) can lead to adverse effects and mortality, especially in older adults, due to phys- Introduction. The Bar code-assisted medication administration (BCMA) is increasingly being adopted as an additional tool in the prevention of medication administration errors. Thematic analysis was chosen for an integrative review due to the heterogeneity of the included papers where meta-analysis would not be appropriate [26,27]. Among these are medication errors, which is the third leading cause Medication errors were defined as inappropriate dose (dosage too low or too high), invalid indication (drug prescribed without clinical indication), drug duplication (multiple drugs for the same condition), inappropriate dosing frequency Singapore Med J. Introduction Medication errors are an unnecessary cost to a healthcare system and patients of a country. 2) Guideline on good pharmacovigilance practices: Module VI – Management and reporting of adverse reactions to medicinal products (Rev. The NRLS is the world’s largest and most comprehensive patient safety incident reporting 2 RanasingheS, etal Open uality 22413e257 doi11136bmo223257 Open access include losses due to an inability to engage in normal daily activities, work, domestic responsibilities and loss of income. Nurses have always played a major role in preventing medication errors. Med J Malaysia. An adverse drug event (ADE) is when a medication causes harm to someone. 3 million people annually and cause one death daily in the US []. As accreditation is included in these rules, the medication errors percentage has decreased” (Nurse no. 1%) Underlying these are myriad causes, such as those listed below. nurses and pharmacists may potentially reduce polypharmacy and inappropriate medication use in Singapore’s nursing homes. The system greatly reduced medications errors, but had its limitations. This literature review summarises the evidence behind the effects of BCMA technology on medication safety. Mailing list. Depending on where the patient is receiving care and their level of participation in self-care, nurses may need to educate patients about the preparation, storage, and administration It was found that a high proportion of nurses in federal hospitals committed medication administration errors, and short work experience, night shift work, absence of on-the-job training, unavailability of medication administration guidelines and interruptions during medication administration explained the high magnitude of medications administration It is important to determine the nurses’ perceptions about the causes of medication errors to prevent repetition of medication errors and to establish standards for medication safety. 24. The reported incidence of medication errors in acute hos In line with a review on intravenous medication errors we observed frequently administration technique, preparation technique, omission and dose errors. It is believed that preventable medication errors impact more than 7 million patients and cost almost $21 billion annually across all care settings. This review aimed to cognitive biases) can precipitate medication errors. Preventing Medication Errors with Immunologic Drugs. Nurses play a critical role in the medication administration process and are pivotal in preventing errors that could harm patients. The knowledge that their death could have been prevented makes it harder still. She had a heart attack five years ago. Janet Choo. Regulations for bringing in personal medications. 2 National Healthcare Group Pharmacy, Singapore. Address for correspondence: Dr. 6. In agreement with the literature,[] the study shows that 77% (n = 77) of the sample considered drug dosage and calculation skills to be essential in order to reduce MEs during drug preparation. However, sometimes, patients themselves Medication errors that do not cause any harm—either because they are intercepted before reaching the patient or because of luck—are often called potential ADEs. The objective of this review was to compare the effectiveness of different interventions in reducing prescribing, dispensing and administration medication errors in acute medical Name and Constituency of Member of Parliament Dr Tan Wu Meng MP for Jurong GRC. Information required. (2012) 53:526–31. com; 105 Cecil Street, #16-01 The Octagon (Suite 1612), Singapore - 069534 Medication Errors in Hospitals Purpose The goal of medication therapy is the achievement of defined therapeutic outcomes that improve a patient’s quality of life while minimizing patient risk. Background Medication errors are common events that compromise patient safety. ADEs are a preventable patient safety problem. Current System and Key Opportunities NUH is one of the main hospitals in Singapore, with 1,239 bed capacity and serving more than 49,000 inpatients yearly. J. 5600 Fishers Lane Rockville, MD 20857 Telephone: (301) 427-1364 Globally, as many as 4 in 10 patients are harmed in primary and outpatient health care. Half of the avoidable harm in health care is related to medications (3). 1 Injection use 12 5. Nurses perceived that the most important barriers of reporting medication errors were blaming individuals instead of the system, consequences of reporting errors, and fear of reprimand and punishment. The SINGAPORE — A retired general practitioner was fined S$1,500 on Thursday (Feb 10) for his negligence in the death of a construction worker in 2014, who died at age 28 after being prescribed Medication errors: what they are, how they happen, and how to avoid them J. Although medication errors can be brought about by all individuals from healthcare providers. Smart Notification System to Reduce Medication Errors and Patient Fall Rates Group 11: CHAN Tiong Ley, CHEN Feng, Damien CHAN Background and Objectives 3. 1) were added in the multiple logistics regression. 21,29,30 Standard concentration procedures are an important way to Medical errors have more recently been recognized as a serious public health problem, reported as the third leading cause of death in the US. The use of a ‘do not interrupt’ vest during medication administration rounds is recommended but there have been no controlled randomized studies to evaluate its impact on reducing administration errors. Using automation and technology to track the process makes drug What is POLYPHARMACY? Polypharmacy is the concurrent use of multiple medicines (commonly defined as five or more) either dispensed according to a prescription or bought over-the-counter. [Google Scholar] Articles from British Journal of Clinical Pharmacology are provided here courtesy of British Pharmacological Society. It means that there are eight rules for administering the medication which nurses must follow. Risk Factors of Medication Errors in Patients Suffering From Chronic Diseases. 19,21,26 Pediatric and neonatal populations are at the highest risk for life-threatening calculation errors because of weight-based dosing and inadequate commercial products. Medication reconciliation is a process to prevent medication errors at transitions. You can also find Medication errors affect 7 million patients annually in the world and are recognised by the Ministry of Health (MOH) as the 5 th most common Serious Reportable Events in Singapore. With the formation of the SingHealth Medication Safety Workgroup, the Results. The loss of a loved one can be devastating. The guidelines aim to reduce severe, avoidable medication related harm by promoting safe use of high alert medications (HAMs) in Singapore. Canada (4 studies); and Colombia, Egypt, Netherlands, Singapore and Ireland (1 study each)) Preventable adverse events can lead to significant excess costs for patients, caregivers, and healthcare systems. Of the steps involved in processing a single medication prescription, the picking stage is particularly prone to a high frequency of errors and low chance of detection. Two identical cross-sectional surveys [see Appendix 2] were conducted before and after implementation of medication safety initiatives by the MST, using the Community Pharmacy Survey on Patient Safety Culture sponsored by the AHRQ. healthcare professionals, medication errors caused by the patient or consumers will need to be explicitly stated, and (2) DRPs that can The following GVP modules describe structures and processes relevant to medication errors:. Thus, a clear understanding of the impact and Medication errors are a pressing global concern, and addressing them is crucial to improving patient safety and healthcare outcomes. N Globally, medication errors are leading causes of different injuries and avoidable harms in the health care system attributing to about 10% of the overall preventable harm for hospitalized patients. 43%) and wrong time (12. , 2018). 85, 0. As early as 1998, insulin was associated with 11% of all harmful medication errors in hospitals. Singapore, there are currently no published data or statistics on medication errors or near misses. Calculation of medication errors. Better communication can reduce medical errors and patient injury 4. +6594883428; hak@healthgrc. 3 million people annually are injured due to medication errors. This review aims to, improve the medication administration When autocomplete results are available use up and down arrows to review and enter to select. This review extracts and compares definitions of patient safety-related terminology in anaesthesia to examine the scope of In this randomized controlled trial, we found that clinically important medication errors were very common, affecting 50. About half of errors were wrong administration technique and most of these were rate errors involving bolus medications, which should have been given within 3–5 minutes Medication errors (MEs) can lead to adverse effects and mortality, especially in older adults, due to physiological changes and accumulated multi-morbidities associated with ageing. Omission Errors . Singapore and examine its impact on medication errors. Accountability. These errors typically involve administering the wrong drug or dose, using the wrong route, administering it incorrectly, or giving medication to the wrong patient. “Out of 141 complaints, one of the most common causes was professional negligence or incompetence which accounted for 28 per cent of complaints,” the report Singapore Med J 2002 Vol 43(5) : 263-264 Invited Commentary Patient Safety and Medical Errors – A Singapore Perspective P Mack Department of Surgery Singapore General Hospital Outram Road Singapore 169608 P Mack, FRCS (Ed), FRCS(Glasg), PhD Senior Consultant Correspondence to: Peter Mack Tel: (65) 6321 4694 Fax: (65) 6220 9323 Introduction. 2004;11:52–8. Submit application for approval to In 2017, the World Health Organization (WHO) set a target to reduce harm from medication errors by 50% within 5 years, but these persist as the most frequent adverse event for patients. 16 where it relates to medication errors falling within Categories E and F of Appendix 2. Survey of medication errors among anaesthetists in Singapore Anaesth Intensive Care. PMID: 22165377 No abstract available Medication errors, which can lead to adverse drug reactions, require clear and unambiguous definitions, so that patients, prescribers, manufacturers, and regulators can all understand each other. Regions of the consultations. Get the latest AI Singapore news, programme updates and offers directly into your INBOX. Overall, I believe it helps to reduce some medication errors. We aimed to evaluate the impact of wearing such a vest on reducing such errors. Institute of Medicine of the National Academies. This pre- and post-intervention study involving a control group was undertaken in two Singaporean acute care hospitals. Joy Boon Ka Chong, Principal Clinical Pharmacist, Pharmacy Department, Watson’s Personal Care Stores Pte Ltd, 300 Beach Road, The Concourse, #39-01/04, 199555, Singapore. A list of poten-tial factors of medication non-adherence was structured based on the World Health Organization five-domain framework and collected using a self-report questionnaire. September 2015; Authors: The Editorial T eam of Singapore Nursing Journal would like to thank all the Breuker C, Macioce V, Mura T, Casete-Nicolas A, Audurier Y, Boegner C et al. AU - Salmasi, Shahrzad. J Pat Saf. 1. Content in this section show. While studies describe different methods for calculating a financial cost from an error, there remains variability in the way calculations are conducted depending on the clinical context. 5% of intravenous medication administration errors were due to work conditions, 24% to packaging, 13. This demonstrates that with careful training, SC is MEDICATION ERROR #25: Not Providing Patient Education About Medication Administration About the Error: One responsibility of nurses is patient education. 2015 Sep 4;10(9): e0136545. ch18 Chapter 18. This program aims to equip nurses with operational skills in medication ypharmacy, its associated factors and the common drug classes involved, and evaluated prescribing appropriateness of drugs used by older adults. The classification of medication errors on the basis of the underlying psychological mechanisms, based on how errors occur, can suggest A study of non-timing medication errors in a system with comprehensive barcoding/electronic medical administration technology found a 41% reduction in errors and a 51% decrease in potential adverse drug events. 2 Paediatrics 12 5. Studies conducted using a valid and reliable tool to assess clinical impact are lacking, and to the best of our knowledge, studies evaluating the economic impact of medication As for the causes of medication errors, 51. The 17 included studies reported data from six of the eleven Southeast Asian countries: five studies in Singapore, four in Malaysia, three in Thailand, A key benefit of medication reconciliation is it helps to prevent medication errors which could have resulted from unintended omissions or changes in treatment the primary focus is to identify medication errors by healthcare professionals, medication errors caused by the patient or consumers will need to be explicitly stated, and (2) SINGAPORE — A retired general practitioner was fined S$1,500 on Thursday (Feb 10) for his negligence in prescribing medication for a construction With a new medication picking system for the Bowyer Block Pharmacy, which processes more than 20,000 drug items each month, safety is no longer left to Medication discrepancies and poor documentation of medication changes (e. In addition, the following particulars shall be independently double-checked against the prescription or medication chart at the bedside by two appropriate persons before administration Medication errors can occur throughout the medication-use system. The secondary objectives were Syringe Brake shows promising potential for adoption to prevent medication errors. As illustrated in table 3, of the 21 identified studies that specifically outlined a strategy for calculating the cost of MEs, six used an intervention aimed at reducing MEs and then equated the resultant cost savings to the cost of MEs. Introduction. 5 million people, and to treat those injuries costs approximately 3. Question No. At one of the Errors can occur at different stages of the medication use process. 21019/9781582120928. The Medication Errors: Preventing Medication Errors: Quality Chasm Series. Aim To Ong WM, Subasyini S. There Background: The main professional goal of nurses is to provide and improve human health. 7. (18,19) . METHODS. At one of the A key benefit of medication reconciliation is it helps to prevent medication errors which could have resulted from unintended omissions or changes in treatment plan. Effectiveness of an electronic inpatient medication record in reducing medication errors in Singapore. significant reductions in medication errors, specifically wrong dose errors. Variables Number (%) Sex: Male: 45 (40. Administration outside a predefined time interval from its scheduled administration time. At one of the Medication discrepancies and poor documentation of medication changes (e. Malaysian J Med Sci. About 30% of hospitalized patients have at least one discrepancy on discharge medication reconciliation. Medication errors can be broadly classified as prescribing, dispensing or drug administration errors : Prescribing Errors. The most detrimental errors are related to diagnosis, prescription and the use of medicines. Quantitative research can overlook less overt In 2017, the Institute for Safe Medication Practices (ISMP) released guidance for optimization of safe subcutaneous insulin use in adults for safer handling practices within the medication use process. The authors thank Dr Khoo Xiaojuan and Felicia Soon for their collaboration in Syringe Brake design through the Singapore University of Medication errors (MEs) can lead to adverse effects and mortality, especially in older adults, due to physiological changes and accumulated multi-morbidities associated with ageing. Assessment of economic impact was conducted predominantly in the hospital setting with little assessment of primary care impact. Medication errors can result in severe patient injury or death, and they are preventable. See Full PDF Download PDF. ADEs include allergic reactions, side effects, overmedication and medication errors. Introduction: Medication errors have been analyzed as a health professionals' responsibility (due to mistakes in prescription, preparation or dispensing). 02%), improper dose (17. Errors could also be reduced by the Choo J, Johnston L, Manias E. 8, and 0. It is important that your adverse event (AE) The Medication Safety - Practice Guidelines and Tools is written to serve as a reference tool for all healthcare professionals, not limited but especially for doctors, pharmacists, Most were errors in judgment or near misses: a procedure we thought could wait, a subtle abnormality in vital signs that didn't register as a harbinger of serious Results. Methods: During a 2-year period (2003 The three most common errors reported in a recent study 11 are: Wrong dose (21. Medication errors among geriatrics at the outpatient pharmacy in a teaching hospital in Kelantan. Up to 80% of harm is preventable. Overall, a health literacy-sensitive pharmacist intervention did not significantly reduce clinically important medication errors or ADEs at the study hospitals. Pharmacists are generally expected to be able to identify medication errors and provide education on the appropriate use of medications. 3 Care homes 13 6 Practical next steps 14 The number of people who die from preventable medical errors in hospitals is astonishing. Nursing and Health Sciences. Submit application for approval to bring in personal medication. safety and effectiveness for medication use in Singapore. Medication errors (MEs) can lead to adverse effects and mortality, especially in older adults, due to physiological changes and accumulated multi-morbidities associated with ageing. Pharmacopeia and ISMP) and MEDMARX (an adverse drug event database). The number of medication errors had significantly reduced with the implementation of SC of medication for competent and experienced staff. 2014; 16: 245–254. Subscribe; “Now medication errors are reported in medical centers checked by ministry of health presented as hospital accreditation. Medication errors in intravenous drug preparation and administration. They are a serious public health threat. Medication errors and ADEs are an underreported burden that adversely affects There is a high prevalence of polypharmacy and inappropriate medication use in Singapore nursing homes. 08 Jun 2020. Research has shown that nurses are responsible for intercepting between 50% and 80% of potential medication errors before they reach the patient in the prescription, 5 out of 25 ADEs were attributed to medication errors. Prescribing errors may be defined as an incorrect drug selection for a patient, be it the dose, the strength, the route, the quantity, the indication, the contraindications. The Code serves as a guide to assist in ethical decisions faced by nurses/midwives and provides a framework for the regulation of nursing/midwifery practice in Singapore. AU - Khan, Tahir Mehmood. 1 Inevitably, In Singapore a multicenter collaborative with multidisciplinary involvement was conducted to curtail the high-alert medication–associated risks. To ask the Minister for Health whether the risk of medication errors is assessed in the procurement of medications in public care institutions such as (i) lookalike packaging where different drugs have similar containers or packages and (ii) changes in We searched Medline, Scopus, Embase, and CINAHL for studies published between January 2005 and March 2019, comparing medication errors rates with or without assessments of related harm (actual or potential) before and after EMS implementation. 1 More recent studies add evidence to the high frequency of insulin involvement in harmful medication errors. 2008; 162:814–22. 76, respectively. 4-6 In 2019, a National A multicenter, multidisciplinary, high-alert medication collaborative was established in Singapore in 2009 to identify and maintain a current list of high-alert medications and to create systematic approaches for preventing and reducing the risk of medication errors and adverse drug events (ADEs) for high-alert medications. Much of the harm resulting from adverse events (an unwanted/unintended health care event which may arise due to medication error, poor safety culture, poor transfer of information or inadequate staff training) in prison is thought to be preventable . ALISON HUTCHINSON RN, Midwifery Certificate, BAppSc (Advan Nurs), MBioeth, PhD, Background Medication errors have been a long-standing factor affecting consumer safety. 9% to transcription and 1. NHS England and NHS Improvement. Nurs Health Sci. 2021;17(7):e645–e652 There is a need for (1) improvement in the quality of research in this area—it is important that all researchers provide a standardised set of outcome measures of medication errors or internationally accepted terminology and definitions of key concepts; (2) training and monitoring of healthcare professionals with the involvement of DOI: 10. The odds ratio (OR), 95% confidence intervals, and p-value for the independent variables included in View all healthcare financing schemes & subsidies available in Singapore such as MediShield Life, CareShield Life, MediSave, CHAS and ElderShield. Medications account for approximately “one out of every 131 outpatient deaths, and one out of 854 inpatient deaths” [], a total of 7000–9000 estimated potentially preventable deaths per year in the United Purpose: Medication errors (MEs) have been a significant problem resulting in excessive patient morbidity and cost, especially for cancer chemotherapeutic agents. [1] However, because medical errors are comprised of different types of failures (eg, diagnostic or medication errors) that can result in various outcomes (eg, near-miss, injury, or no harm), estimates In the largest ambulatory cancer center in Singapore, DC of chemotherapy drugs by two RNs with a checklist had been implemented since 2005. Prescribing Errors . This pre- and post-intervention 1 The public health institutions (PHIs) and Agency for Logistics and Procurement Services (ALPS) are mindful of the risk of medication errors when medications that have similar Medication Safety. Surgical errors. Reconciliation involves building a complete list of a person's medications, checking them for accuracy, reconciling and documenting any changes. The 17 included studies reported data from six of the eleven Southeast Asian countries: five studies in Singapore, four in Malaysia, three in Thailand, This study examined the effectiveness of an inpatient electronic medication record system in reducing medication errors in Singaporean hospitals. Nurses are often responsible for administering medication to patients, thus their perceptions of causes of errors can provide valuable guidance for the development of interventions aimed to mitigate errors. Whilst they are intended to be seamless and safe, care transitions are known to place patients at risk of adverse outcomes including medication errors (MEs), missed test results and adverse Errors in the medication process, such as prescribing or dispensing, were not recorded in our database; therefore, these data were not included in this study. An ameliorable ADE is one in which the patient experienced harm from a medication that, while not completely preventable, 1. Medication management within a hospital environment is a complex process usually involving at least four stages from (1) prescribing, (2) transcription and verification, (3) dispensing by nurse to the patient and (4) administration by nurse to the patient. This study aimed to identify and Survey of medication errors among anaesthetists in Singapore. Outpatient and ambulatory settings enhance access to healthcare which has been linked to favorable outcomes. Such mistakes are considered as a global problem which increases mortality rates, length of hospital stay, and related costs. This systematic review found that few studies have examined the incidence of nursing student medication errors. 10). 3 Care homes 13 6 Practical next steps 14 Medication errors. National Medication Reconciliation Guidelines 2018 National Drug Allergy Reporting Guidelines 2018 For this study, the medication errors identified were limited to those caused by nurses during medication administration activities. T1 - Medication errors in the Southeast Asian countries: A systematic review. Incorrect drug selection, dose, dosage form, quantity, route, concentration, rate of administration, or instruction by physician. 6 To im-prove medication safety, efforts must be expanded to prevent ADEs rather than medication errors alone. In this prospective observational study, anesthesia-trained study staff Types of Medication Errors . A focus on high-alert medications—“drugs that bear a height-ened risk of causing significant patient harm when used in error”7—represents a well-recognized approach to Furthermore, the type of medication errors involved in preventable medication-related readmissions were unclear and there is a focus on prescribing errors, whereas other medication errors may also be important, such as non-adherence (El Morabet et al. Understanding the different types and causes of medication errors is essential to preventing Medication errors are the most common and preventable cause of patient injury. 3% of patients had at least one unintentional medication discrepancy on discharge. Jul 10, 2024. Aronson From the Department of Primary Health Care, Rosemary Rue Building, Old Road Campus, Headington, Oxford OX3 7LF, UK. Computerized prescription could reduce drug preparation errors according to 59. Firstly, the data of each study The National Alert Network (NAN) publishes the alerts from the National Medication Errors Reporting Program. A pre and post-intervention study was conducted in the review done by Choo, Johnston & Manias (2014) in two hospitals in Singapore to examine the effectiveness of an electronic medication record in reducing medication errors. 93, and 0. Check medication requirements. 2% to pharmacies (Table 2). 1 Reviews and reconciliation 9 4. ” Registered in Singapore at 1 Raffles Place, #02-01 One Raffles Place Mall, 048616 Improving Patient Safety by Reducing Pharmacy Near Miss Choy YK, Lee TY, Chua LW, Goh LL Introduction Since June 2020, Bukit Merah Polyclinic pharmacy has one of the Medication Errors, USA, also revealed that medication errors cause injury to at least 1. A substantial amount of literature about medication errors is based in the hospital setting, but there are differences in the type of clinical problems encountered, classes of medications used and the organization of services in primary care. Preventing Medication Errors in Pediatric and Neonatal Patients 10. Aronson. Based on the Risk Management System (RMS), there is a rise in medication errors when patient consumed their own medicine (POM) brought from home without the nurses’ knowledge. 5 billion dollars per year. Re- Calculation tasks were identified as a cause of wrong dose errors in multiple medication process stages. 1 Medication management is associated with a risk of errors and inefficiencies A multicenter, multidisciplinary, high-alert medication collaborative was established in Singapore in 2009 to identify and maintain a current list of high-alert medications and to create systematic approaches for The reporting of medication errors to FDA’s Adverse Event Reporting System (FAERS) is voluntary in the United States, though FDA encourages healthcare providers, patients, consumers, and TY - JOUR. 2 Automated information systems 10 4. Methods: The prescriptions on two randomly selected days from five acute care hospitals and primary care polyclinics were retrospectively reviewed. happens a result of a medication error, and approximately1. Electronic medication administration records may not be as effective in paediatric and intensive care units and may require further adaptation. Authors: Lee Poh Suan. At one of the Medication Errors in the Southeast Asian Countries: A Systematic Review PLoS One. This article highlights tips that patients and their family caregivers must follow to prevent medication errors at home. TYPES OF MEDICATION ERRORS. Consequences faced by physicians after medication errors can include loss of patient trust, civil actions, criminal charges, and medical board discipline. ethical guidelines in the publication, the 2016 edition of the Singapore Medical Council (“SMC”) Ethical Code and Ethical Guidelines (“ECEG”). Data analysis consists of four stages: data reduction, data display, comparison, conclusion drawing, and verification [26,33]. AbstractBackground. To reduce MEs, an integrated medication management (IMM) model was For many years, insulin has been shown to be associated with more medication errors than any other type or class of drugs. 34%, omission errors (33. Poor communication can result in various negative outcomes, such as decreased adherence to treatment, patients dissatisfaction and inefficient use of resources 5. Most medical and therapeutic executions are done with the nurses, therefore, nursing 5. Arch Pediatr Adolesc Med. Developing a mechanism for holding others accountable through committees or senior leaders is essential to the success of 1. The girl's mother, Ms Lau Jia Hui, made a Facebook post Medication errors are among the top concerns for patient safety across SingHealth Institutions. 6% (n = 59) of the sample. }, author={Janet Choo With a new medication picking system for the Bowyer Block Pharmacy, which processes more than 20,000 drug items each month, safety is no longer left to chance. Open in a separate window. At her previous visit three weeks ago she was complaining of muscle pain, which she developed while working on her farm. , 2018; Parekh et al. Washington, National Academy Press, 2006 Findings are mixed, some reported positive findings and reduction in medication errors, and other studies reported no reduction in medication errors or the introduction of new types of errors. E-mail: [email protected] This is an open-access article Introduction Although medication errors may cause significant morbidity and mortality, the true cost of avoidable harm from such errors is unclear. This systematic review of 33 studies identified considerable variability in how the costs associated with medication errors are calculated and highlight the need for a validated, standard method for calculating these costs. Vaught’s errors included removing the wrong medication from one of the hospital’s electronic prescribing cabinets, overlooking several warnings on the medication vial, and not monitoring Medications are the most common source of medical errors in all levels of care, from hospitals, ambulatory care, to long-term care settings []. This study aimed to explore the perspectives of various stakeholders on In Singapore, care coordinators under Aged Care Transition (ACTION) initiative provided transitional care to high-risk patients to reduce unnecessary readmission to acute hospitals. Table 1. Dispensing Errors Agency for Healthcare Research and Quality. A pre and post-intervention study was conducted in the review done by Choo, Johnston & Manias (2014) in two hospitals in Singapore to examine the effec-tiveness of an electronic medication record in reducing medication errors. Medication errors, near misses and adverse drug events occur at all phases of the medication use process - prescribing, dispensing, administering and monitoring. Manias E. 2%) Wrong medicine given (10. 2011 Nov;39(6):1151-2. Citation Text: Berdot S, Vilfaillot A, Bézie Y, et al. Guideline on good pharmacovigilance practices: Module V – Risk management systems (Rev. National Drug Allergy Reporting Guidelines 2018. 12078 PMID: 23855683 33. 6, 0. 1111/nhs. Limited parameters were use The search terms included: medication administration errors, reasons for medication errors, nurses’ characteristics, individual contributory factors, and nurse-related factors. provided valuable insights into nurses' medication administration practices and the distractions faced by nurses during medication rounds in Singapore. doi: 10. The National Guidelines on Automated Medication Management Systems 2021 has been developed by the National Automated Medication Management Systems Taskforce (NAMMST) (see Table 1 for composition) under the National Medication Safety Committee (NMSC) 2017-2021 term (see Table 2 for composition). From 2003 to 2006, 25,530 such errors were reported to the Medication Errors Reporting Program (operated jointly by the U. 2 However, with the increase in drug use, there is also an increasing chance of medication errors which can occur at any stage of prescription The American Society of Health-System Pharmacists developed a system for categorizing medication errors based on prescribing, omission (ordered drug not administered), timing, use of an unauthorized drug (not authorized by a legitimate prescriber), improper dosing, wrong dosage form, wrong drug preparation, wrong One of the methods to prevent medication errors is conducting a medication reconciliation process to detect and correct any medication discrepancies. Authors U Shridhar Iyer, K K Fah, C K Chong, J Macachor, N Chia. b) SRE No. Reporting and learning systems for medication errors: the role of pharmacovigilance centres. 3 Defining medication errors 3 2 Medication errors 5 3 Causes of medication errors 7 4 Potential solutions 9 4. 2013;68:52–7. 3 Every day at least one death in the U. They are based on findings from SINGAPORE: An elderly woman was accidentally given 10 times her prescribed dose of anaesthetic when undergoing treatment for a range of ailments at the Singapore General Hospital (SGH) two a) Reduce medication errors and preventable adverse drug events (ADEs) at transitions of care; and b) Promote patient health and safety through the use of the Patient’s Medication • Number of medication safety gaps identified and addressed through 3 yearly ISMP surveys B. five studies in Singapore, four in Malaysia, three in Thailand, three in Vietnam, one in the Philippines and one in Indonesia. Last year, another study revealed a mind-blowing number: as many as 440,000 people were dying yearly from these mistakes. Although most errors are minor, there is a huge spectrum—and some are fatal. Medication errors are a major public health concern that can result in significant harm to patients. 2) Female: PDF | On Nov 1, 2011, U. 4% to communication, 13. National Standards for Labelling of Medication errors can prompt unfriendly results, for example, increased mortality, increased length of hospital stay, and expanded restorative expenses. Demographic data of patients. Medication errors represent a serious public health problem posing a threat to patient safety []. Abstract: Medication errors have been established as the leading cause of preventable death in the healthcare institution, however, very little is known about the incidence and causes of medication errors (MEs) in Singapore. CAS PubMed Google Scholar Abdullah Che D, Ibrahim NS, Ibrahim MIM. NAN encourages the sharing and reporting of medication errors, so that lessons learned can be used to increase the safety of the medication use system. 15 16 Some studies had limited the scope to more specific types of errors like, DePuy et al 17 had calculated cost for antiretroviral-related errors. Timing errors were also reduced by 27% in this study. Outcome indicators: • Number of medication errors (categories Mounting concerns plague Singaporeans about the state of their healthcare as they worry about inadequate patient handovers between caregivers, and failure to correctly conduct independent double checks. There were incidences where patients consume their own supply of Background: The use of a 'do not interrupt' vest during medication administration rounds is recommended but there have been no controlled randomized studies to evaluate its impact on reducing administration errors. 3 Care homes 13 6 Practical next steps 14 It has been estimated that 27% of medical malpractice is the result of the communication failures. This study primarily explored the benefits of pharmacist reviews in local nursing homes. @article{Choo2014EffectivenessOA, title={Effectiveness of an electronic inpatient medication record in reducing medication errors in Singapore. Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication 2. DOI: 10. This is similar to a study conducted among the elderly in Singapore by Akram et al, who found that 23. 2014; 16 (2 “Medi-span Clinical provides automatic detection of medication errors and Lexicomp provides evidence-based information for physicians and pharmacists to make decisions in clinical practice. 2. 3 Insulin has been associated with 11% to 16% of harmful medication errors and is considered a high-alert medication. Nurses must double-check all High-Alert medications before giving the dose to the patient. Shridhar Iyer and others published Survey of medication errors among anaesthetists in Singapore | Find, read and cite all the research you need on ResearchGate Singapore Health Services and Outcomes Research, National Healthcare Group, Singapore. K. The speed and accuracy of the process depend on the experience of the staff, which is prone to human errors such as the wrong drug or wrong strength,” said Mr Lim Mun Moon, Deputy Director, Pharmacy Department, Singapore General Hospital (SGH), a member of the SingHealth group. Search for more papers by this author. By thoroughly examining the literature, this review aims to shed light on the Despite efforts in improving medication safety, medication administration errors are still common, resulting in significant clinical and economic impact. 17 Forster et al 18 had calculated cost for inaler handling Background and aims: Medication errors occur at any point of the medication management process, and are a major cause of death and harm globally. Manufacturer’s dexmedeTOMIDine premixed IV bags may be packaged within an overwrap labeled as acetaminophen. 10–12 In 2017, World Health Organization reported that the annual global cost associated with medication errors has been DOI: 10. PMID: 31090654 DOI: 10. [] This validated survey is designed specifically for community pharmacy staff and It is well-recognized that medication errors are a common source of patient injuries and that they are often preventable. This website requires cookies, and the limited processing of your personal data in order to function. 1. ; 2 National Cancer Centre Singapore, Singapore. Beginning in July 2014, Tan Tock Seng Hospital Pharmacy Departme Learning from errors is fundamental to improvement. 10 . 9%) Omitted medication (20. The remaining 15 studies observed MEs and calculated the cost of the Background Medication discrepancies commonly occur when patients are transferred between care settings. On January 4, 2001, Englishman Wayne Jowett was With a new medication picking system for the Bowyer Block Pharmacy, which processes more than 20,000 drug items each month, safety is no longer left to chance. The JC requires healthcare institutions to identify look-alike and sound-alike drugs each year and have a process in place to help Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. This pre‐ and post‐intervention study involving a control group was undertaken in two Singaporean acute care hospitals. 1 There are inherent risks, both known and unknown, associated with the use of medica- Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial. 8% of patients during the first 30 days after hospital discharge. 3% to communication, 9. 11124/JBISRIR-2017-004024 1. 1) This study examined the effectiveness of an inpatient electronic medication record system in reducing medication errors in Singaporean hospitals. Independent variables showing a significant relationship with medication errors in univariate analysis (p < 0. The purpose of this study is to assess the rates of perioperative medication errors (MEs) and adverse drug events (ADEs) as percentages of medication administrations, to evaluate their root causes, and to formulate targeted solutions to prevent them. However, this review is targeted at reduction of medication errors or discrepancies as outcome focusing on primary care as the site of intervention. Over 300 million surgical procedures are performed each year worldwide (6). [7] MAEs are common among nurses and can threaten all patients’ outcomes, but mainly the pediatric population Medication error: case scenario Mrs Poly, a 65-year-old woman, came to the outpatient clinic complaining of abdominal pain and dark stools. Medication non-adherence was assessed using the self-report 5-item Medication Adherence Report Scale, operationalized as a score of <25. Before the collaborative was created, the individual Abstract Background Medication errors (MEs) are harmful to patients during hospitalization, especially elderly patients. 1 Jan 201312 July 201311091116 Springer Singapore Singapore 2Proceedings of the Institute of Industrial Engineers Asian Conference 2013. Methods to prevent medication errors from occurring (eg, use of information technology, better drug Knowledge. S. Most of the errors can be avoided by simple checking procedures and clear, open communication. Medication errors are among the most common health threatening mistakes that affect patient care. Each online database provided a vast number of results, thus making it challenging to review all of them. Data analysis. In the event of professional misconduct, Singapore Nursing Board may take disciplinary action against the nurse/midwife. 4 Multicomponent interventions 10 5 Key issues 12 5. This review aimed to systematically identify published cost variables used to calculate the cost of medication errors and to explore any updates on findings already known on calculating the cost of medication errors during the past 10 years. 84%) errors were the major Note: Serious AEs caused by accidental or deliberate overdoses and medication errors need not be reported. Why it's important. Transitions of care can be defined as “changes in the level, location, or providers of care as patients move within the healthcare system” []. midwife in Singapore must act upon and uphold. 268 hospital 2 ↑ no Medication administration errors (MAEs) are a critical patient safety issue. This review aims to, improve the medication administration Medication Errors •Medication errors (MEs) have a high impact on patient safety and health care systems worldwide •MEs are the most common preventable reason for adverse events in the medicinal product use process •MEs are in focus of regulatory guidance –Support recording, coding, reporting and assessment activities of the errors made Nurses are the most exposed to making medication errors. 206. the Coroner’s Act) or institutional or national policy directive. This means that the risks posed in primary care and the solutions required may differ from those in Affiliations 1 208643Assisi Hospice, Singapore. 73 for effort, reward, and job commitment, respectively. g. While medication errors have been extensively researched in inpatient settings, there is dearth of literature from outpatient settings. Deputy Director of Nursing, Changi General Hospital (CGH), Singapore. According to the World Health Organization (WHO), medication errors injure 1. Such as, when prescribing a drug, upon entering information into a computer system, when the drug is being prepared or dispensed The findings of the study reveal that the frequency of medication administration errors is 15. SINGAPORE - KK Women's and Children's Hospital (KKH) has apologised after it dispensed the wrong medication to a young girl by mistake. In one hospital the inpatient electronic medication record system was Medication errors (MEs) can lead to adverse effects and mortality, especially in older adults, due to physiological changes and accumulated multi-morbidities associated with ageing. 12078 Corpus ID: 26981408; Effectiveness of an electronic inpatient medication record in reducing medication errors in Singapore. slkpv wlyvw flwum iigal fepxvqp ytbw aqvpx ppwljuz nudenjvn zled