| Analysis of Medication Errors of Health Care Providers on the Basis of Data from the Czech Toxicological Information Centre over an 11-Year Period (2000-2010). | |
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MedLine Citation:
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PMID: 22077968 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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This study aimed to analyse medication errors committed by health care professionals leading to toxicological consultations at the Czech Toxicological Information Centre (TIC), and to identify the categories of special concern for further interventions of health care quality experts. From the TIC database, 44,344 calls concerning drug application were studied retrospectively over the period of 2000-2010. The calls regarding medication errors caused by mistakes of the health care personnel were identified and analysed. From 215 calls regarding medication errors, 130 involved children (90 below 5 years of age) and 85 adults (30 over 60 years of age). Out of 25 patients with severe drug intoxications, 60.0% were children under 5 years of age with parenteral administration of the pharmaceuticals affecting the CNS, and 28.0% patients over 60 years of age with chronic oral application of theophylline, digoxin or lithium. The most common errors were improper dose (60.9%), wrong drug (19.3%) or erroneous route of administration (12.9%). The most frequent errors appeared using antibiotics as well as drugs affecting the central nervous system and the respiratory system. Nurses administering the drugs were responsible for 43.0%, physicians for 36.8% and pharmacists for 20.2% of the errors. Children under 5 years of age treated with parenteral administration of the pharmaceuticals affecting the central nervous system, in which the dose was not correctly adjusted, and elderly people with chronic oral medication of theophylline, digoxin, lithium and insufficient control of the medication level were exposed to a higher risk of serious health problems and death due to medication errors. |
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Authors:
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Sergey Zakharov; Tomas Navratil; Daniela Pelclova |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-11-11 |
Journal Detail:
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Title: Basic & clinical pharmacology & toxicology Volume: - ISSN: 1742-7843 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101208422 Medline TA: Basic Clin Pharmacol Toxicol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Basic & Clinical Pharmacology & Toxicology © 2011 Nordic Pharmacological Society. |
Affiliation:
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Health Law Centre, Third Faculty of Medicine, Charles University in Prague Toxicological Information Centre, Department of Occupational Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic Department of Biophysical Chemistry, J. Heyrovský Institute of Physical Chemistry of AS CR, v.v.i., Prague, Czech Republic Toxicological Information Centre, Department of Occupational Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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