ABSTRACT
Background: Medication errors are common problem in the hospitals leading to adverse drug event which is usually under reported by the health-care professionals; hence, the study on medication error would help to create consciousness in medical care providers and give quality care to patients and society. Aim and Objective: The aims of the study were as follows (i) To assess the types of medication error that occurs during medication use in the medicine intensive care unit (ICU) and (ii) to evaluate the adverse drug events by medication errors. Materials and Methods: The data were collected in medicine ICU Patients. Clinical data include age, gender, IP number, and diagnosis of the patient were collected. Data were analyzed on transcribed and administered medication errors. Out of 386 patients, 122 were females and 264 were males. Results: Most common age group was 41–60 year. Near seven drugs were prescribed per patient. Most common errors occurred during the drug transcribing stage (51.4%) than the administration stage (44.29%). Adverse events were more common in allergic reaction (46.15%) and musculoskeletal system (19.23%), and nervous system (11.53%). Conclusion: Medication errors are most routine problem faced in hospitals, which can significantly harm the patient. It should be recognized and their causes should be studied to minimize the recurrence and to prevent further adverse drug events.
ABSTRACT
Background: Antimicrobial agents (AMAs) are an integral part of management of diseases in the department of general medicine, and a wide range of antimicrobials are used for prevention, prophylaxis, or treatment of various infectious diseases. Systematic studies regarding the pattern of AMAs use may help in improving the quality of patient care by evidence-based practices and also in formulating effective antimicrobial usage guidelines. Aim and Objectives: The objectives of this study were as follows: (i) To analyze the prescribing trends of Antimicrobials in Medicine wards of a Tertiary Care Hospital; (ii) to assess safety profile of AMAs; and (iii) to analyze extraneous factors influencing AMAs prescription. Materials and Methods: The prospective analysis of Antimicrobial prescriptions of Medicine wards for the period of July 2018–August 2019. The class of AMAs, formulation, dose, route of administration, frequency, and duration of administration and their safety was assessed using the WHO indicators. Results: The most frequently used AMAs were third generation cephalosporin (Ceftriaxone) and it was frequently combined with metronidazole. The choice of initial AMAs was empirical, which was later changed depending on the clinical response. The AMAs were effective in preventing or controlling infections and well tolerated without any serious adverse reactions or drug interactions. Conclusions: The rational use of AMAs is necessary to control worldwide emergence of antibacterial resistance, side effects, and to reduce the cost of treatment.