The underreporting of medication errors: A retrospective and comparative root cause analysis in an acute mental health unit over a 3-year period

International Journal of Mental Health Nursing
Maeve MorrisonMelanie Murray

Abstract

Medication errors remain a commonly reported clinical incident in health care as highlighted by the World Health Organization's focus to reduce medication-related harm. This retrospective quantitative analysis examined medication errors reported by staff using an electronic Clinical Incident Management System (CIMS) during a 3-year period from April 2014 to April 2017 at a metropolitan mental health ward in Western Australia. The aim of the project was to identify types of medication errors and the context in which they occur and to consider recourse so that medication errors can be reduced. Data were retrieved from the Clinical Incident Management System database and concerned medication incidents from categorized tiers within the system. Areas requiring improvement were identified, and the quality of the documented data captured in the database was reviewed for themes pertaining to medication errors. Content analysis provided insight into the following issues: (i) frequency of problem, (ii) when the problem was detected, and (iii) characteristics of the error (classification of drug/s, where the error occurred, what time the error occurred, what day of the week it occurred, and patient outcome). Data were compared to the stat...Continue Reading

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Citations

Aug 9, 2020·International Journal of Clinical Pharmacy·Binny ThomasDerek Stewart
Jun 12, 2021·Risk Management and Healthcare Policy·Faizah M AlshammariThamir M Alshammari
Jul 6, 2021·TheScientificWorldJournal·Salim Aljabari, Zuhal Kadhim

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