Engelsk titel: Erroneous and unsatisfactory filling in of drug charts - a potential source of medication error
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Författare:
Ritland S
;
Kummen M
;
Gjerde I
;
Taranröd B
Email: sritland@online.no
Språk: Nor
Antal referenser: 10
Dokumenttyp:
Artikel
UI-nummer: 04091154
Sammanfattning
BACKGROUND : Medication errors may have serious consequences for patients and erroneous drug charts represent one of several causes of error. As part of a quality assurance survey, we studied whether user documentation on the charts was in accordance with the guidelines for chart keeping.
MATERIAL AND METHODS : On the same day, the drug charts of all hospitalized patients (n = 401) were copied and a representative sample of 207 charts was reviewed.
RESULTS : 15 charts had no prescriptions; 14 of the remaining 192 charts (7 %) were correctly filled in. 152 charts (79 %) had deviations that we considered might pose only minor potential health risk; 26 (14 %) had deviations implying potential risk. No charts had deviations considered to pose major risk.
INTERPRETATION : Several deviations from the guidelines were found and better training is needed; we recommend standardisation of drug charts and guidelines.