Reported June 30,
2003
Pharmacist’s Role in
Medication Errors
(Ivanhoe Newswire) -- Duke
University researchers report
positive findings in a new study
that looked at the role of the
pharmacist in helping doctors
prevent medical errors involving
medications.
The investigation, published
in this month’s Archives of
Internal Medicine, finds
having a pharmacist participate
in medical rounds with doctors
resulted in the identification
and prevention of nearly 5,000
medication errors over more than
four years.
The study was conducted in a
cardiology ward in the hospital,
an area where previous studies
have shown a high risk for
severe adverse drug events.
During the study period, the
pharmacists intervened in nearly
15,000 cases, about 4,700 of
them due to medication errors.
The most common types of errors
seen in the study were giving
the wrong drug or the wrong
dose. About 40 percent of all
the drug errors identified
involved cardiovascular drugs.
Researchers associated three
factors with the errors:
- Lack of knowledge of
the patient’s drug therapy
prior to admission
- Periods of transition
among the medical staff
- A gradual increase in
errors during the study
period
The investigators believe
these findings strongly suggest
the value of having a pharmacist
participate in medical rounds
with doctors. They also suggest
two areas for improvement within
hospitals. First, facilities
should develop a system to
provide health care providers
with accurate medication
information at the point of
care. Second, interns should be
provided with more focused
education and backup during
their first months of training.
A recent study by researchers
at Harvard found as many as
98,000 deaths occur each year
from medical errors, and many of
these are medication errors.
This article was reported by
Ivanhoe.com, who offers Medical
Alerts by e-mail every day of
the week. To subscribe, go to:
http://www.ivanhoe.com/newsalert/.
SOURCE: Archives of
Internal Medicine,
2003;163:1461-1466