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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

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