Medical errors challenges for the health professionals: need of Pharmacovigilance to prevent.
The incidence of different aspects of iatrogenic problems due to drugs is Adverse Events (AEs) 3.7%, Adverse Drug Events (ADEs) 2.4-6.5%, Adverse Drug Reactions (ADRs) is 6.7%. Negligence in serious ADEs and death is 34% and 51% respectively, preventable ADEs is 25-50%. Medication Errors (MEs) occur most often in perscribing (29-56%). The most common cause of MEs is lack of knowledge about the drug (29%) and the patient about 18%. MEs result malpractice claims in 13-25% of cases which occur due to mistakes and slips of action & lapses of memory. The MEs can be prevented by establishing effective Pharmacovigilance control center, which frequently gives proper guidance to the prescribers. Use of computerized decision for prescription writing, effective communication with patient, families, pharmacists and nurses and continuing medical education on information of new drugs and new information on current drugs can be effective tolls to prevent the errors.
Das
B P
BP
BP Koirala Institute of Health Science, Dharan, Nepal. bpdas2000@yahoo.com
Rauniar
G P
GP
Bhattacharya
S K
SK
D016907:Adverse Drug Reaction Reporting Systems; D016303:Clinical Pharmacy Information Systems; D006282:Health Personnel; D006801:Humans; D015994:Incidence; D016365:Liability, Legal; D008318:Malpractice / Q000331:legislation & jurisprudence*; D008508:Medication Errors / Q000517:prevention & control*; D008510:Medication Systems, Hospital; D011364:Professional Practice; D024382:Professional Role; D012307:Risk Factors