title: Inpatient prescribing errors and pharmacist intervention at a teaching hospital in Saudi Arabia.
abstract: BACKGROUND
  Prescribing errors phenomena are very common within health care practice. These errors could result in adverse events and harm to patients. Pharmacist has an identified role in minimizing and preventing such errors.
  
  
  OBJECTIVE
  To detect the incidence of prescribing errors for hospitalized patient, to evaluate the clinical impact of pharmacist intervention on the detection of these errors, and to propose a program to overcome this problem in a teaching hospital.
  
  
  METHODS
  For one month period starting November until December 2009, the inpatient medication charts and orders were identified and rectified by ward and practicing pharmacists within inpatient pharmacy services in a teaching hospital at King Khalid University Hospital (KKUH) at King Saud University, Riyadh, Kingdom of Saudi Arabia on routine daily activities. Data were collected and evaluated. The causes of this problem were identified.
  
  
  RESULTS
  Approximately 113 (7.1%) prescribing errors were detected during the study period out of 1580 medication orders. Wrong strength and wrong administration frequency of the prescribed drug were the most errors encountered in the study, which were 35%, and 23%, respectively. Other errors such as wrong patient, wrong drug, and wrong dose were also encountered. Lack of knowledge of prescribing skill was the main cause of such errors.
  
  
  CONCLUSIONS
  Prescribing errors in teaching hospital within inpatient pharmacy services were noticed. The applied method in this project might be implemented as part of pharmacy quality assurance program for ongoing detection and monitoring of such errors. Technology in prescribing process will support the practitioner to reduce the incidence of these errors. Forcing ongoing professional communication and education within the medical team about prescribing errors now appear warranted.
authors: Clinical Pharmacy Department, College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh 11451, Saudi Arabia.
authors: A A
authors: AA
authors: Al-Dhawailie
keywords: Errors; Inpatient; Intervention; Pharmacist role
references: Qual Saf Health Care. 2002 Dec;11(4):340-4
references: 12468694
references: JAMA. 1995 Jul 5;274(1):35-43
references: 7791256
references: Am J Health Syst Pharm. 1999 Jan 1;56(1):57-62
references: 10048880
references: Saudi Med J. 2008 Dec;29(12):1703-10
references: 19082217
references: Lancet. 2002 Apr 20;359(9315):1373-8
references: 11978334
references: Qual Health Care. 1992 Mar;1(1):5-9
references: 10136831
references: Arch Intern Med. 2004 Apr 12;164(7):785-92
references: 15078649
references: Intern Med J. 2008 Apr;38(4):243-8
references: 18298560
references: Crit Care. 2005 Oct 5;9(5):R516-21
references: 16277713
references: Drug Saf. 2009;32(10):819-36
references: 19722726
references: Am J Health Syst Pharm. 2007 Jun 1;64(11):1170-3
references: 17519459
references: Qual Health Care. 1993 Mar;2(1):3-4
references: 10132075
references: Int J Qual Health Care. 2003 Dec;15 Suppl 1:i41-7
references: 14660522
references: Drug Saf. 2009;32(5):379-89
references: 19419233
references: JAMA. 1995 Jul 5;274(1):29-34
references: 7791255
references: Qual Health Care. 2000 Dec;9(4):232-7
references: 11101708
references: Br J Clin Pharmacol. 2004 Nov;58(5):503-11
references: 15521898
references: J Hosp Med. 2009 Feb;4(2):97-101
references: 19219923