Omission errors in medical prescriptions dispensed in a Public Health Center of Iztapalapa in Mexico City in 2021

Authors

DOI:

https://doi.org/10.52379/mcs.v8i2.356

Keywords:

medical errors, Mexico, prescriptions

Abstract

Introduction: Prescription errors cover a wide range of errors that can range from an incorrect selection of the medication to the lack of important information in the medical prescription, the latter called omission errors, which can affect the patient's health. However, in Mexico there are no reports on omission errors in first-level care centers, which are the institutions that address the majority of the population's health problems. Objective: To determine the prevalence of omission errors identified in medical prescriptions issued in a first-level health center in Mexico City in 2021. Methods: This is an observational, cross-sectional and retrospective study. Eleven types of omission errors present in medical prescriptions were analyzed according to current Mexican regulations. The prevalence of each type of error was estimated and the rate of omission errors was calculated. Results: A total of 5822 medical prescriptions were analyzed and 3424 omission errors were found. The error rate was 1.08 errors per prescription. The most frequently found errors were the omission of the diagnosis/medication relationship (38.91%), the pharmaceutical form (30.54%) and the concentration (12.11%). Discussion: A high prevalence of omission errors was found in medical prescriptions at the health center that hosted the study in 2021. It is necessary to implement support systems for health professionals with a view to reducing prescription errors.

Downloads

Download data is not yet available.

References

Braund R, Coulter C V., Bodington AJ, Giles LM, Greig AM, Heaslip LJ, et al. Drug related problems identified by community pharmacists on hospital discharge prescriptions in New Zealand. Int J Clin Pharm. 2014;36(3):498–502. https://doi.org/10.1007/s11096-014-9935-8

Tercer Consenso de Granada sobre Problemas Relacionados con Medicamentos (PRM) y Resultados Negativos asociados a la Medicación (RNM). Ars Pharm. 2007;48(1):5–17. URL

Suclupe S, Martinez-Zapata MJ, Mancebo J, Font-Vaquer A, Castillo-Masa AM, Viñolas I, et al. Medication errors in prescription and administration in critically ill patients. J Adv Nurs. 2020;76(5):1192–200. https://doi.org/10.1111/jan.14322

Abdel-Qader DH, Saadi Ismael N, Al Meslamani AZ, Albassam A, El-Shara’ A’ A, Lewis PJ, et al. The Role of Clinical Pharmacy in Preventing Prescribing Errors in the Emergency Department of a Governmental Hospital in Jordan: A Pre-Post Study. Hosp Pharm. 2021;56(6):681–9. https://doi.org/10.1177/0018578720942231

Suprema Corte de Justicia. Reglamento de Insumos para la Salud. Internet. México. Diario Oficial de la Federación. 1998. Citado 2023 Sep 22. URL

Farmacopea de los Estados Unidos Mexicanos (FEUM). Suplemento 2020. México; 2020. Secretaría de Salud, Comisión permanente de la Farmacopea de los Estados Unidos Mexicanos.

Diario Oficial de la Federación. Ley General de Salud. Internet. México. Gobierno de México. 2024. Citado 2023 May 31. URL

IMSS. Elementos básicos de una receta médica. Comisión Nacional de Arbitraje Médico. Internet. México. IMSS. 2021. Citado 2023 Sep 12. URL

Block MÁG, Morales HR, Hurtado LC, Balandrán A, Méndez E. Health Systems in Transition: Mexico. Vol. 22, Health Systems in Transition: Mexico. 2021.

ISSSTESON. Servicios médicos del derechohabiente. Internet. 2021. Citado 2023 Mar 20. URL

Islas Cerón RG, Valencia Ortiz AI, Bustos Vázquez E, Ruvalcaba Ledezma JC, Reynoso Vázquez J. Asociación entre calidad de atención y el nivel de saturación del servicio de urgencias de un hospital de Hidalgo, México. J negat no posit results. 2020;5(10):1163–78. https://dx.doi.org/10.19230/jonnpr.3770

Castañeda DDL, Jaimes T. Operación del “Modelo Nacional de Farmacia Hospitalaria” en el sector público de México: estudio de caso. Rev Mex Ciencias Farm. 2016;47(4):66–78. URL

Diario Oficial de la Federación. NORMA Oficial Mexicana NOM-072-SSA1-2012, Etiquetado de medicamentos y de remedios herbolarios Internet. México. 2012. Citado 2024 Feb 20. URL

SISMED Ministerio de Salud y Protección Social - República de Colombia. Glosario de términos - Régimen de Dosificación. [Internet]. Colombia. 2013. Citado 2024 Feb 20. URL

Mathaiyan J, Jain T, Dubashi B, Reddy KS, Batmanabane G. Prescription errors in cancer chemotherapy: Omissions supersede potentially harmful errors. J Pharmacol Pharmacother. 2015;6(2):83-87. https://doi.org/10.4103/0976-500X.155484

Atif M, Azeem M, Rehan Sarwar M, Malik I, Ahmad W, Hassan F, et al. Evaluation of prescription errors and prescribing indicators in the private practices in Bahawalpur, Pakistan. J Chinese Med Assoc. 2018;81(5):444–9. https://doi.org/10.1016/j.jcma.2017.12.002

Calligaris L, Panzera A, Arnoldo L, Londero C, Quattrin R, Troncon MG, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC clin pharmacol. 2009;9(9):1-6. https://doi.org/10.1186/1472-6904-9-9

Piña-Pozas M, Araujo-Pulido G, Castillo-Castillo. Hipertensión arterial un problema de salud pública en México [Internet]. México. Gobierno de México. 2020. Citado 2022 May 31. URL

Statista. Diabetes: número de enfermos por país 2019. Internet. Países con mayor número de personas con diabetes 2019. 2021. Citado 2022 May 31. URL

Dean Franklin B, Reynolds M, Atef Shebl N, Burnett S, Jacklin A. Prescribing errors in hospital inpatients: a three-centre study of their prevalence, types and causes. Postgraduate Medical Journal. 2011;87(1033):739–745. https://doi.org/10.1136/pgmj.2011.117879

Ryan C, Ross S, Davey P, Duncan EM, Francis JJ, Fielding S, et al. Prevalence and causes of prescribing errors: the prescribing outcomes for trainee doctors engaged in clinical training (PROTECT) study. PloS one. 2014;9(1):e79802. https://doi.org/10.1371/journal.pone.0079802

Sutherland A, Ashcroft DM, Phipps DL. Exploring the human factors of prescribing errors in paediatric intensive care units. Arch Dis Child. 2019;104(6):588–95. https://10.1136/archdischild-2018-315981

Del Valle Nc A, Camid E G, Ff VM, Osorio Je F, Fj BP. Impacto del Servicio de Farmacia en la disminución de errores en la medicación en pediatría. Rev. OFIL·ILAPHAR. 2021;31(2):161-165. https://dx.doi.org/10.4321/s1699-714x2021000200009

Villegas F, Figueroa-Montero D, Barbero-Becerra V, Juárez-Hernández E, Uribe M, Chávez-Tapia N, et al. La importancia de la farmacovigilancia intrahospitalaria en la detección oportuna de los errores de medicación. Gac Med Mex. 2018;154(2):172–9. https://dx.doi.org/10.24875/GMM.18002549

Published

05/14/2024

Issue

Section

Original Articles

Similar Articles

<< < 1 2 3 4 5 

You may also start an advanced similarity search for this article.