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- W2088560229 abstract "To describe the ongoing nature and incidence of medication prescriber errors (MPE) identified in our inpatient OB/GYN service of a tertiary care hospital in relation to time of day and location. An Ob/Gyn MPE database was started January 1, 2002. Each entry had information concerning date, time, prescriber, problem description, result of problem, drug class, problem code, service, severity index, and contributor factor. Severity index was defined as potentially “fatal or severe,” “serious,” or “significant” and scored by one senior pharmacist. Service was further divided into antepartum/GYN, labor and delivery, and postpartum. Time was translated to day, evening, or night shifts. Incidence was calculated as number of errors per 1000 orders. Statistics were done using ranked ANOVA with a Tukey correction for multiple comparison. 73 prescriber errors were reviewed for 2002 (24 antepartum/GYN, 34 labor and delivery, and 15 postpartum). Overall incidence was 1.2 errors detected per 1000 orders. More errors were detected on labor and delivery as compared to antepartum/GYN and postpartum (5.3 vs 0.5 and 1.5/1000 orders, respectively, P<0.001). More MPE (51%) occurred during the day. MPE rate was similar during weekdays and weekends. Wrong dose (36%) and allergy (30%) were most common. Antimicrobials (44%), analgesics (20%) were the most common MPE. Although most MPE were in the “significant” category (60%), 5.5% MPE were “fatal” or “severe.” Patient (43%) and therapeutics (36%) were the most common contributing factors. Ongoing collection of MPE is warranted in Ob-Gyn practice. Focus-oriented strategies specific to services particular to antimicrobial and pain management should decrease the number of MPE and increase patient safety." @default.
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- W2088560229 date "2003-12-01" @default.
- W2088560229 modified "2023-09-27" @default.
- W2088560229 title "Prescriber errors: time, location, frequency in Ob-Gyn" @default.
- W2088560229 doi "https://doi.org/10.1016/j.ajog.2003.10.334" @default.
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