TY - JOUR KW - Adverse Drug Reaction Reporting Systems KW - Health Personnel KW - Hospital Departments/statistics & numerical data KW - Hospitals, Community KW - Humans KW - Inappropriate Prescribing/statistics & numerical data KW - Medication Errors/statistics & numerical data KW - Medication Systems, Hospital KW - Mental Health Services/statistics & numerical data KW - Online Systems KW - Primary Health Care KW - Retrospective Studies KW - Risk Management/methods KW - Scotland KW - State Medicine/statistics & numerical data AU - A. Alrwisan AU - J. Ross AU - D. Williams A1 - AB - AIMS: Approximately 20% of deaths from adverse events are related to medication incidents, costing the NHS an additional pound500 million annually. Less than 5% of adverse events are reported. This study aims to assess the reporting rate of medication incidents in NHS facilities in the north east of Scotland, and to describe the types and outcomes of reported incidents among different services. Furthermore, we wished to quantify the proportion of reported incidents according to the reporters' profession. METHODS: A retrospective description was made of medication incidents reported to an online reporting system (DATIX) over a 46-month-period (July 2005 to April 2009). Reports originated from acute and community hospitals, mental health, and primary care facilities. RESULTS: Over the study period there were 2,666 incidents reported with a mean monthly reporting rate of 78.2/month (SD+/-16.9). 6.1% of all incidents resulted in harm, with insulin being the most commonly implicated medication. Nearly three-quarters (74.2%, n=1,978) of total incidents originated from acute hospitals. Administration incidents were implicated in the majority of the reported medication incidents (59%), followed by prescribing (10.8%) and dispensing (9.9%), while the nondescript "other medication incidents" accounted for 20.3% of total incidents. The majority of reports were made by nursing and midwifery staff (80%), with medical and dental professionals reporting the lowest number of incidents (n=56, 2%). CONCLUSIONS: The majority of medication incidents in this study were reported by nursing and midwifery staff, and were due to administration incidents. There is a clear need to elucidate the reasons for the limited contribution of the medical and dental professionals to reporting medication incidents. BT - European journal of clinical pharmacology C5 - HIT & Telehealth CP - 5 CY - Germany DO - 10.1007/s00228-010-0986-z IS - 5 JF - European journal of clinical pharmacology N2 - AIMS: Approximately 20% of deaths from adverse events are related to medication incidents, costing the NHS an additional pound500 million annually. Less than 5% of adverse events are reported. This study aims to assess the reporting rate of medication incidents in NHS facilities in the north east of Scotland, and to describe the types and outcomes of reported incidents among different services. Furthermore, we wished to quantify the proportion of reported incidents according to the reporters' profession. METHODS: A retrospective description was made of medication incidents reported to an online reporting system (DATIX) over a 46-month-period (July 2005 to April 2009). Reports originated from acute and community hospitals, mental health, and primary care facilities. RESULTS: Over the study period there were 2,666 incidents reported with a mean monthly reporting rate of 78.2/month (SD+/-16.9). 6.1% of all incidents resulted in harm, with insulin being the most commonly implicated medication. Nearly three-quarters (74.2%, n=1,978) of total incidents originated from acute hospitals. Administration incidents were implicated in the majority of the reported medication incidents (59%), followed by prescribing (10.8%) and dispensing (9.9%), while the nondescript "other medication incidents" accounted for 20.3% of total incidents. The majority of reports were made by nursing and midwifery staff (80%), with medical and dental professionals reporting the lowest number of incidents (n=56, 2%). CONCLUSIONS: The majority of medication incidents in this study were reported by nursing and midwifery staff, and were due to administration incidents. There is a clear need to elucidate the reasons for the limited contribution of the medical and dental professionals to reporting medication incidents. PP - Germany PY - 2011 SN - 1432-1041; 0031-6970 SP - 527 EP - 532 EP - T1 - Medication incidents reported to an online incident reporting system T2 - European journal of clinical pharmacology TI - Medication incidents reported to an online incident reporting system U1 - HIT & Telehealth U2 - 21240481 U3 - 10.1007/s00228-010-0986-z VL - 67 VO - 1432-1041; 0031-6970 Y1 - 2011 ER -