World Journal of
Pharmaceutical and Life Sciences

REVIEW ON FRAMEWORK IN PATIENT SAFETY

Sanskriti Ashok Aghao* and Rohit Sushil Bairagi

ABSTRACT

Medication error are common in general practice and in hospitals. Both error in the act of writing (prescription/ dispencing/administration errors) and prescribing faults due to erroneous medical decisions can result in harm to patients. Any step in the prescribing process can generate errors. Slips, lapses, or mistakes are source of errors, as in unintended omissions in the transcription of drugs. Faults in dose selection, omitted transcription, and poor handwriting are common. Inadequate knowledge or competence and incomplete information about clinical characteristics and previous treatment of individual patients can result in prescribing faults, including the use of potentially inappropriate medications. An unsafe working environment, complex or undefined procedures, and inadequate communication among health care personnel, particularly between doctors and nurses, have been identified as important underlying factors that contribute to prescription errors and prescribing faults. Active interventions aimed at reducing prescription error and prescribing faults are strongly recommended. These should be focus on the education and training of prescribers and the use of online aids. Feedback control systems and immediate review of prescription, which can be performed with the assistance of a hospital pharmacist, are also helpful.

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