Published: 2020-06-26

A study on patient safety with reference to medication errors at a tertiary care hospital

Rajesh Dake, I. Venkata Ramana


Background: The objective of this present study was to determine and evaluate the nature and types of medication errors (MEs) in a tertiary care hospital.

Methods: This was a prospective, observational study was conducted on medication errors in a tertiary care hospital, Kakinada during January 2019 to December 2019. MEs were categorized as prescription error (PE), transcription error (TE), dispensing error (DE), and administration error (AE). The case records and treatment charts were reviewed. The one-way ANOVA test for independent measures was done for statistical analysis.

Results: A total of 5792 patients were included during the study period. Total numbers of MEs were n=353 (6.10%). The most common ME was TEs n=191 (54%) followed by AEs n=117 (33%). Nursing errors n=316 were more compared to doctors’ errors n=18. The one-way Anova test for independent measures was done for statistical analysis; the f-ratio value is 6.44654. The p-value is 0.004332. The result is significant at p<0.05.

Conclusions: There is a need to establish effective ME reporting system to reduce its incidence and improve patient care and safety. Regular trainings and interdepartmental sharing of facts on medication errors should be done at regular intervals.


Administration, Dispensing, Medication errors, Prescription, Transcription

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Patel N, Desai M, Shah S, Patel P, Gandhi A. A study of medication errors in a tertiary care hospital. Perspective Clin Res. 2016;7(4):168.

ASHP guidelines on preventing medication errors in hospitals. Am J Hosp Pharm. 1993;50:305-14.

Gaur S, Sinha A, Srivastava B. Medication errors in medicine wards in a tertiary care teaching hospital of a hill state in India. Asian J Pharm Life Sci. 2012;2:56-63.

Kumar A, Venkateswarlu K, Ramesh A. A study of medication administration errors in a tertiary care hospital. Indian J Pharma Pract. 2011;4(2):37.

Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Institute of medicine. Washington (DC): National Academies Press (US); 2000.

Wei LY, Min TH, Ming EJC, Sheng JYB, Ahmad K. Qualitative research on medication safety among nurses and pharmacists in hospital Miri. Sarawak J Pharm. 2015;1:1-12.

Agarwal S, Joshi MC. A study of medication errors associated with prescription drug ordering. Rev Glob Med Healthc Res. 2011;2:166-72.

Ross LM, Wallace J, Paton JY. Medication errors in a paediatric teaching hospital in the UK: five years operational experience. Arch Dis Childhood. 2000;83(6):492-7.

Parihar M, Passi GR. Medical errors in pediatric practice. Indian Pediatr. 2008;45(7):586.