dfdf7d8ff4f66de88e915035fc065590 pmc_9821611.pdf 77aa6919be7b2e150b74e306b2a344d3421aee6c pmc_9821611.pdf 38b785cd0067da114481982c2d7e029068506a8b0d1ede1676f42240e9f21c1f pmc_9821611.pdf Title: Detection and Prevention of Medication Errors by the Network of Sentinel Pharmacies in a Southern European Region Subject: A medication error (ME) is a drug-related problem that has been recognized as a common and serious threat to patient safety. The aim of this study was to detect and analyze ME reports occurring throughout the therapeutic process through the community’s pharmacies in order to improve the efficacy and safety of medications and contribute to the prevention of future MEs. This was a three-year descriptive, observational, and prospective study to detect and analyze the different MEs reported by the Catalan sentinel pharmacies network (Catalan SePhaNet). In total, 1394 notifications of MEs were reported (an incidence rate of 737.34 cases/100,000 inhabitants). MEs were detected more frequently in primary care centers. Most of the MEs reported were caused by an incorrect, incomplete, illegible, or verbal medical prescription (41.3%). Of the global notifications detected, 71.9% did not reach the patient (categories A and B). The drugs most frequently implicated in the reported ME cases were beta-lactam antibiotics. In 6.0% of the cases, the ME caused injury to the patient (categories E and F). In 72.0% of the global notifications, a pharmacist’s intervention avoided the ME. The importance of a community pharmacy and the role of a pharmacist were demonstrated in aspects related to patient and drug safety. Keywords: adverse drug reaction (ADR); medication error; medication safety; drug-related problems; community pharmacies; health services administration; pharmacoepidemiology Author: Anna M. Jambrina, Àlex Santomà, Andrea Rocher, Neus Rams, Glòria Cereza, Pilar Rius, Montserrat Gironès, Clara Pareja, Àngels Franch and Manel Rabanal Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Tue Dec 27 07:03:47 2022 CET ModDate: Tue Dec 27 07:07:31 2022 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 13 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1013886 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- WBZAFJ+VnURWPalladioL Type 1 Custom yes yes no 10 0 HWBVXE+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 WTGRGU+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 ZUHWPN+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 QKJRQV+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 XPUSBJ+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 46 0 BSDWLC+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 49 0 GFAWRG+CMSY10 Type 1 Builtin yes yes no 74 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 86 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 90 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 94 0 BCDHEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 98 0 URYLRZ+URWPalladioL-BoldItal Type 1 Custom yes yes no 110 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 118 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 122 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 126 0 BCDHEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 130 0 BCDIEE+PalatinoLinotype-BoldItalic TrueType WinAnsi yes yes no 137 0 OVNEXW+EURM10 Type 1 Builtin yes yes no 151 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-08-08 02:25:48 CEST RepresentationInformation: pmc_9821611.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2023-08-02 02:20:30 CEST Size: 1013886 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 294 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@44c8afef Item: Title: Materials and Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7b69c6ba Children: Item: Title: Sampling Frame Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@46daef40 Item: Title: Data Collection Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@12f41634 Item: Title: Statistical Analysis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@13c27452 Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Children: Item: Title: Incidence Data Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Item: Title: Typology of Medication Error Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Item: Title: Drugs Involved Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@50d0686 Item: Title: Pharmacovigilance and Pharmaceutical Care Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7a3d45bd Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1e7c7811 Item: Title: Conclusions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@77ec78b9 Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1a3869f4 Info: Title: Detection and Prevention of Medication Errors by the Network of Sentinel Pharmacies in a Southern European Region Author: Anna M. Jambrina, Àlex Santomà, Andrea Rocher, Neus Rams, Glòria Cereza, Pilar Rius, Montserrat Gironès, Clara Pareja, Àngels Franch and Manel Rabanal Subject: A medication error (ME) is a drug-related problem that has been recognized as a common and serious threat to patient safety. The aim of this study was to detect and analyze ME reports occurring throughout the therapeutic process through the community’s pharmacies in order to improve the efficacy and safety of medications and contribute to the prevention of future MEs. This was a three-year descriptive, observational, and prospective study to detect and analyze the different MEs reported by the Catalan sentinel pharmacies network (Catalan SePhaNet). In total, 1394 notifications of MEs were reported (an incidence rate of 737.34 cases/100,000 inhabitants). MEs were detected more frequently in primary care centers. Most of the MEs reported were caused by an incorrect, incomplete, illegible, or verbal medical prescription (41.3%). Of the global notifications detected, 71.9% did not reach the patient (categories A and B). The drugs most frequently implicated in the reported ME cases were beta-lactam antibiotics. In 6.0% of the cases, the ME caused injury to the patient (categories E and F). In 72.0% of the global notifications, a pharmacist’s intervention avoided the ME. The importance of a community pharmacy and the role of a pharmacist were demonstrated in aspects related to patient and drug safety. 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