Drug Errors and Protocol for Prevention among Anaesthetists in Nigeria

Background. Drugs are often prescribed, dispensed, and administered by the same person during anaesthesia, and this may increase the risk of drug error. Objectives. To assess the frequency of drug administration errors by anaesthetists, the drugs commonly involved, and the effects of such errors. Me...

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Main Authors: U. U. Johnson, L. N. Ebirim
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Anesthesiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2017/2045382
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author U. U. Johnson
L. N. Ebirim
author_facet U. U. Johnson
L. N. Ebirim
author_sort U. U. Johnson
collection DOAJ
description Background. Drugs are often prescribed, dispensed, and administered by the same person during anaesthesia, and this may increase the risk of drug error. Objectives. To assess the frequency of drug administration errors by anaesthetists, the drugs commonly involved, and the effects of such errors. Method. A questionnaire-based study was carried out among participants at an annual conference of Nigerian anaesthetists. Sixty-six of the 80 participants returned the completed questionnaire. The respondents comprised 1 nurse anaesthetist, 34 resident doctors, 3 doctors with diploma in anaesthesia, and 28 consultant anaesthetists. The collated data on drug errors, the effect of such errors on patients, and formulated protocols to prevent future occurrence were subjected to descriptive analysis using Microsoft Excel. Result. Drug error was reported by 71.21% and witnessed by 22.72% of the respondents. Most of the drug errors occurred during general anaesthesia (90.3%) for emergency procedures (51.61%), and muscle relaxants were most commonly involved (58.06%). Conclusion. Drug errors are common among anaesthetists in Nigeria and their incidence is greater during general anaesthesia for emergency procedures, largely as a result of ampoule swaps due to similarities in ampoule design and packaging. Guidelines on their prevention should be developed by all health institutions.
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spelling doaj-art-41d3fa05b2cf4975bb419608a90548ec2025-02-03T05:44:32ZengWileyAnesthesiology Research and Practice1687-69621687-69702017-01-01201710.1155/2017/20453822045382Drug Errors and Protocol for Prevention among Anaesthetists in NigeriaU. U. Johnson0L. N. Ebirim1Department of Anaesthesiology, University of Port Harcourt Teaching Hospital, PMB 6173, Port Harcourt, Rivers State, NigeriaDepartment of Anaesthesiology, University of Port Harcourt Teaching Hospital, PMB 6173, Port Harcourt, Rivers State, NigeriaBackground. Drugs are often prescribed, dispensed, and administered by the same person during anaesthesia, and this may increase the risk of drug error. Objectives. To assess the frequency of drug administration errors by anaesthetists, the drugs commonly involved, and the effects of such errors. Method. A questionnaire-based study was carried out among participants at an annual conference of Nigerian anaesthetists. Sixty-six of the 80 participants returned the completed questionnaire. The respondents comprised 1 nurse anaesthetist, 34 resident doctors, 3 doctors with diploma in anaesthesia, and 28 consultant anaesthetists. The collated data on drug errors, the effect of such errors on patients, and formulated protocols to prevent future occurrence were subjected to descriptive analysis using Microsoft Excel. Result. Drug error was reported by 71.21% and witnessed by 22.72% of the respondents. Most of the drug errors occurred during general anaesthesia (90.3%) for emergency procedures (51.61%), and muscle relaxants were most commonly involved (58.06%). Conclusion. Drug errors are common among anaesthetists in Nigeria and their incidence is greater during general anaesthesia for emergency procedures, largely as a result of ampoule swaps due to similarities in ampoule design and packaging. Guidelines on their prevention should be developed by all health institutions.http://dx.doi.org/10.1155/2017/2045382
spellingShingle U. U. Johnson
L. N. Ebirim
Drug Errors and Protocol for Prevention among Anaesthetists in Nigeria
Anesthesiology Research and Practice
title Drug Errors and Protocol for Prevention among Anaesthetists in Nigeria
title_full Drug Errors and Protocol for Prevention among Anaesthetists in Nigeria
title_fullStr Drug Errors and Protocol for Prevention among Anaesthetists in Nigeria
title_full_unstemmed Drug Errors and Protocol for Prevention among Anaesthetists in Nigeria
title_short Drug Errors and Protocol for Prevention among Anaesthetists in Nigeria
title_sort drug errors and protocol for prevention among anaesthetists in nigeria
url http://dx.doi.org/10.1155/2017/2045382
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