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Risk Factors Associated With Medication Errors Among Patients Suffering From Chronic Disorders

机译:患有慢性疾病的患者中药物错误相关的危险因素

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Introduction: Medication errors are more common in patients suffering from chronic diseases. In under-developed countries like Pakistan overburden healthcare system, lack of disease-surveillance system, and shortage of healthcare staff are potential risk factors for medication errors. Objective: to assess the prevalence and risk factors associated with medication errors among patients suffering from chronic disorders in hospitals of south Punjab, Pakistan. Methodology: Multiple logistic regression analysis was used to assess the impact of different risk factors on prevalence of medication errors in patients suffering from chronic diseases. Results: A greater risk for occurrence of medication errors was associated with age ≥ 60 years (OR = 1.9; 95 % CI=1.3–3.1; p=0.001), Overburden (OR = 2.2; 95% CI=1.64-3.56; P0.000), No. of prescribed drugs ≥ 5 (OR =1.74; 95% CI=1.02-2.64; p0.000), comorbidities ≥ 3 (OR=2.6; 95% CI=1.72-3.6; p=0.003 ), CCI ≥ 1 (OR=1.31; 95% CI=0.49-1.84; p=0.004), and multiple prescribers to one patient (OR=1.12; 95% CI=0.64-1.76; p=0.001). Conclusion: Reduction of complexity in the act of prescribing by the introduction of automation, improved prescriber’s knowledge by education, use of on-line aid, and feedback control systems can help in the reduction of medication errors.
机译:介绍:患有慢性疾病的患者中的药物误差更常见。在巴基斯坦覆盖者的未发达国家,缺乏疾病监督体系,医疗保健人员的短缺是药物错误的危险因素。目的:评估与巴基斯坦南邦布州核心疾病患者患者患者相关的患病率和风险因素。方法论:多重逻辑回归分析用于评估不同危险因素对患有慢性疾病患者药物误差患病率的影响。结果:发生药物误差的危险风险与年龄≥60岁(或= 1.9; 95%CI = 1.3-3.1; P = 0.001),过载(或= 2.2; 95%CI = 1.64-3.56; P <0.000),规定药物的数量≥5(或= 1.74; 95%CI = 1.02-2.64; p <0.000),均≥3(或= 2.6; 95%CI = 1.72-3.6; p = 0.003), CCI≥1(或= 1.31; 95%CI = 0.49-1.84; p = 0.004),以及一名患者的多个规定(或= 1.12; 95%CI = 0.64-1.76; p = 0.001)。结论:通过引入自动化规定的复杂性,改善了前方的教育知识,使用在线助剂,反馈控制系统可以帮助减少药物误差。

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