Investigating the epidemiology of medication errors in adults in community care settings. A retrospective cohort study in central Saudi Arabia

Saudi Med J. 2019 Feb;40(2):158-167. doi: 10.15537/smj.2019.2.23933.

Abstract

Objectives: To investigate the period prevalence and risk factors for clinically important prescription and monitoring errors among adults managed in community care in Saudi Arabia (SA).

Methods: This retrospective cohort study used electronic health record (HER) data. A random sample comprising of 2,000 adults (≥18 years old) visiting Family Medicine clinics in King Faisal Specialist Hospital and Research Center (KFSH & RC), Riyadh, SA, was selected. Data collection took 3 months (October December 2017). Descriptive analyses and logistic regression modeling were performed using STATA (version 14) statistical software. Results: The overall period prevalence of medication errors over 15 months was 8.1% (95% confidence interval [CI] 6.5-9.7). Risk factors that significantly predicted overall risk of patients experiencing one or more medication errors were: age ≥65 years, male gender, Saudi nationality, and polypharmacy (defined as the concurrent use of ≥5 drugs).

Conclusions: Clinically important medication errors were commonly observed in relation to both drug prescription and monitoring.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Community Health Services / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Medication Errors / statistics & numerical data*
  • Middle Aged
  • Outpatient Clinics, Hospital / statistics & numerical data*
  • Polypharmacy
  • Prevalence
  • Retrospective Studies
  • Risk Factors
  • Saudi Arabia / epidemiology
  • Sex Factors
  • Young Adult