The number of medication safety incidents being reported to the NPA is increasing consistently, the Association said as it published its patient safety report for Quarter 2 of this year. While the report cites a range of contributing factors, by far the most significant is ‘Work and environment factors’ (46 per cent).

Incident reports are up

The most common medication error categories reported during this period were wrong or unclear dose or strength and wrong drug or medicine, each of which accounted for 25 per cent of errors. Lansoprazole and perindopril were the drugs most commonly dispensed in an incorrect strength, while incidents where an incorrect medicine was dispensed included atorvastatin/simvastatin and bendroflumethiazide/bisoprolol.

A recurrent problem highlighted by the report is patient safety incidents involving insulin. The NPA pharmacy team has produced an insulin identification checker in response to this issue, helping pharmacies dispense the appropriate insulin product. 

The majority of incidents either caused no harm to patients or carried a low level of harm. However, three per cent of incidents caused a moderate level of harm, according to the report.

Causes

The most commonly reported contributing factor to patient safety incidents was ‘Work and environment factors’ (46 per cent); this continues to account for the largest number of incidents, having been a reported factor in 40 per cent of incidents in the last quarter. 

‘Task factors’ and ‘Communication factors’ contributed to 25 per cent of incidents between them, while ‘Education and training factors’ played a role in nine per cent of incidents.

Originally Published by P3 Pharmacy

Recommended

Dovonex is switched from POM to P

Dovonex Psoriasis Ointment (calcipotriol 50mcg/g) has been reclassified as a P medicine, the MHRA has announced

Pharmacists key to reducing polypharmacy in over-70s

Medication reviews by clinical pharmacists will reduce polypharmacy in the over-70s, new research suggests

Popular

Health checks and diabetes prevention New Style

This module provides an update on both the NHS Health Check and NHS diabetes prevention programmes

CPD: Anxiety disorders in adults New Style

This module will help you understand the main types of anxiety disorder and their therapeutic management

Promoting long, healthy lives - the role of pharmacy

This NPA-accredited module, developed by CIG Healthcare Partnership on behalf of Merck Consumer Health, highlights risk ...