Abstract Background: Medication errors (MEs) occur across the continuum of the medication management process. It starts from prescription to Indenting, dispensing, reconstitution, and administration, which leads to MEs. Monitoring MEs is a continuous process to improve medication safety throughout the organization. Considering that even one instance of a serious ME can lead to permanent patient harm, the aim remains to prevent and implement strategies to minimize medication prescription and administration errors. Methods: This study followed an observational descriptive design. Data on MEs were obtained from the hospital’s adverse event registry, which systematically logs all medication-related incidents. The process also involved assessing and coding the severity of the harm caused by MEs. A qualitative analysis was performed using the fishbone diagram method to identify the root causes of MEs. Results: The interventions have led to a reduction in various categories of errors. Conclusion: This study demonstrates that a structured, systems-based approach can significantly reduce MEs in high-risk settings. Institutionalizing open reporting systems, continuous education, and standardized operating protocols can foster a sustainable safety culture.
Ghosh et al. (Thu,) studied this question.