Author(s):
Noora Ibrahim, Maram Eid, Layal Radwan, Nihal Ibrahim, Nazanin Ajam, Sabrina Ait Gacem
Email(s):
noora.noureldin09@gmail.com , maram.1998.eid@gmail.com , layal2000@windowslive.com , n.ibrahim@ajman.ac.ae , 202211225@ajmanuni.ac.ae , s.aitgacem@ajman.ac.ae
DOI:
10.52711/0974-360X.2025.00399
Address:
Noora Ibrahim, Maram Eid, Layal Radwan, Nihal Ibrahim, Nazanin Ajam, Sabrina Ait Gacem
College of Pharmacy, Health Sciences, Ajman University, Ajman P.O. Box 346, United Arab Emirates.
*Corresponding Author
Published In:
Volume - 18,
Issue - 6,
Year - 2025
ABSTRACT:
Background: Reporting medication mistakes is regarded as an essential aspect in reducing harmful effects. Previous research concentrated on secondary care and hospital inpatient settings, with few studies focusing on outpatient treatment. This study examined pharmacists' opinions regarding prescription mistakes in hospital and community settings. The study aimed to analyse views about reporting prescription error as well as to determine the incidence of medication errors by identifying the types of medication errors that occur most frequently in pharmacies. Methods: A cross-sectional study was conducted using a validated self-administered survey and quantitative analysis. Pharmacists from the UAE's emirate of Ajman were among the participants. A total of 240 replies were received from both community and hospital settings. The results were analysed with SPSS version 24. Results: Out-patient hospital pharmacists were found to be more likely to try to remedy medication errors without reporting the incident (42.59%). The most prevalent types of drug mistakes were omission, administration, prescribing/ordering, dosage, and dispensing errors (32.50%, 29.17%, 16.25%, 16.25%, and 5.83% respectively). Some respondents (38.8%) claimed that a heavy workload and extended working shifts are among the causes contributing to prescription mistakes. Conclusion: Long working hours were identified as the most major source of mistake among pharmacists. Many pharmacists tend to examine the patient's data and health status before prescribing medicine, which is a positive attitude that contributes to minimizing the occurrence of medication mistakes.
Cite this article:
Noora Ibrahim, Maram Eid, Layal Radwan, Nihal Ibrahim, Nazanin Ajam, Sabrina Ait Gacem. Investigating Medication Errors in Ajman Pharmacies: A Cross-Sectional Study in the United Arab Emirates. Research Journal of Pharmacy and Technology. 2025;18(6):2788-5. doi: 10.52711/0974-360X.2025.00399
Cite(Electronic):
Noora Ibrahim, Maram Eid, Layal Radwan, Nihal Ibrahim, Nazanin Ajam, Sabrina Ait Gacem. Investigating Medication Errors in Ajman Pharmacies: A Cross-Sectional Study in the United Arab Emirates. Research Journal of Pharmacy and Technology. 2025;18(6):2788-5. doi: 10.52711/0974-360X.2025.00399 Available on: https://rjptonline.org/AbstractView.aspx?PID=2025-18-6-52
REFERENCES:
1. Committee of Experts on Management of Safety and Quality in Health Care. Glossary of terms related to patient and medication safety. Expert Group on Safe Medication Practices. 2005. Available at: https://apps.who.int/iris/bitstream/handle/10665/255507/WHO-HIS-SDS-2017.11-eng.pdf [Accessed 12 April 2021].
2. Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010; 24(4): 196-201. doi:10.1097/NUR.0b013e3181e3605f
3. Devi A, Sembian N, Kaur S. Occurrence of medication errors and oral medication administration practices of staff nurses. Research Journal of Pharmacy and Technology. 2016; Aug 1; 9(8): 1145. doi: 10.5958/0974-360X.2016.00218.3
4. Chavhan AB, Bhoi DM. Pharmacovigilance: Drug safety monitoring. Asian Journal of Pharmaceutical Technology. 2019; 9(1): 49-52. doi: 10.5958/2231-5713.2019.00009.6
5. Ahmed T, Kaikade SB. Awareness and attitude of medicine consumers towards ADR reporting: A questionnaire-based study of rural Chhattisgarh. Research Journal of Pharmacology and Pharmacodynamics. 2024; 16(1): 58-61. doi: 10.52711/2321-5836.2024.00011
6. Banning M. Medication errors: professional issues and concerns. Nursing Older People. 2006; 18(3): 27-32. doi: 10.7748/nop2006.04.18.3.27.c2419
7. Haw C, Stubbs J, Dickens GL. Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. Journal of Psychiatric and Mental Health Nursing. 2014; 21(9): 797-805. doi: 10.1111/jpm.12143
8. Ferner RE, Aronson JK. Clarification of terminology in medication errors: definitions and classification. Drug Saf. 2006; 29: 1011-22.
9. Betz RP, Levy HB. An interdisciplinary method of classifying and monitoring medication errors. Am J Hosp Pharm. 1985; 42: 1724-32.
10. Jagadeesan M, Harini RR, Balaji Chinnasami. Rational prescribing challenges in paediatrics: An evidence-based review. Research Journal of Pharmacy and Technology. 2020; Nov; 13(11): 5551-5556. doi: 10.5958/0974-360X.2020.00969.5
11. Jadda S, Abidli Z, Hami H, Rhalem N, Sefiani H, Soulaymani A, Mokhtari A, Soulaymani-Bencheikh R. Epidemiology and risk factors related to medication errors in Moroccan children. Research Journal of Pharmacy and Technology. 2020; Nov; 13(11): 5355-5359. doi: 10.5958/0974-360X.2020.00936.1
12. Carlton G, Blegen MA. Medication-related errors: a literature review of incidence and antecedents. Annu Rev Nurs Res. 2006; 24: 19-38.
13. Scarsi KK, Fotis MA, Noskin GA. Pharmacist participation in medical rounds reduces medication errors. Am J Health-Syst Pharm. 2002; 59(21): 2089-92. doi: 10.1093/ajhp/59.21.2089
14. Ramya KR, Vineetha R. Nurses’ perceptions of medication errors in South India. Asian Journal of Nursing Education and Research. 2014; 4(1): 20-25.
15. Mrayyan MT, Shishani K, Al-Faouri I. Rate, causes and reporting of medication errors in Jordan: Nurses’ perspectives. J Nurs Manag. 2007; 15: 659-70. doi: 10.1111/j.1365-2834.2007.00724.x
16. Halbesleben JRB, Wakefield BJ, Wakefield DS, Cooper LB. Nurse burnout and patient safety outcomes: Nurse safety perception versus reporting behavior. West J Nurs Res. 2008; 30: 560-77. doi: 10.1177/0193945907311322
17. Hartnell N, Mackinnon N, Sketris I, Fleming M. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. J Nurs Manag. 2012; 21(5): 361-68. doi: 10.1136/bmjqs-2011-000299
18. Mohammad Asad. Assessment of nurses' knowledge for possible occurrence of medication errors in Riyadh province, Saudi Arabia. Asian Journal of Nursing Education and Research. 2015; 5(2): 191-198. doi: 10.5958/2349-2996.2015.00039.7
19. Council of Europe, Expert Group on Safe Medication Practices (P-SP-PH/SAFE). Creation of a better medication safety culture in Europe: building up safe medication practices. Available at: http://optimiz-sih-circ-med.fr/Documents/Council_of_Europe_Medication_Safety_Report_19-03-2007.pdf. 2007. [Accessed 12 April 2021]
20. Green LA, Fryer GE Jr, Yawn BP, Lanier D, Dovey SM. The ecology of medical care revisited. The New England journal of medicine. 2001; 344(26): 2021-25. doi: 10.1056/NEJM200106283442611
21. Odukoya OK, Stone JA, Chui MA. How do community pharmacies recover from e-prescription errors? Res Soc Adm Pharm. 2014; 10(6): 837-52. doi: 10.1016/j.sapharm.2013.11.009
22. Araoye MO. Sample size determination. Research Methodology with Statistics for Health and Social Sciences. Ilorin: Nathadex Publishers; 2004. p. 115-21.
23. Mitchell Scott B, Considine J, Botti M. Medication errors in ED: Do patient characteristics and the environment influence the nature and frequency of medication errors? Australas Emerg Nurs J. 2014; 17: 167-75. doi: 10.1016/j.aenj.2014.07.004
24. Pan SD, Zhu LL, Chen M, Xia P, Zhou Q. Weight-based dosing in medication use: what should we know? Patient preference and adherence. 2016;10:549-60. doi: 10.2147/PPA.S103156
25. Kapp MB. Medical error versus malpractice. DePaul J Health Care Law. 1997; 1: 750-72.
26. Mazor KM, Reed GW, Yood RA, et al. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med. 2006; 21: 704-10.
27. Wolf ZR, Hughes RG. Error Reporting and Disclosure. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); Chapter 35. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2652/
28. Manapure SA, Ajmire PV, Salpe HR, Ratkal S, Malkhade AP, Khatale PN. Questionnaire-based awareness study for adverse drug reaction reporting by the community pharmacist in Amravati District. Asian Journal of Pharmaceutical Research. 2024; 14(1): 39-44. doi: 10.52711/2231-5691.2024.00006
29. Garbutt J, Brownstein DR, Klein EJ, Waterman A, Krauss MJ, Marcuse EK, Gallagher TH. Reporting and Disclosing Medical Errors. Archives of Pediatrics and Adolescent Medicine. 2007; 161(2): 179. doi: 10.1001/archpedi.161.2.179
30. Ghosh S, Roy AD, Varghese KK, Raysarma P, Biswas S. A clinical audit to assess the pattern of medication error and impact of its corrective measures in a tertiary care hospital of eastern India. International Journal of Research in Pharmacy and Pharmaceutical Sciences. 2020; 6(5): 25-27.
31. Hand K, Barber N. Nurses' attitudes and beliefs about medication errors in a UK hospital. International Journal of Pharmacy Practice. 2000; 8: 128-34.
32. Arndt M. Nurses' medication errors. Journal of Advanced Nursing. 1994; 19: 519-26.
33. Sarvadikar A, Prescott G, Williams D. Attitudes to reporting medication error among differing healthcare professionals. European Journal of Clinical Pharmacology. 2010; 66(8): 843-53. doi: 10.1007/s00228-010-0838-x
34. Küng K, Carrel T, Wittwer B, Engberg S, Zimmermann N, Schwendimann R. Medication errors in a swiss cardiovascular surgery department: a cross-sectional study based on a novel medication error report method. Nursing Research and Practice. 2013; 2013: 671820. doi: 10.1155/2013/671820
35. Alsafi E, Baharoon S, Ahmed A, Al-Jahdali HH, Al Zahrani S, Al Sayyari A. Physicians' knowledge and practice towards medical error reporting: a cross-sectional hospital-based study in Saudi Arabia. Eastern Mediterranean Health Journal. 2015; 21(9): 655-64. doi: 10.26719/2015.21.9.655
36. Nichols P, Copeland TS, Craib IA, Hopkins P, Bruce DG. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Medical Journal of Australia. 2008; 188(5): 276-79.
37. Kumar S, Mal S, Manoj A. Assessment of medication errors of drugs in emergency department of a tertiary care teaching hospital. Asian Journal of Pharmaceutical Research. 2024; Apr-Jun; 14(2): 125-128. doi: 10.52711/2231-5691.2024.00021
38. Taheri E, Norian M, Rasoli M, Kavoosi A. The study of type and amount of medication errors in neonatal intensive care units and neonatal units. J Crit Care Nurs. 2013; 6: 21-28.
39. Pournamdar Z, Zare S. Survey of medication error factors from nurses’ perspective. Biol Med. 2016; 8: 8-11. doi: 10.4172/0974-8369.1000310
40. Hahnenkamp C, Rohe J, Thomeczek C. ICH SEHE was, was du nicht schreibst. Dtsch Arztebl. 2011;108:A1850-54.
41. Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The Journal of Pain. 2011; 12(1): 29-40.
42. Alshaikh M, Mayet A, Aljadhey H. Medication error reporting in a university teaching hospital in Saudi Arabia. J Patient Saf. 2013; 9: 145-49. doi: 10.1097/PTS.0b013e3182845044
43. Weant KA, Humphries RL, Hite K, Armitstead JA. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Am J Health Syst Pharm. 2010; 67: 1851-55. doi: 10.2146/090579
44. Albarrak AI, Al Rashidi EA, Fatani RK, et al. Assessment of legibility and completeness of handwritten and electronic prescriptions. Saudi Pharm J. 2014; 22: 522-27. doi: 10.1016/j.jsps.2014.02.013
45. Abrahams R. Role of a pharmacist on a dialysis unit. Am J Health Syst Pharm. 2008; 65: 53-56.
46. Forster AJ, Asmis TR, Clark HD, et al. Ottawa hospital patient safety study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. CMAJ. 2004; 170: 1235-40. doi: 10.1503/cmaj.1040512
47. Sanborn M, et al. Discrepancies between home medications listed at hospital admission and reported use by primary care physicians. Jt Comm J Qual Patient Saf. 2006; 32(1): 37-45.
48. Choi I, Kim S, Kim C, Kim S, Ryu K, Lee Y, et al. Medication errors and patient safety incidents in a tertiary hospital: a retrospective study. Int J Qual Health Care. 2016; 28(5): 558-65. doi: 10.1093/intqhc/mzw083
49. Stratton KM, Blegen MA, Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. J Pediatr Nurs. 2004; 19(6): 385-92. doi: 10.1016/j.pedn.2004.10.011
50. Cousins DH, Gerrett D, Warner B. A review of medication incidents reported to the National Reporting and Learning System in England and Wales over six years (2005-2010). Br J Clin Pharmacol. 2012; 74(4): 597-604. doi: 10.1111/j.1365-2125.2011.04166.x
51. Elder NC, Dovey SM. Classification of medical errors and preventable adverse events in primary care: a synthesis of the literature. J Fam Pract. 2002; 51(11): 927-32.
52. Shitu, Z., Aung, M. M. T., Kamauzaman, T. H. T., Bhagat, V., and Rahman, A. F. A. Medication Error in Hospitals and Effective Intervention Strategies: A Systematic review. Research Journal of Pharmacy and Technology. 2019; 12(10): 4669. https://doi.org/10.5958/0974-360x.2019.00804.7
53. Runciman WB, Edmonds MJ, Pradhan M. Setting priorities for patient safety. Qual Saf Health Care. 2002; 11(3): 224-29. doi: 10.1136/qhc.11.3.224
54. Carter, M.K., Allin, D.M., Scott, L,A., and Grauer, D., 2006. Pharmacist-acquired medication histories in a university hospital emergency department. Am J Health Syst Pharm, 63, 2500–3.
55. Arti Devi, Sembian N., Simranjit Kaur. Occurrence of Medication Errors and Oral Medication Administration Practices of Staff Nurses. Research J. Pharm. and Tech. 2016; 9(8): 1145-1152. doi: 10.5958/0974-360X.2016.00218.3
56. Kwan, Y., Fernandes, O.A., Nagge, J.J., Wong, G.G., Huh, J.H., Hurn, D.A., Pond, G.R., and Bajcar, J,M. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007; 167: 1034–40.
57. Fernald, D.H., Pace, W.D., Harris, D,M., West, D.R,. Main, D.S,. and Wesfall, J,M,. Event reporting to a primary care patient safety reporting system: a report from the ASIPS collaborative. Ann Fam Med. 2004; 2(4): 327-32