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Prescribing errors among adult patients in a large tertiary care system in Saudi Arabia


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Alharaibi, MA, Alhifany, AA, Asiri, YA, Alwhaibi, MM, Ali, S ORCID: 0000-0001-9557-0345, Jaganathan, PP and Alhawassi, TM 2021 , 'Prescribing errors among adult patients in a large tertiary care system in Saudi Arabia' , Annals of Saudi Medicine, vol. 41, no. 3 , pp. 147-156 , doi: 10.5144/0256-4947.2021.147.

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Background: Multiple studies have investigated medication errors in hospitals in Saudi Arabia; however, prevalence data on prescribing errors and associated factors remains uncertain.Objective: Assess the prevalence, type, severity, and factors associated with prescribing errors.Design: Retrospective database review.Setting: Large tertiary care setting in Riyadh.Patients and methods: We described and analyzed data related to prescribing errors in adults (>14 years of age) from the Medication Error Electronic Report Forms database for the two-year period from January 2017 to December 2018.Main outcome measure: The prevalence of prescribing errors and associated factors among adult patients.Sample size: 315 166 prescriptions screened.Results: Of the total number of inpatient and outpatient prescriptions screened, 4934 prescribing errors were identified for a prevalence of 1.56%. The most prevalent types of prescribing errors were improper dose (n=1516; 30.7%) and frequency (n=987; 20.0%). Two-thirds of prescribing errors did not cause any harm to patients. Most prescribing errors were made by medical residents (n=2577; 52%) followed by specialists (n=1629; 33%). Prescribing errors were associated with a lack of documenting clinical information (adjusted odds ratio: 14.1; 95% CI 7.7-16.8, PPConclusion: Inadequate documentation in electronic health records and prescribing of anti-infective medications were the most common factors for predicting prescribing errors. Future studies should focus on testing innovative measures to control these factors and their impact on minimizing prescribing errors.

Item Type: Article
Authors/Creators:Alharaibi, MA and Alhifany, AA and Asiri, YA and Alwhaibi, MM and Ali, S and Jaganathan, PP and Alhawassi, TM
Journal or Publication Title: Annals of Saudi Medicine
Publisher: King Faisal Specialist Hospital and Research Centre
ISSN: 0256-4947
DOI / ID Number: 10.5144/0256-4947.2021.147
Copyright Information:

Copyright © 2021, Annals of Saudi Medicine, Saudi Arabia. This is an open access article under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) License. The details of which can be accessed at

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