Direct oral anticoagulant-related medication incidents and pharmacists ’ interventions in hospital in-patients: evaluation using reason’s accident causation theory

Conclusion Prescribers ’ active failure rather than system errors (i.e. latent failures) contributed to the majority of DOAC-related incidents. Reinforcement of guideline adherence, prescriber education, harnessing pharmacists’ roles and mandating renal function information in prescriptions are likely to improve patie nt safety.
Source: International Journal of Clinical Pharmacy - Category: Drugs & Pharmacology Source Type: research