Objective: To explore the national survey of hospital medication safety practice during mass gathering (Hajj -2016) Results: The survey distributed to sixteen hospitals, the response rate, was eleven hospitals (68.75%). The total score of all ISMP-self assessment of medication safety was 3.39 +/-0.51 (67.68 %) with CI (3.2-3.6) P< 0.05. The medication administration included two domains; drug standardization, storage, and distribution with scores 3.54 (71.8%), Medication devices acquisition, Use, and monitoring with scores 2.97 (59.4%). The highest score will all section was Antidotes for medications with guidelines use readily available 4.8 (96%). The lowest score was all electronic infusion pump full functionality to intercept and prevent wrong dose/wrong infusion rate errors 2.33 (46.6%). Conclusion: The standardized medication process during administration including ready-made preparations, fixed drug concentration, and standardized medication devices required during mass gathering Hajj period. The annual survey of medication administration safety with practical tools is potential to prevent any drug-related errors will create medication safety culture and avoid burden mistakes on health care system during mass gathering Hajj period in Makka, Saudi Arabia.

Objectives: To demonstrate the pharmacy infection control services during the mass gathering Hajj period as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national mass gathering pharmaceutical programs. The projects drove the mass gathering medicine guidelines and the international business model, pharmacy project guidelines project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase and the monitoring and controlling phase. Results: The mass gathering pharmacy infection control services with a defined vision, mission and goals. The services had various aids, including clinical and economical on pilgrims, as illustrated in the assessment. The continuation was of the project assured by the risk management model description. Besides, the monitoring and controlling of the services as declared. The transition to operation project, though closing the project stage, explored in the analysis. Conclusion: The mass gathering pharmacy infection control services are a new initiative, part of the mass gathering medicine. There are various pharmacy transition care services can be started during the mass gathering with an emphasis on pharmacy personnel, infection control; it is highly suggested to implement in Saudi Arabia.

Objective: To explore the national survey of hospital medication safety practice during mass gathering (Hajj -2016) The survey distributed to sixteen hospitals, the response rate, was eleven hospitals (68.75%). The total score of all ISMP-self assessment of medication safety was 3.39 +/-0.51 (67.68 %) with CI (3.2-3.6) P< 0.05. Medication preparation and dispensing included two domains; communication of drug order with scores 3.53 (55%), drug labeling and packaging with scores 3.57 (71.4%). The highest score of two sections the products with look-alike drug names and packaging segregated and not stored alphabetically 4.5 (90%) while the lowest score was a presenting of alerting with computerized physician order entry 2.1 (42%). Conclusion:The standardized medication process during preparation and dispensing is acceptable rate with missing the intravenous admixture and repackaging services. Targeting to continue the level of improvement and correction the missing services is the potential goals in the mass gathering pharmaceutical care during Hajj period. In addition to the annual survey of medication safety during medication preparation and dispensing is a crucial requirement of best medical services provided to all pilgrims in Makkah, Saudi Arabia.

Objective: To explore the national hospital medication safety survey during mass gathering (Hajj -2016) (67.68 %) with CI (3.2-3.6) P< 0.05. The average rating of patient information domain at all hospital was 2.75+/-0.57 (55 %) with CI (2.52-2.98) P< 0.05. The highest score of patient information section was the core information of the patient transmitted to the pharmacy 3.91 (78.2%). The lowest score of patient information section was computerized physician order entry (CPOE) with drug allergies 1.73 (34.6%), computerized order entry system with drug allergies alerting severity 1.73 (34.6%), and bar-coding used to verify patient identity during drug administration 1.9 (38%). Conclusion: Despite the patient information is very crucial for medication safety; the critical base information missed with the emphasis on patient allergies related issues and verification of medication administration by using new technology. An electronic prescription with complete medication history and alerting system highly recommended to during mass gathering Hajj is essential. Targeting to correct all related patient information measure will prevent drug misadventures, improved patient clinical outcomes, and quality of life.

Objective: To explore the national survey of hospital medication safety practice during mass gathering (Hajj -2016) The survey distributed to sixteen hospitals, the response rate, was eleven hospitals (68.75%). The total score of all ISMP-self assessment of medication safety was 3.39 +/-0.51 (67.68 %) with CI (3.2-3.6) P< 0.05. The average rating of environmental factors, workflow, and staffing were 3.93 (78.6 %) while the mean score staff competency and education domain at all hospital were 3.69 59.40%). The highest score of both domains was a standard lighting adequate to read labels and other important drug and patient information in pharmacies 4.70 (94 %). The lowest score of both domains was The organization provides formal teamwork training to all staff 2.91 (58.2%). Conclusion: The medication safety related environmental factors, workflow, and staff competency key element during mass gathering Hajj period was right level. The levels of both domains required to continue in the coming next years with focusing on using the new technology of pharmacy practice at hospitals and annual assessment medication safety culture during mass gathering Hajj period at all hospitals in Makka region, Saudi Arabia highly recommended.