Improving medication safety in varied health systems

Chui, Michelle A.; Pohjanoksa-Mäntylä, Marika; Snyder, Margie E.

doi:10.1016/j.sapharm.2019.04.012

Cited by 4 publications

(7 citation statements)

References 18 publications

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“…Medication safety is a global challenge and a unique priority in health care delivery (Chui, Pohjanoksa‐Mäntylä, & Snyder, 2019). Medication safety can be defined as medication therapy without harm, including medication adverse events and medication errors.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, there is limited empirical evidence to support the efficacy of distinctive medication safety interventions (Berdot et al., 2016). This suggests that medication safety science is still maturing as a cohesive and evidence‐based body of knowledge (Chui et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Medication safety is a global challenge and a unique priority in health care delivery (Chui, Pohjanoksa-Mäntylä, & Snyder, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…This suggests that medication safety science is still maturing as a cohesive and evidence-based body of knowledge (Chui et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Behavioural changes in medication safety: Consequent to an action research intervention

et al. 2020

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Aim To explore the extent to which action research assists developing medication safety behaviours among emergency medicine staff. Background Health care staff involved in medication therapy are frequently required to implement progressive changes. To permanently improve medication safety, we must consider staff behaviour. This study utilizes action research to engage health care workers and engender behavioural changes. Method Two cycles of action research were implemented. Data were collected through pre‐ and post‐medication safety surveys, unstructured interviews and field notes. Staff in the emergency department worked together to progress the study cycles. Results The pre‐evaluation phase revealed deficiencies in staff medication safety behaviour. Subsequent to the implementation of safety initiatives, pre‐ to post‐evaluation comparison indicated significant improvement in medication safety behaviours. In response to qualitative reflection phase data in reflection, ward pharmacists were placed in the emergency department and anew policy on responding to medication error was developed. Analysed field notes revealed improved safe patient care, enhanced pharmaceutical knowledge and changes in the emergency department climate. Conclusions Through action research, this study introduced actions to improve medication safety behaviours in the emergency department. Staff involvement led to changed safety behaviours. Implication for Nursing Management This study advises nurse managers of the benefit of pharmacist‐led medication therapy, interprofessional medication safety courses and active communication between front‐line staff and managers regarding medication safety.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Behavioural changes in medication safety: Consequent to an action research intervention

et al. 2020

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“…Pakistan are often inappropriate and the need for legislation and registration of these patterns is important to promote prescribing standards. 9…”

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confidence: 99%

Prescription Analysis of Outpatients in a Tertiary Care Hospital in Khyber Pakhtunkhwa, Pakistan

2021

TJNPR

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Date prescribed, Superscription, Inscription, Subscription, Signa poor instructions given, leading to poor compliance and often improper use of the medication. 3 Medication errors (ME) are the abnormal events linked to professional practices, health care products, procedures and have the potential to have long-term negative effects on the life of a patient and systems including administration, prescribing, order communication, product labelling, packaging, nomenclature, compounding, dispensing, distribution, education monitoring and usage. 4 ME occurs commonly among inpatients with adverse events occurring in an estimated 3.70% to 16.60% of hospital admissions. In outpatients, neither the magnitude nor the severity of the consequences of ME has been well defined. 5 Healthcare system has no structured mechanism to monitor drug use. Once a prescription has been written; various elements may interfere between the intended prescription and the drug administration resulting in dose changes, changes in the frequency of administration, and even change the identity of the drug. 3 In Pakistan, approximately 30% of the errors in which the majority are prescribing errors occur during patient hospitalization. 5 The adult patients are at high risk of ME and have, therefore, a great tendency for detrimental and inoperable errors. 6 Among the older people, improper dose (26%) and omission (26%) were the most common types of medication errors. 7,8 Thus, the practices of drug prescription in most of the developing countries i.e. Pakistan are often inappropriate and the need for legislation and registration of these patterns is important to promote prescribing standards. 9

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Reporting frequency of three near-miss error types among hospital pharmacists and associations with hospital pharmacists’ perceptions of their work environment

Noureldin

2021

Research in Social and Administrative Pharmacy

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Improving medication safety in varied health systems

Cited by 4 publications

References 18 publications

Behavioural changes in medication safety: Consequent to an action research intervention

Behavioural changes in medication safety: Consequent to an action research intervention

Prescription Analysis of Outpatients in a Tertiary Care Hospital in Khyber Pakhtunkhwa, Pakistan

Reporting frequency of three near-miss error types among hospital pharmacists and associations with hospital pharmacists’ perceptions of their work environment

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