Medication reconciliation as a medication safety initiative in Ethiopia: a study protocol

Mekonnen, Alemayehu; McLachlan, Andrew J.; Brien, Jo‐anne E; Mekonnen, Daniel; Abay, Zenahebezu

doi:10.1136/bmjopen-2016-012322

Cited by 13 publications

(15 citation statements)

References 65 publications

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“…However, little is known about the current status of the implementation of these extended services, as well as the barriers and facilitators experienced by hospital pharmacists in delivering patient care services in Ethiopian public health facilities. The present study was part of a larger project aimed at implementing pharmacist-led medication safety programs (i.e., medication reconciliation) [ 26 ], and the implementation of this service was guided by a theoretical framework to help identify the barriers and facilitators to hospital pharmacists’ engagement in medication safety activities in selected public hospitals in the Amhara region, in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to hospital pharmacists’ engagement in medication safety activities: a qualitative study using the theoretical domains framework

Mekonnen

McLachlan

Brien

et al. 2018

J of Pharm Policy and Pract

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BackgroundHospital pharmacists play a central role in medication safety activities. However, in Ethiopia, this role has been launched recently and little is known regarding the current status of this extended service. Using the Theoretical Domains Framework (TDF), we aimed to identify the barriers and facilitators to hospital pharmacists’ engagement in medication safety activities across various public hospitals in the Amhara region of Ethiopia.MethodsEight focus group discussions, using an interview guide that was drawn upon the TDF, were conducted with 44 hospital pharmacists to explore their beliefs regarding their involvement in clinical services. Group discussions were audio-recorded, transcribed verbatim, and analysed using directed content analysis based on the TDF. Relevant domains were identified by applying relevance criteria to each of the domains in the TDF.ResultsContent analysis revealed six domains that influence hospital pharmacists’ engagement in medication safety activities. These domains included ‘Knowledge’, ‘Skills’, ‘Environmental context and resources’, ‘Motivations and goals’, ‘Social influences’ and ‘Social/professional role’. Most hospital pharmacists believed knowledge gap was an issue, as was the lack of training and supportive skills although some expressed as they were competent enough for their skills in identifying medication related problems. Most participants were very much enthusiastic for their extended roles and were positive towards the future of the profession; however, competing priorities along with the lack of remuneration and awareness (of other health care professionals) regarding the profession’s role were barriers to service delivery. There were also a number of resource constraints, such as staffing, infrastructure and government funding, and acceptance rate of pharmacist’s recommendation that were likely to influence the clinical practice of pharmacists.ConclusionUsing the TDF, this study identified a wide range of barriers and facilitators to hospital pharmacists’ engagement in medication safety activities in resource-limited settings. There existed considerable interrelationships between domains that were perceived to influence hospital pharmacists’ behaviours, and this may assist in designing behaviour change interventions that target common behavioural domains.Electronic supplementary materialThe online version of this article (10.1186/s40545-018-0129-y) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to hospital pharmacists’ engagement in medication safety activities: a qualitative study using the theoretical domains framework

Mekonnen

McLachlan

Brien

et al. 2018

J of Pharm Policy and Pract

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“…The sample size was estimated to be 480, and convenient sampling was used to select the participants. The methodology of this study was described elsewhere [14].…”

Section: Study Design Setting and Populationmentioning

confidence: 99%

“…In Ethiopia, however, patient safety culture is a relatively new focus, and little is known regarding the current status of patient safety culture in public hospitals. This study is part of a large project designed to implement patient safety programs [14], and it was included with the hypothesis that measuring patient safety culture is a priority step for a successful implementation of patient safety programs. Specifically, the current study was performed to assess the views and perceptions of health care professionals about patient safety culture in public hospitals in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Hospital survey on patient safety culture in Ethiopian public hospitals: a cross-sectional study

et al. 2017

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Background: Internationally, patient safety is increasingly seen as a priority area, and improving patient safety highly depends on achieving a culture that supports and encourages health care staffs to report their errors or near misses without fear of punishment. In Ethiopia, however, patient safety culture is a relatively new focus, and little is known regarding the current status of patient safety culture in public hospitals. The purpose of the current study was thus, aimed to assess the views and perceptions of health care professionals about patient safety culture in public hospitals in Ethiopia. Methods: A cross-sectional study, utilizing the 'Hospital Survey on Patient Safety Culture (HSOPSC)' questionnaire was carried out in 2016 in the Amhara region. A self-administered questionnaire was distributed to the 480 health care staffs, including physicians, nurses, pharmacists, and other clinical and non-clinical staffs. Data were summarized as percentages, means, and standard deviations. ANOVA and chi-square tests were employed to examine statistical differences between health care worker's characteristics and patient safety predictors. We also computed internal consistency coefficients, correlation analysis, and exploratory factor analysis. Results: A total of 410 questionnaires were returned (response rate, 85.4%). The overall patient safety score (46%) and most of the scores related to dimensions were lower than the benchmark scores. The positive response rate of two dimensions ('Teamwork within units' and 'Organizational learning-continuous improvement') received the highest score (each 72%), and the lowest score was attributed to 'Staffing' (26%). Approximately, two thirds of staffs reported at least one event in the past 1 year. Nurses reported better in the overall patient safety score compared with other health care professionals (P = 0.03). The internal consistency of the total survey was fairly satisfied (Cronbach's α = 0.77). Conclusions: There is a severe deficit of patient safety culture in Ethiopian public hospitals. Creating a positive patient safety culture by implementing actions that support all dimensions of safety culture is inevitable. Further research is needed to confirm the applicability of the translated version of the HSOPSC in the Ethiopian hospital settings.

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“…23 An interview guide will be developed based on a similar study. 24 Prior to the interview, participants will be informed about the aim of the interview, those who consent will be given further information about the study. The interview will take place at a place convenient for the respondents and will last approximately 20-40 min.…”

Section: Aim and Objectivesmentioning

confidence: 99%

“…A topic guide for the FGD will be developed based on a similar study. 24 This includes questions relating to general patient safety, patient's experience with any medication related adverse event, improvement strategies on medicines use, etc. The topic guide will be translated by the principal researcher and also by another member of the research team who is highly proficient in Hausa and also familiar with the conduct of FGDs.…”

Section: Aim and Objectivesmentioning

confidence: 99%

Medication safety practices in healthcare facilities in Kaduna State, Nigeria: a study protocol

Lawal

Aliyu

Ibrahim

et al. 2020

Therapeutic Advances in Drug Safety

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Background: In recent years, there has been growing concern about patient safety and this is becoming a global problem. Medication safety can be used to describe systematic assessments of healthcare professionals’ practices as related to safe use of medicines. Identification and prevention of medication errors is the key component of medication safety. This includes multiple aspects of medication practice and other factors that affect it, such as organisational structure, communication, technologies such as those used for dispensing, and strategies pursued by leadership in cultivating and promoting a culture of safety. Methods: The study adopted a mixed method approach divided into three phases. Phase I is a quantitative phase and involves an assessment of core medication safety practices in the study sites together with an assessment of patient safety culture through the use of the Hospital Survey on Patient Safety Culture (HSOPSC) developed by US Agency for Health Care Research and Quality (AHRQ). Phase II will involve semi-structured interviews with health care providers and focus group discussions with patients to explore their perspectives on medication safety and to explore their experiences concerning medication safety respectively. Phase III will be an intervention study and will utilise the World Health Organisation (WHO) Patient Safety Curriculum Guide: Multi professional edition as the intervention tool. Discussion: The study findings will offer substantial opportunity for improvements. The study will also open up an area of patient safety culture, where not much research has been conducted in Nigeria.

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Medication reconciliation as a medication safety initiative in Ethiopia: a study protocol

Cited by 13 publications

References 65 publications

Barriers and facilitators to hospital pharmacists’ engagement in medication safety activities: a qualitative study using the theoretical domains framework

Barriers and facilitators to hospital pharmacists’ engagement in medication safety activities: a qualitative study using the theoretical domains framework

Hospital survey on patient safety culture in Ethiopian public hospitals: a cross-sectional study

Medication safety practices in healthcare facilities in Kaduna State, Nigeria: a study protocol

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