Medication safety practices in hospitals: A national survey in Saudi Arabia

Aljadhey, Hisham; Alhusan, Abdulaziz; Alburikan, Khalid A.; Adam, Mansour; Murray, Michael D.; Bates, David W.

doi:10.1016/j.jsps.2012.07.005

Cited by 40 publications

(53 citation statements)

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“…Though this study concentrated on pharmacists identifying inpatient drug errors as in other studies, results are comparable with studies conducted in outpatients [11,[17][18][19][20]. The drug errors assessed in this study were reports from only pharmacists although physicians [11,21], nurses [22,23] and others [24,25] had reported drug errors in other studies.…”

Section: Discussionsupporting

confidence: 76%

Drug-related problems and their clinical interventions in a Ghanaian teaching hospital

2016

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Background: Errors occur frequently in the use of medicines. Pharmacists play a key role in error identification and make appropriate interventions as they work with other healthcare professionals. These error recovery roles of pharmacists contribute to patient safety. This study was to evaluate the clinical interventions made to drug-related problems at a tertiary care setting. Method: This involved a retrospective review of clinical intervention reports submitted by pharmacists working over the period January 2011 to December 2013. Results: The 24 pharmacists submitted 529 handwritten reports; of these, 448 reports had complete data. The most frequently reported drugs with error were warfarin (9.5%), potassium chloride (6.0%) and potassium citrate (5.5%). The pharmacists made 1019 clinical interventions and recommendations. The average intervention per report was 2.5 (S.D ± 0.67). The interventions and recommendations made were categorised as drug regimen change (76.1%), monitoring required (13.0%), communication (5.4%), counselling required (5.0%) and adverse drug reporting (0.6%). Majority (90.5%) of the recommendations and interventions made by pharmacists were accepted and implemented. Monitoring-required based interventions were significantly more likely to be accepted (130 vs 38; p <0.0001). Conclusion: Pharmacists played a role in drug error recovery and prevented medication errors from reaching patients. These error mitigation efforts of pharmacists can serve as a priority in patient safety strategy.

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Section: Discussionsupporting

confidence: 76%

Drug-related problems and their clinical interventions in a Ghanaian teaching hospital

2016

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“…The majority of health care services provided through an emergency care, acute care or critical care, and Ambulatory care services. [1][2][3][4][5][6][7] Most of the pilgrims had cardiovascular diseases, Infection diseases, and Endocrinology diseases, Obstetrics and gynecology diseases. The number of pilgrims increased annually visited emergency services within fifteen days was Ambulatory care and hospital admission.…”

Section: Discussionmentioning

confidence: 99%

“…The authors found at 78 hospitals the drug information resources available at all patient care area was 61 %, and computerized drug information resources in the pharmacy were 43% of surveyed hospitals. [6] The study used selected items of medication safety and did not cover all ISMP key elements, and it selected from World Health Organization (WHO) medication safety tool. Also, the study did not use a scoring system for assessment; it did not conduct during mass gathering hajj period.…”

Section: Introductionmentioning

confidence: 99%

National Survey of Hospital Medication Safety Practice during Mass Gathering (Hajj-2016) in Makkah, Saudi Arabia: Drug Information

Alomi¹,

Khayat²,

Baljoon³

et al. 2017

JPPCM

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Objective: To explore the national survey of hospital medication safety during mass gathering (Hajj -2016) in Makkah, Saudi Arabia: Drug Information, the finding of ISMP (2011) 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 of drug information domain at all hospital were 2.91+/-0.54 (58 %) with CI (2.72-3.10), P< 0.05. The score of essential drug information was 2.84 (56.8%), and the core of the controlled formulary system was 3.09 (61.8%). The highest score of drug information key element was high-alert drugs used within the organization identified, error-reduction strategies established 4.18 (83.6%), and non-formulary products used only when therapeutically necessary and appropriate 3.55 (71%). The lowest score of essential drug information core was computerized physician order entry (CPOE) with explanation upon overriding a serious alert was 2 (40%), and standards of practice for the appropriate medication use of postoperative was 2.09 (41.8%). Conclusion:The drug information resources, protocol, guidelines missed at the hospital during mass gathering Hajj period. The updated CPOE with impeded updated drug information resources with alerting system highly recommended. The mandated drug information prevents any drug related problems and avoids unnecessary cost burden on health care system.

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“…Bu süreçte tartışılması gereken en önemli konulardan biri de doktor istemi konusudur. Hastanede yatan hastalarda reçete hatalarının sıklığı her 100 istem için 13 ila 56 olarak bildirilmiştir 20 . Çeşitli çalışmalarda advers ilaç olaylarının %60 kadarının istem sürecinde oluştuğu tahmin edilmektedir 21 .…”

Section: Gereç Ve Yöntemunclassified

A comparison of the version 4 and version 5 service quality standards in terms of the medication safety in hospitals

Aksöz¹,

Korkut²

2016

BSBD

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bsbd@balikesir.edu.tr www.bau-sbdergisi.com ÖZET GİRİŞ ve AMAÇ: Hastanelerde ilaçla ilişkili problemler artık dünya çapında endişe uyandırmaktadır. TC Sağlık Bakanlığı hastaneler tarafından sağlanan sağlık kalitesini artırmak ve değerlendirmek için, bir rehber kitap üretmiştir: Hastane Hizmet Kalite Standartları. Rehber yıllar içinde güncellenmiş ve 2015 yılında Versiyon 5 yayımlanmıştır. Birçok başka konuya ek olarak rehber, ilaç güvenliği hakkında da bilgi içermektedir. Bu çalışmanın amacı, hastanelerde ilaç güvenliği açısından Versiyon 4 ve Versiyon 5'i karşılaştırmaktır. YÖNTEM ve GEREÇLER: Her iki rehber de ilaçla ilgili bilgiler için tarandı. İlaçla ilgili maddeler saptanarak 6 ana başlık altında sınıflandırıldı (muhafaza, doktor istemi, hazırlama ve transfer, uygulama ve izlem, eğitim, düzenlemeler) ve ilgili literatür ışığında değerlendirildi. BULGULAR: Toplamda, Versiyon 4 içeriğinin %15,15'i ilaçla ilişkiliydi; ayrıca, ilaçla ilişkili kalite puanları hastane personeline dağıtılan ödemeleri % 15'lere varan oranlarda etkilemekteydi. Bununla beraber, Versiyon 5 içeriğinin %6,64'ü ilaçla ilişkiliydi; ve ilgili kalite puanları hastane personeline dağıtılan ödemeleri sadece %7,84 oranında etkilemekteydi. TARTIŞMA ve SONUÇ: Versiyon 5'te ilaç güvenliği standartları daha düzenli ve geliştirilmiş olmasına rağmen, bu standartlar için ayrılan puanların genel hastane kalite puanlarına etkisi Versiyon 4'ün sadece yarısı kadar olduğundan ve bu da personelin ek ödemelerinde azalma ile sonuçlandığından, uygulamada V5, V4 kadar etkili olmayabilir. Öte yandan, her iki rehber de hastanelerde ilaç güvenliğini sağlamak için yararlı araçlar gibi görünmektedir.Anahtar Kelimeler: İlaçla ilişkili problemler, İlaç Güvenliği, İlaç Hataları, Hastaneler SUMMARY INTRODUCTION: Drug-related problems (DRPs) in hospitals represent a worldwide concern nowadays. To evaluate and improve the quality of healthcare provided by hospitals, the Ministry of Health of Turkey produced a guidebook; The Hospital Service Quality Standards. The guidebook has been updated in years and Version 5 was published in 2015. In addition to numerous other topics, the guidebook contains information on medication safety. The aim of this study was to compare the Version 4 with the Version 5 in terms of drug safety. METHODS: Both guidebooks were reviewed for drug related information. Drug-related sections were determined and classified under the following six main headings (storage, physician orders, preparation and transfer, implementation and monitoring, training and regulations) and evaluated with the relevant literature. RESULTS: In total, 15,15% of the contents of the version 4 were drug-related; furthermore, drug-related quality scores affected the payments distributed to hospital personnel by up to 15%. However, 6,64 % of the contents of the version 5 were drug-related; and related scores affected the payments distributed to hospital personnel by just 7,84%. DISCUSSION AND CONCLUSION: The impact of the scores allocated to drug safety on the overall hospital ...

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Medication safety practices in hospitals: A national survey in Saudi Arabia

Abstract: Core practices to improve medication safety were not implemented in many hospitals in Saudi Arabia. In developing countries, an effort must be made at the national level to increase the adoption of such practices.

Cited by 40 publications

References 17 publications

Drug-related problems and their clinical interventions in a Ghanaian teaching hospital

Drug-related problems and their clinical interventions in a Ghanaian teaching hospital

National Survey of Hospital Medication Safety Practice during Mass Gathering (Hajj-2016) in Makkah, Saudi Arabia: Drug Information

A comparison of the version 4 and version 5 service quality standards in terms of the medication safety in hospitals

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