National Survey of Hospital Medication Safety Practice during Mass Gathering (Hajj-2016) in Makkah, Saudi Arabia: Patient Education, Quality Process, and Risk Management

Abstract

The 5-points Likert response scale system used. The survey distributed to sixteen directors of hospital pharmacy during mass gathering Hajj-2016. The medications safety officer at Makkah region distributed the questionnaire and made follow up on a daily basis used physical visiting and through the telephone call. 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 average rating of Patient Education domain at all hospital were 3.75 (63.6 %) while the mean score Quality Processes and risk management domain at all hospital were 3.18 (67.8%). The highest score of both domains was a Drug selection, preparation, and labeling errors identified during routine checking processes reported and collected 4.1 (82%). The lowest score of both domains was the Machine-readable coding used to verify all based solutions and additives 2 (40%). Conclusion: The patient education and quality process and risk management related to medication safety were acceptable at the hospital during mass gathering Hajj period. May be the correction of computerized physician order entry and using of new technology will minimize the patient risk and improve hospital pharmacy management of medication safety during a mass gathering in Makkah, Saudi Arabia.

KSA-Self Assessments of Pharmacy Safety and Occupational Health

“…Moreover, the national and international guidelines of general accounting and financial practice emphasizing pharmacy and healthcare settings were used as guides for writing the review. That includes guidelines from the Ministry of Building, [13] the Ministry of Human Resources and Social Development, [14] the Ministry of Inferior (Civil of Defense), [15][16][17][18] and the General Organization for Social Insurance, [18,19] The Ministry of Labor (USA), National Fire Protection Association (USA), [20][21][22][23][24][25] Occupational Safety and Health Administration (USA), [26][27][28][29] The National Institute for Occupational Safety and Health (USA), and the Institution of Occupational Safety and Health (UK). Besides some local and international quality management standards from CBAHI and Joint Commission with emphasis on Facility and Management Safety (FMS).…”

“…[13] Those tools are essential to determine a baseline of the actual situation and explore the weaknesses and strengths of the system. [14,15] One of the programs critical to determining self-assessment was occupational safety and health in pharmacy practice, which is not addressed in the literature. Occupational safety and health are required to implement international and local elements such as fire safety and environment, pharmacy crisis and disaster management, material safety data sheets, and education and training in occupational safety.…”

Safety Culture of Physicians’ Medication in Saudi Arabia

“…The use of medications safety cultures and implementation were not studied in a single study or systematic review [5][6][7][8][9][10][11][12][13]. Some studies on medication safety were conducted in hospitals, primary care centers, or community pharmacies using ISMP guidelines [14][15][16][17][18][19][20][21][22][23]. Those studies were carried out either during the Hajj or on regular days.…”

Mass Gathering (Hajj) Medication Safety Services: New Initiative in Saudi Arabia

“…The Ministry of Health already started medication safety procedures through an annual mandatory education course given to physicians and nurses. [8,9] Some investigations suggested expanding the program for annual medication safety assessment for hospitals and primary healthcare centers with an emphasis on mass gathering hajj activities. [9,10] The authors are not familiar with any investigations, review project implementation of the medication's safety during the mass gathering locally or Gulf and Middle East countries.…”