The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems

Mutair, Abbas Al; Alhumaid, Saad; Shamsan, Abbas; Zaidi, Abdul Rehman Zia; Mohaini, Mohammed Al; Mutairi, Alya Al; Rabaan, Ali A.; Awad, Mansour; Al‐Omari, Awad

doi:10.3390/medicines8090046

Cited by 34 publications

(33 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, they often need to play the role of an expert in prescribing the right drug for the right patient with the right dose via the right route of administration ( Maxwell, 2016 ). While there are multiple factors that contribute to MEs ( Mutair et al, 2021 ), these are reduced in high-risk situations if they are properly educated, trained, and equipped to prevent such medicine-related harms ( Wittich et al, 2014 ). Consequently, their knowledge regarding administration, regulations, and practices related to HAMs is of considerable importance to prevent HAMs-related errors among patients.…”

Section: Introductionmentioning

confidence: 99%

Exploring Pakistani Physicians' Knowledge and Practices Regarding High Alert Medications: Findings and Implications

et al. 2022

View full text Add to dashboard Cite

Introduction: While many low-middle income countries (LMICs), including Pakistan, try and ensure patient safety within available resources, there are considerable concerns with medication use. Unsafe and inappropriate medication use, especially high alert medications (HAMs), is one of the important factors compromising patient safety and quality of care. Besides economic loss, HAMs contribute to greater morbidity, hospitalization, and mortality. Physicians as key members of the provision of healthcare are expected to be well aware of the administration and regulations surrounding HAMs. However, the current status is unknown in Pakistan. Consequently, the objectives of this study were to evaluate the knowledge of Pakistani physicians about the administration, regulation, and practices related to HAMs. This builds on our recently published study with nurses.Methods: An online cross-sectional study design was used, and data were gathered from the physicians throughout Pakistan using previously used self-administered questionnaires during a period of 5 months (January 1 to May 30, 2021). All data were entered and analyzed using SPSS 22 for Windows.Results: Physicians (847) who provided consent were enrolled in the study. Most physicians (62.2%) were male, aged between 25 and 30 years (75.2%) and had 2- to 5-year work experience (50.9%). About 27% were working in the emergency departments. The median (IQR) knowledge score for HAMs administration and regulation was 5 (3) and 5 (2), respectively. About 46.4% of respondents were found to have moderate knowledge about HAMs; increasing age, work experience, and higher qualifications were significantly associated (p < 0.05) with better HAMs knowledge. Around 58% had good practices relating to HAMs during their routine work. Median practice scores increased significantly (p < 0.05) with age, work experience, and postgraduate qualification.Conclusion: Most Pakistani physicians possess moderate knowledge about HAMs administration and regulations. However, their practices relating to the HAMs administration and regulations are typically sub-optimal. Consequently, HAMs awareness needs to be improved by including course content in the current curriculum, provision of hospital-based continuous training programs about patient safety and care, and establishment of multi-disciplinary health care teams, including board-certified pharmacists and specialized nurses, for the effective execution of medication use process in Pakistani hospitals in the future.

show abstract

Section: Introductionmentioning

confidence: 99%

Exploring Pakistani Physicians' Knowledge and Practices Regarding High Alert Medications: Findings and Implications

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The Five Moments for Medication Safety tool was valued by patients and should be used in practice, according to an exploratory descriptive study by (Subakumar et al 2020) 83 percent of patients said the tool was very useful, and healthcare professionals need to play a role in engaging patients and helping them integrate the questions into consultations. (Mutair et al, 2021) asserted that for the medication usage process to progress into a safer practice, health care organizations must adopt a successful atmosphere. Inconsistent with these ndings (Dijkstra et al, 2021) Develop a competency framework for nurses in pharmaceutical care and indicate that future research should focus on incorporating these capabilities in nurse education.…”

Section: Resultsmentioning

confidence: 99%

Application of World Health Organization’s Five Moments for Medication Safety Tool: An Intervention Towards Medication Without Harm among Patients in Long-Term Care Units

Aly

Elsayed

2022

Preprint

View full text Add to dashboard Cite

Background The Five Moments for Medication Safety tool are critical times when a patient's or caregiver's actions can significantly lower the risk of damage linked with their medication(s). Aim The aim of this study was two-fold: (a) to investigate the effectiveness of nurses’ application of the World healthcare organization' Five moments for medication safety tool on patients in long-term care units, and (b) to determine the relationship between nurses and patients’ outcomes before and after the application of World healthcare organization' Five moments for medication safety tool. Method an intervention research design was conducted/ A quasi-experimental research study with two groups (nurses and patients), pre-test post-test design was conducted, A sample included all nurses who were working in Long-Term Care Units at Alexandria' New Medical Center, Egypt (N = 55) and a proportional sample of 35 patients at Long-Term Care Units. The World Health Organization's Five Moments for Medication Safety tools were used to measure study variables. Results there were significant differences between patients' and nurses’ outcomes regarding their application of the World Health Organization's five moments for medication safety tool at the two evaluative times of intervention (pre and post) where (P = < 0.001*). there was a positive significant correlation between nurses’ and patients’ outcomes in the overall responses especially the Second Stage (Taking medication), and Fourth Stage (Reviewing medication) where (p = < 0.001*). the intervention had a large effect on the overall patients’ outcome, with an effect size (of 0.873). Conclusion Patients can play a vital role in preventing medication errors when they have been educated about their medications and encouraged to ask questions and seek satisfactory answers. Also, nurses have an important role in medication management by informing, supporting, representing, and involving all relevant parties. Therefore, they should be reinforced by continuous education and training to take up this role.

show abstract

“…Also, by encouraging the use of medication error reporting systems more insight could be gained into the extent and impact of medication-related harm to reduce MRRs. Previous studies showed a high proportion of underreporting of medication errors (approximately 50–60%) among healthcare providers ( Jember et al, 2018 ; Mutair et al, 2021 ). However, Elden et al found a decrease of approximately 50% of medication errors (from 6.7 to 3.6%, p ≤ 0.001) through application of error reporting among healthcare providers ( Elden and Ismail, 2016 ).…”

Section: Discussionmentioning

confidence: 98%

Medication-Related Readmissions: Documentation of the Medication Involved and Communication in the Care Continuum

2022

View full text Add to dashboard Cite

Background: Of all readmissions, 21% are medication-related readmissions (MRRs). However, it is unknown whether MRRs are recognized at the time of readmission and are communicated in the care continuum.Objectives: To identify the prevalence of MRRs that contain a documentation on the medication involved (and therefore are regarded as recognized), and the proportion of communicated MRRs.Setting: The study was performed in a teaching hospital.Methods: In a previous study, a multidisciplinary team of physicians and pharmacists assessed the medication-relatedness, the medication involved and preventability of unplanned readmissions from seven departments. In the current cross-sectional study, two pharmacy team members evaluated the patient records independently. An MRR was regarded as recognized when the medication involved was documented in patient records. An MRR was regarded as communicated to the patient and/or the next healthcare provider when the medication involved or a description was mentioned in discharge letters or discharge prescriptions. The relationship between documented MRRs and whether the MRR was preventable as well as the relationship between (un)documented MRRs and the length of stay (LOS) were assessed. Descriptive data analysis was used.Results: Of 181 included MRRs, 72 (40%) were deemed preventable by the multidisciplinary team. For 159 of 181 MRRs (88%), a documentation on the medication involved was present. Of 159 documented MRRs, 93 (58%) were communicated to patients and/or caregivers, 137 (86%) to the general practitioner, and 4 (3%) to the community pharmacy. The medication involved was documented less often for potentially preventable MRRs than for non-preventable MRRs (78 vs. 95%; p = 0.002). The LOS was longer for MRRs where the medication involved was undocumented (median 8 vs. 5 days; p = 0.062).Conclusion: The results of this study imply that MRRs are not always recognized, which could impact patients’ well-being. In this study an increased LOS was observed with unrecognized MRRs. Communication of MRRs to the patients and/or the next healthcare providers should be improved.

show abstract

The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems

Cited by 34 publications

References 49 publications

Exploring Pakistani Physicians' Knowledge and Practices Regarding High Alert Medications: Findings and Implications

Exploring Pakistani Physicians' Knowledge and Practices Regarding High Alert Medications: Findings and Implications

Application of World Health Organization’s Five Moments for Medication Safety Tool: An Intervention Towards Medication Without Harm among Patients in Long-Term Care Units

Medication-Related Readmissions: Documentation of the Medication Involved and Communication in the Care Continuum

Contact Info

Product

Resources

About