The Role of Clinical Pharmacy in Preventing Prescribing Errors in the Emergency Department of a Governmental Hospital in Jordan: A Pre-Post Study

Abdel‐Qader, Derar H.; Ismael, Najlaa Saadi; Meslamani, Ahmad Z. Al; Albassam, Abdullah; El-Shara, Asma A.; Lewis, P. R.; Hamadi, Salim; Mazrouei, Nadia Al

doi:10.1177/0018578720942231

Cited by 20 publications

(17 citation statements)

References 41 publications

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“…Antibiotics were prescribed or dispensed for inappropriate reasons in Jordan. [26][27][28] The vast majority of the Jordanian public and the British public thought that the overuse and underuse of antibiotics can contribute to the AR. Moreover, In Malaysia, more than half of participants were aware that overuse of antibiotics is the major causative factor for AR.…”

Section: Discussionmentioning

confidence: 99%

Awareness of Antibiotic Use and Resistance in Jordanian Community

Abdel‐Qader

Albassam

Ismael

et al. 2020

J Prim Care Community Health

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Background The public awareness toward the causes and consequences of antibiotic resistance (AR) is crucial to mitigate the inappropriate use of antibiotics (ABs), particularly in the low- and middle-income countries. There was no previous study that assessed the awareness, attitude, and knowledge about antibiotic use and AR among the Jordanian public in affluent and deprived areas. Objective This study aimed to assess the awareness, attitude, and knowledge about antibiotic use and AR in affluent and deprived areas in Jordan. Setting The survey was conducted in November 2019 in Amman, the capital of Jordan. Method A cross-sectional questionnaire was used to survey households in their areas in each of West Amman (affluent region) and East Amman (deprived region), Households were selected using proportionate random sampling method. Results A total of 620 householders (310 per area) completed the questionnaire. Pharmacists were perceived as strong influencers on householders’ decision, as 80.32% (n = 465/580) of those who used antibiotics in the last year follow pharmacists’ advice. Our results showed poor understanding of antibiotic usage among the Jordanian public, as only 14.2% (n = 44/310) of the sample in West Amman and 2.9% (n = 9/310) in East Amman disagreed with the statement “ Antibiotics work on most coughs and colds.” Householders in West Amman showed much better understanding of AR compared to those in East Amman; 82.3% (n = 255/310) of West Amman respondents agreed with the statement “ Antibiotic resistance occurs when bacteria change in some way that reduces or eliminates the effectiveness of the antibiotic.” compared to 31.9% (n = 99/310) of East Amman respondents on the same statement ( P < .05). Conclusion The Jordanian community generally had poor knowledge and awareness toward antibiotics use and AR. Socio-economic factors could influence the public’s attitude toward antibiotics use and AR.

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Section: Discussionmentioning

confidence: 99%

Awareness of Antibiotic Use and Resistance in Jordanian Community

Abdel‐Qader

Albassam

Ismael

et al. 2020

J Prim Care Community Health

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“…17 Among the developing countries, medication errors, particularly dispensing errors are common. 7,18,19 Dispensing of antibiotics without prescriptions and based on inappropriate reasons has been documented in Mozambique. 20 In Ghana, patients were satisfied with the dispensing process in community pharmacies.…”

Section: -16mentioning

confidence: 99%

Dispensing errors in community pharmacies in the United Arab Emirates: investigating incidence, types, severity, and causes

Ibrahim¹,

Ibrahim²,

Meslamani³

et al. 2020

Pharm Pract (Granada)

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Background: Medication dispensing is a fundamental function of community pharmacies, and errors that occur during the dispensing process are a major threat to patient safety. However, to date there has been no national study of medication dispensing errors in the United Arab Emirates (UAE). Objective: The study aimed to investigate the incidence, types, clinical significance, causes and predictors of medication dispensing errors. Methods: The study was conducted in randomly selected community pharmacies (n=350) across all regions of UAE over six months using a mixed-method approach, incorporating prospective disguised observation of dispensing errors and interviews with pharmacists regarding the causes of errors. A multidisciplinary committee, which included an otolaryngologist, a general practitioner and a clinical pharmacist, evaluated the severity of errors. SPSS (Version 26) was used for data analysis. Results: The overall rate of medication dispensing errors was 6.7% (n=30912/ 464222), of which 2.6% (n=12274/464222) were prescription-related errors and 4.1% (n= 18638/464222) pharmacist counselling errors. The most common type of prescription-related errors was wrong quantity (30.0%), whereas the most common pharmacist counselling error was wrong drug (32.1%). The majority of errors were caused by medicine replaced with near expire one (24.7%) followed by look-alike/sound-alike drugs (22.3%). The majority of errors were moderate (46.8%) and minor (44.5%); 8.7% were serious errors. Predictors of medication dispensing errors were: grade A pharmacies (dispensing  60 prescriptions a day (OR 2.1; 95%CI 1.4-3.6; p=0.03) and prescriptions containing ≥4 medication orders (OR 2.5; 95%CI 1.7-4.3; p=0.01). Conclusions: Medication dispensing errors are common in the UAE and our findings can be generalised and considered as a reference to launch training programmes on safe medication dispensing practice.

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“…3 The incidence of PEs in Jordanian hospitals ranged from 5.4% to 24.6%. 3,4 In UK hospitals, PEs incidence has been reported to be 8.4%. 5 Evidence suggest that PEs in diabetes have the potential to cause negative health consequences such as reduced quality of life and increased mortality and morbidity.…”

Section: Introductionmentioning

confidence: 99%

“…A prescribing error can be defined as "a clinically meaningful prescribing error occurs when, as a result of a prescribing decision or prescription writing process, there is an unintentional significant reduction in the probability of treatment being timely and effective or increase in the risk of harm when compared with generally accepted practice." 11 Abdel-Qader et al 3,4 classified PEs into 10 categories. They include, wrong drug, wrong dose, wrong frequency, omission errors, electronic selection errors, wrong dosage form, duplicate drugs, allergy, and drug-drug interaction.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Clinical Pharmacist Interventions in Prescribing Errors in Hospitalized Diabetic Patients with Major Polypharmacy

Abu-Naser

2020

Hosp Pharm

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Background: While clinical pharmacists are expected to have a potential role in minimizing prescribing errors (PEs) in patients with diabetes, the effectiveness of their interventions on the incidence and clinical significance of PEs remains unclear. Objectives: To investigate the effectiveness of clinical pharmacist interventions in correcting PEs in diabetic patients with major polypharmacy. Methods: This was a prospective pre-post study conducted in a secondary care hospital in Jordan over 4 months. There were 2 phases: Control, in which PEs were identified and categorized and active, in which clinical pharmacists intercepted and corrected PEs. Clinical severity of prescribing incidents was evaluated by an expert panel, comprising a senior clinical pharmacist, an internist, and cardiologist. SPSS V26 was used for data analysis. Results: Of 928 patients, 432 were followed and reviewed during the control phase and 496 during the active phase. Clinical pharmacist interventions reduced PEs by 89.5%; from 27.6% (control) to 2.9% (active). PEs per patient and PEs per medication orders were reduced from 2.1 to 0.2 and from 0.3 to 0.03, respectively. Electronic selection errors, wrong dose frequency, duplicate drugs, and allergy errors disappeared in the active phase. Significant, serious, and lethal errors were significantly reduced from 35.4%, 11.6%, and 0.2% (control) to 13.5%, 3.1%, and 0.0% (active), respectively. drugs related to CVS (OR = 5.2; 95% CI, 3.1-8.6; P < .05) versus drugs related to endocrine system was more likely to be associated with the occurrence of PEs versus no PEs. However, drug belonging to infectious (OR = 0.6; 95% CI, 0.1-0.9; P < .05) versus drugs related to endocrine system was less likely to be associated with the occurrence PEs versus no PEs. Conclusion: Clinical pharmacist interventions significantly reduced PEs in patients with diabetes by 89.5% and most of these interventions were clinically significant.

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The Role of Clinical Pharmacy in Preventing Prescribing Errors in the Emergency Department of a Governmental Hospital in Jordan: A Pre-Post Study

Cited by 20 publications

References 41 publications

Awareness of Antibiotic Use and Resistance in Jordanian Community

Awareness of Antibiotic Use and Resistance in Jordanian Community

Dispensing errors in community pharmacies in the United Arab Emirates: investigating incidence, types, severity, and causes

Impact of Clinical Pharmacist Interventions in Prescribing Errors in Hospitalized Diabetic Patients with Major Polypharmacy

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