Effectiveness of a pharmacist-led quality improvement program to reduce medication errors during hospital discharge.

Autor:	George D; Pharmacy Department, Raja Permaisuri Bainun Hospital; &. Discipline of Social & Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia. Penang (Malaysia). doris.moh.gov@gmail.com., Supramaniam ND; Pharmacy Department, Raja Permaisuri Bainun Hospital. Perak (Malaysia). nmala_15@yahoo.com., Hamid SQA; Pharmacy Department, Raja Permaisuri Bainun Hospital. Perak (Malaysia). qurasyiah@gmail.com., Hassali MA; Discipline of Social & Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia. Penang (Malaysia). azmihassali@gmail.com., Lim WY; Center for Clinical Epidemiology, Institute for Clinical Research, National Institutes of Health, Ministry of Health. Selangor (Malaysia). amanda.limwy.crc@gmail.com., Hss AS; Pediatric Department, Raja Permaisuri Bainun Hospital, Ministry of Health. Perak (Malaysia). amarhss@gmail.com.
Jazyk:	angličtina
Zdroj:	Pharmacy practice [Pharm Pract (Granada)] 2019 Jul-Sep; Vol. 17 (3), pp. 1501. Date of Electronic Publication: 2019 Aug 21.
DOI:	10.18549/PharmPract.2019.3.1501
Abstrakt:	Background: Patients requiring medications during discharge are at risk of discharge medication errors that potentially cause readmission due to medication-related events. Objective: The objective of this study was to develop interventions to reduce percentage of patients with one or more medication errors during discharge. Methods: A pharmacist-led quality improvement (QI) program over 6 months was conducted in medical wards at a tertiary public hospital. Percentage of patients discharge with one or more medication errors was reviewed in the pre-intervention and four main improvements were developed: increase the ratio of pharmacist to patient, prioritize discharge prescription order within office hours, complete discharge medication reconciliation by ward pharmacist, set up a Centralized Discharge Medication Pre-packing Unit. Percentage of patients with one or more medication errors in both pre- and post-intervention phase were monitored using process control chart. Results: With the implementation of the QI program, the percentage of patients with one or more medication errors during discharge that were corrected by pharmacists significantly increased from 77.6% to 95.9% (p<0.001). Percentage of patients with one or more clinically significant error was similar in both pre and post-QI with an average of 24.8%. Conclusions: Increasing ratio of pharmacist to patient to complete discharge medication reconciliation during discharge significantly recorded a reduction in the percentage of patients with one or more medication errors. Competing Interests: CONFLICT OF INTEREST None declared. (Copyright: © Pharmacy Practice.)
Databáze:	MEDLINE
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