Effectiveness of a pharmacist-led quality improvement program to reduce medication errors during hospital discharge
| Autor: | George, Doris, Supramaniam, Nirmala D., Hamid, Siti Q. Abd, Hassali, Mohamad A., Lim, Wei-Yin, Hss, Amar-Singh |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Quality management Pharmacist Psychological intervention Pharmaceutical Science lcsh:RS1-441 Pharmacy mesh:Medication Errors Pharmacy Service Pharmacists 030226 pharmacology & pharmacy mesh:Quality Assurance lcsh:Pharmacy and materia medica 03 medical and health sciences Hospital 0302 clinical medicine Quality Assurance Health Care Medication Reconciliation mesh:Health Care Health care medicine Medication Errors mesh:Pharmacists mesh:Patient Discharge Medical prescription mesh:Malaysia Original Research mesh:Prescriptions business.industry mesh:Medication Reconciliation lcsh:RM1-950 Malaysia mesh:Hospital Patient Discharge Health Care lcsh:Therapeutics. Pharmacology Prescriptions Emergency medicine Public hospital business Quality Assurance mesh:Pharmacy Service Quality assurance |
| Zdroj: | Pharmacy Practice (Granada) v.17 n.3 2019 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Pharmacy Practice, Vol 17, Iss 3, p 1501 (2019) Pharmacy Practice (Granada), Volume: 17, Issue: 3, Article number: 1501, Published: 25 NOV 2019 Pharmacy Practice |
| Popis: | 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 |
| Databáze: | OpenAIRE |
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