Effects of Medication Reconciliation Process at Surgical Wards in a Regional Hospital
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Abstract
Objective: To determine medication discrepancies between drugs prescribed by physicians and those used by the patients, medication errors (MEs) resulting from those discrepancies, MEs resolution and time spent at admission and discharge after the development of medication reconciliation at the surgical wards in a regional hospital. Method: The researcher collected the data from 219 patients with 230 admissions during January to March, 2012. When the discrepancies between prescribed drugs and drugs used by the patients before hospitalization were identified, a pharmacist reported to the prescribers to determine the causes of the discrepancies and assessed whether they were MEs. The researcher rated the severities of clinical outcomes from MEs using the criteria of National Coordinating Council for Medication Errors Reporting and Prevention (NCCMERP). Results: At patient admission and discharge, 60.7% and 29.2% of the total drug items were identified as medication discrepancies. MEs were found in 25.2% of the total number of admission with 20.9% at the time of admission and 4.3 % at discharge time. At admission and discharge, 237 MEs were found from the examination of 1,605 items of medicines with 228 MEs (96.2% of identified MEs) being omission errors, 3 MEs being wrong strength (1.3% of identified MEs), 3 MEs being wrong dose or frequency (1.3% of identified MEs), 2 MEs being wrong dosage form (1.0% of identified MEs) and 1 ME being wrong drug (0.50% of identified MEs). Among 200 MEs found during admission, 196 (98.0% of MEs identified at admission) were in category B and 4 were in category C (2.0% of MEs identified at admission). There were 37 MEs identified during discharge and all were in category B. The average time spent in medication reconciliation process was 26.2+13.0 minutes with 15.2+10.0 spent in the admission process and 11.0+5.0 minutes at the time of discharge. Conclusion: Medication reconciliation process by pharmacist at surgical ward could identifiy MEs leading to the measure for patient safety during admission and discharge.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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