Evaluation of using Pain and Fever Killer Wheels to reduce medication errors

Abstract

             A medication error (ME) is an indicator of the medication management system to ensure maximum patient safety. The medication error could be reflected the collaboration of multidisciplinary team in the hospital. The purposes of this study were: 1) to create a tool reducing medication error 2) to evaluate the prescription error of antipyretic drug, namely, paracetamol, from the “Pain and Fever Killer Wheel” 3) to evaluate the reduction of medication calculating time from the use of “Pain and Fever Killer Wheel” and 4) to evaluate the tool’s satisfaction from the service received. The methods are divided into three phases: 1) creating, developing and quality testing by experts 2) trial the tool and 3) summarizing the outcomes. The study was performed between 1 June 2020 to 28 February 2021. The group of sample was selected from 222 prescriptions of children who were vaccinated and 5 service staffs at the Well Child Clinic (WCC) of the Health Promotion Hospital of Health Promotion Center 6^th. The data were analyzed using frequency distribution such as proportion and percentage.

             The results showed that: 1) the “Pain and Fever Killer Wheel” tool was developed from the Iron Supplement Wheel 2) the “Pain and Fever Killer Wheel” can be reduced medication error from 34.54% to 1.78%, 3) the “Pain and Fever Killer Wheel” can be reduced the average of the medication calculating time from 7.24 to 3.13 seconds per case and 4) a score of 80% represents a high level of satisfaction.