Findings from the ISMP Medication Safety Self-Assessment® for Hospitals

et al. 2017

The 5-points Likert response scale system used. The survey distributed to sixteen directors of hospital pharmacy during mass gathering Hajj-2016. The medications safety officer at Makkah region distributed the questionnaire and made follow up on a daily basis used physical visiting and through the telephone call. Results: The survey distributed to sixteen hospitals, the response rate, was eleven hospitals (68.75%). The total score of all ISMP-self assessment of medication safety was 3.39 +/-0.51 (67.68 %) with CI (3.2-3.6) P< 0.05. The average rating of Patient Education domain at all hospital were 3.75 (63.6 %) while the mean score Quality Processes and risk management domain at all hospital were 3.18 (67.8%). The highest score of both domains was a Drug selection, preparation, and labeling errors identified during routine checking processes reported and collected 4.1 (82%). The lowest score of both domains was the Machine-readable coding used to verify all based solutions and additives 2 (40%). Conclusion: The patient education and quality process and risk management related to medication safety were acceptable at the hospital during mass gathering Hajj period. May be the correction of computerized physician order entry and using of new technology will minimize the patient risk and improve hospital pharmacy management of medication safety during a mass gathering in Makkah, Saudi Arabia.

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

National Survey of Hospital Medication Safety Practice during Mass Gathering (Hajj-2016) in Makkah, Saudi Arabia: Patient Education, Quality Process, and Risk Management

Alomi¹,

Khayat²,

et al. 2017

“…The tools used with studies in 2000 and 2011. The authors found Communication of drug orders and other drug information key element changed from 47% to 57.4%, and drug labeling, packaging, and nomenclature improved from 61% to 74% (20) (21). The authors not familiar with studies in Saudi Arabia or the Middle East used the completed tools of ISMP for self-assessment of hospital practice of medication safety and with emphasis during mass gathering hajj period.…”

Section: Introductionmentioning

confidence: 99%

National Survey of Hospital Medication Safety Practice during Mass Gathering (Hajj-2016) in Makkah, Saudi Arabia: Medication Preparation and Dispensing

Alomi¹,

Khayat²,

et al. 2017

Objective: To explore the national survey of hospital medication safety practice during mass gathering (Hajj -2016) The survey distributed to sixteen hospitals, the response rate, was eleven hospitals (68.75%). The total score of all ISMP-self assessment of medication safety was 3.39 +/-0.51 (67.68 %) with CI (3.2-3.6) P< 0.05. Medication preparation and dispensing included two domains; communication of drug order with scores 3.53 (55%), drug labeling and packaging with scores 3.57 (71.4%). The highest score of two sections the products with look-alike drug names and packaging segregated and not stored alphabetically 4.5 (90%) while the lowest score was a presenting of alerting with computerized physician order entry 2.1 (42%). Conclusion:The standardized medication process during preparation and dispensing is acceptable rate with missing the intravenous admixture and repackaging services. Targeting to continue the level of improvement and correction the missing services is the potential goals in the mass gathering pharmaceutical care during Hajj period. In addition to the annual survey of medication safety during medication preparation and dispensing is a crucial requirement of best medical services provided to all pilgrims in Makkah, Saudi Arabia.

“…There was a significant improvement in the key elements, for instance, patient information scores changed from 43 % to 60%, drug information key element from 53% to 68%, and communication of drug orders and another drug Information 47% to 74%. [10,11] Another study in 2012 investigated a bout self-assessment of oncology medication. [12] The authors are not familiar with any study published about ISMP self-assessment finding in Saudi Arabia, Gulf countries or Middle East countries and thus it is the first study done in our area.…”

Section: Introductionmentioning

confidence: 99%

National Survey of Hospital Medication Safety Practice during Mass Gathering (Hajj-2016) in Makkah, Saudi Arabia: Patient Information

Alomi¹,

Khayat²,

et al. 2017

Objective: To explore the national hospital medication safety survey during mass gathering (Hajj -2016) (67.68 %) with CI (3.2-3.6) P< 0.05. The average rating of patient information domain at all hospital was 2.75+/-0.57 (55 %) with CI (2.52-2.98) P< 0.05. The highest score of patient information section was the core information of the patient transmitted to the pharmacy 3.91 (78.2%). The lowest score of patient information section was computerized physician order entry (CPOE) with drug allergies 1.73 (34.6%), computerized order entry system with drug allergies alerting severity 1.73 (34.6%), and bar-coding used to verify patient identity during drug administration 1.9 (38%). Conclusion: Despite the patient information is very crucial for medication safety; the critical base information missed with the emphasis on patient allergies related issues and verification of medication administration by using new technology. An electronic prescription with complete medication history and alerting system highly recommended to during mass gathering Hajj is essential. Targeting to correct all related patient information measure will prevent drug misadventures, improved patient clinical outcomes, and quality of life.