MEDICATION ERRORS AVOIDED BY MEDICATION RECONCILIATION PROCESS AT FEMALE SURGERY WARD IN RAMATHIBODI HOSPITAL, THAILAND
Author(s)
Samarnkongsak T, Samankatiwat P
Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
OBJECTIVES: To determine the impact of medication reconciliation (MR) on medication errors avoidance in 3 phases: admission, post-operation and discharge at female surgery ward, Ramathibodi Hospital. METHODS: The study was a retrospective descriptive; which collected data at female surgery ward, Ramathibodi Hospital, between January 1st and December 31st, 2015 and analyzed by Microsoft® Excel MR was an intervention conducted by clinical pharmacists and physicians applied to every admitted patient at 3 phases. At admission, orders were compared with pre-admission medication use. At post-operation, orders were compared with admission medicines. At discharge, home medications were compared with during hospitalization and discharge orders. The main outcomes was unintentionally discrepancies related to medication errors. RESULTS: One thousand eight hundred and twenty-four patients had been approached through MR process. Unintentionally discrepancies were occurred in 70 patients (3.68%); 135 problems, which were 53 (39.26%) at admission, 35 (25.93%) at post-operation, and 47 (34.81%) at discharge, were detected. The most medication errors avoided was omission error at admission (71.69%). According to medication errors category, the highest potential harm (39 problems at admission or 73.58%) was in category C, errors that reached the patient but did not cause any harm. All physicians (100%) accepted and complied with this MR process. CONCLUSIONS: Medication reconciliation is an effective process to avoiding medication errors. Hospitals should generate the multidisciplinary MR team in all health care services for patient safety. However economic evaluation should be further conducted.
Conference/Value in Health Info
2016-09, ISPOR Asia Pacific 2016, Singapore
Value in Health, Vol. 19, No. 7 (November 2016)
Code
PHP80
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Health Care Research
Disease
Multiple Diseases