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Title

INPATIENT PHARMACIST INTERVENTIONS IN REDUCING PRESCRIPTION-RELATED MEDICATION ERRORS IN INTENSIVECARE UNIT (ICU) IN RIYADH, SAUDI ARABIA.

Authors

ALHOSSAN, ABDULAZIZ; ALHUQBANI, WAAD; ABOGOSH, AHMED; ALKHEZI, OMER; ALESSA, MOHAMMED; AHMAD, AJAZ

Abstract

The present study was carried out to evaluate the effectiveness and impact of having inpatient pharmacist interventions in reducing prescription-related medication errors in Intensive Care Units (ICUs). The study also evaluates the occurrence and incidence to identify therapeutic categories and types of prescription-related medication errors. The observational and retrospective study was carried out in an Intensive Care Units (ICUs) of 6 tertiary care hospitals in Riyadh, Saudi Arabia, including 4 private health sector hospitals, one governmental hospital and one university teaching hospital. All prescriptionrelated medication error reports were filled electronically by inpatient pharmacists using Computerized Physician's Order Entry (CPOE). The study reported drug errors in the Intensive Care Units (ICUs) that were detected and addressed by clinical pharmacists. A number of 9215 medication orders were collected and prescribing errors were detected. The most commonly reported prescribing errors were incomplete orders (21%), followed by drug information 16%, errors in dosing schedule (14%), duplicate drug class (10%), wrong dose (7%), wrong unit of measurement (6%), drug-drug interaction (4%), re-order requested and others (4%), wrong frequency (4%), no indication for prescription (PRN) 3%, conflicting information 3%, wrong route (2%), incomplete patient information (1%), oral and intravenous (IV) same drug order (0.1%). The most common location where the errors occurred was in the ICU (42.5%), followed by neonatal intensive care unit (NICU; 34.8%), critical care unit (CCU; 14.5%) and paediatric intensive care unit (PICU; 8.5%). The findings of our study highlight the importance of the inpatient pharmacists' role in detecting, reporting and reducing prescription-related errors, as well as the incidence of these errors among Riyadh hospitals' ICU departments.

Subjects

RIYADH (Saudi Arabia); MEDICATION errors; NEONATAL intensive care units; INTENSIVE care units; TEACHING hospitals; HOSPITAL care

Publication

Farmacia, 2023, Vol 71, Issue 2, p404

ISSN

0014-8237

Publication type

Academic Journal

DOI

10.31925/farmacia.2023.2.22

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