scholarly journals Inpatient Medication Errors and Pharmacist Intervention at Ministry of Health Public Hospital, Riyadh, Saudi Arabia

2019 ◽  
Vol 5 (1) ◽  
pp. 44-48
Author(s):  
Yousef Ahmed Alomi ◽  
Nesreen Alshabaar ◽  
Nadia Lubad ◽  
Fatimah Ali Albusalih
2018 ◽  
Vol 3 (1) ◽  

Healthcare errors and malpractices of pharmaceuticals are very serious issues in medicine and dramatically increase the mortality and morbidity. Narcotics prescribing, dispensing and handling are very restricted in Saudi Arabia and regulated by multiple legislations accredited by Saudi Food and Drug Authority (SFDA) and Saudi Ministry of Health. This pilot study investigated the malpractices of handling and dispensing narcotics as well as the medical errors in multiple hospitals for the first time. The major reported malpractices were missed signatures either by physicians or head nurses (45.97%), irregularities in the returned short dated and expired narcotics to pharmacy (17.74%) and the discarded amounts after dose administration (13.71%). Misuse of the remaining narcotic dose by the healthcare practitioners or by the patients was also a major finding of this study. Although reported malpractices causes no serious harm to patients, but still very essential to fulfill the requirements laid down in the narcotics dispensation forms and the recommended (SFDA) legislations. These malpractices if not corrected in time may affect the renewal of the accreditations of the hospitals. Expanded and detailed study is highly recommended to assess the extent of these malpractices in Saudi Arabia and to recommend any reforms and corrections.


2019 ◽  
Vol 5 (1) ◽  
pp. 4-7
Author(s):  
Yousef Ahmed Alomi ◽  
Saeed Jamaan Alghamdi ◽  
Radi Abdullah Alattyh

2018 ◽  
Vol 3 (1) ◽  

Healthcare errors and malpractices of pharmaceuticals are very serious issues in medicine and dramatically increase the mortality and morbidity. Narcotics prescribing, dispensing and handling are very restricted in Saudi Arabia and regulated by multiple legislations accredited by Saudi Food and Drug Authority (SFDA) and Saudi Ministry of Health. This pilot study investigated the malpractices of handling and dispensing narcotics as well as the medical errors in multiple hospitals for the first time. The major reported malpractices were missed signatures either by physicians or head nurses (45.97%), irregularities in the returned short dated and expired narcotics to pharmacy (17.74%) and the discarded amounts after dose administration (13.71%). Misuse of the remaining narcotic dose by the healthcare practitioners or by the patients was also a major finding of this study. Although reported malpractices causes no serious harm to patients, but still very essential to fulfill the requirements laid down in the narcotics dispensation forms and the recommended (SFDA) legislations. These malpractices if not corrected in time may affect the renewal of the accreditations of the hospitals. Expanded and detailed study is highly recommended to assess the extent of these malpractices in Saudi Arabia and to recommend any reforms and corrections.


2018 ◽  
Vol 4 (3) ◽  
pp. 497-503
Author(s):  
Yousef Ahmed Alomi ◽  
Saeed Jamaan Alghamdi ◽  
Radi Abdullah Alattyh

Objective: To explore the National Survey of Drug Information Centers practice in Saudi Arabia: Leadership and Practice management at Ministry of Health hospital. Method: It is a cross-sectional four months national survey of Drug Information Services at Ministry of Health hospital. It contained ten domains with 181 questions designed by the authors. It was derived from Internal Pharmaceutical Federation, American Society of Health-System Pharmacists best practice guidelines. This survey was distributed to forty hospital pharmacies that run drug information services. In this study, domain of Drug Monitoring and Patient Counselling System explored and analyzed. It consisted of eight questions about the written policy and procedure and application methods for Leadership and Practice management in the drug information centers. All analysis was done through survey monkey system. Results: The survey distributed to 45 of hospitals, the response rate, was 40 (88.88%) hospitals. The highest score of the DIC had policy and procedures with a clear mission, vision, and values were Evidence of valid Saudi Council of Health Specialties license to practice in Saudi Arabia did not exist in 3 (7.5%) hospitals while 30 (75%) of hospitals 100% applied the elements. The highest score of the Drug information centers had a space, adequate furniture, hours of operation were determined and announced as well as there was a qualified and licensed staffing. All Drug Information Centers staff had valid licenses from Saudi Commission for Health Specialties to practice in Saudi Arabia, did not exist in 6 (15%) hospitals while 30 (75%) of hospitals 100% applied the elements. The highest score of the Drug Information Centers Supervisor, reports workload statistics to the appropriate and leadership number of Full Time Employee staff and actual workload published was the answering question depends on the priority of the question did not exist in 6 (15%) hospitals while only 22 (55%) of hospitals 100% applied the elements. The highest score of the Drug Information Centers showed evidence of Quality Improvement, and the process for Drug Information Centers Networking. The reporting any questionable drug quality to Pharmacy director, did not exist in 4 (10 %) hospitals while only 25 (62.5%) of hospitals 100% applied the elements. Conclusion: There were an acceptable implementation leadership and practice management in drug information centers practice. The drug information centers workload analysis and quality management should improve. Drug information centers network indication required an implementation to improve the services at Ministry of Health hospital in Kingdom of Saudi Arabia.


Author(s):  
Dalal Salem Al- Dossari ◽  
Mohammed Ibrahim Alnami ◽  
Naseem Akhtar Qureshi

Background: Drug prescription error is a medication error that most frequently happens in healthcare organizations and adversely affects the healthcare consumers. Most medication errors (MEs) but not all are captured and corrected before reaching the patient by designed system controls. Medication administration errors (MAEs) mostly are made by nurses but frequently reported by clinical pharmacists in hospitals in Saudi Arabia. Objective: This study aimed to analyze exclusively the voluntarily reported drug administration errors in a tertiary care hospital in Riyadh city. Methods: This cross-sectional, retrospective study evaluated consecutively collected medication administration report forms over a period of one year from January 1, 2015 to December 31, 2015. Results: The number of MAEs occurring during stage of drug administration constituted 7.1% (n=971) of total medication errors (n=13677). The maximum number of MEs (n=6838, 50%) and MAEs (n=455, 46.9%) occurred during the 4th quarter of the year 2015. The most common MAE happened to be category C (n=888, 91.5%) which means error occurred, reached the patient but without causing any harm. Concerning MAE types, the most common error included wrong frequency (40%) followed by wrong drug (17%), wrong time of administration (16%) and wrong rate of infusion (10%). Nurses made the most of the errors (92.2%) while the clinical pharmacists reported the most MAEs (75.5%). High alert medications (HAM) errors constituted 32.3% (n=314) of MAEs (n=971) and most common HAM errors included the wrong route of administration of Lanus Insulin (15%) followed by Insulin Aspart (15%), Enoxaparin (13%) and Insulin Protamine-Nvomix (12%). Look-alike and sound-alike (LASA) errors constituted 55.2% of MAEs (971/536) and most common LASA drugs identified were Gentamycin (13%), Insulin Mixtard (11%), NPH Insulin (8%) Intralipid vial (8%) and Insulin regular (6%). Conclusion: This retrospective study provides some important tentative pharmacovigilance insights into MAEs, which are partially comparable with current international trends in drug administration errors. Further studies on MAEs are warranted not only in the Kingdom of Saudi Arabia but also other Gulf countries.


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