MEDICATION SAFETY

Group 2BSupervised By:

Dr. Tareef Alaama

Introduction

• The safety of medicines is an essential part of patient safety.

• Harmful, unintended reactions to medicines are among the leading causes of death in many countries.

Medication error

"any preventable event that leads to inappropriate medication use or patient harm “

• combination of the physician‘s and patient’s factors were implicated in this problem .

-382 patients

- frequency of mistakes

in communication and

their incidence in errors

.

Mira JJ Fam Pract, 2012 aug 17

287 (75%) 1 drug error

16( 4%) 4 or more errors

19( 5%) Severe consequences

Justification :

• However, there is lack of

comprehensive epidemiological

studies done to evaluate

the outcome of the current

prescription practice used in

KAUH .

• Such studies are urgently

needed.

Objectives• To identify the method used by

the doctors to educate the patients about medication and the patient’s level of understanding .

• To identify the relation between patient’s level of understanding and subsequent consequences (noncompliance, adverse effects).

Methodology

Tow يبال

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CROSS SECTIONAL TWO ARMSAmo

ng Patients

Among

Doctors

•The team followed ethical confidentiality and freedom of participation.

• self administered questionnaire was given to All Participants approached during the day of interview and accepted to participate were included .

• Patients :93 (simple random)

• Doctors : 50 (simple random)

Sample size :• KAUH-

OPD. 13 Oct to 5 Dec,2012

Location/Time : • outpatients with chronic illnesses who are over 40 yrs old .

Targeted patients :

PATIENTS

Results

Methods Used by Doctors to Educate patients about their

medications

Are the patients understanding?

73.12%7.53%

17.20%

1.06%

How well the patients understand Doctors

6.45%

30.11%63.44%

Why?

How familiar is the patient with using his medication?

31.18%

68.82%

How Many Patients are Not Taking Medication as prescribed

4.30%

65.59%

30.11%

Why are patients not taking their medication

33.320

1016.67

0102030405060708090

100

percent…

How many of those taking medications improperly developed

side effects

2.15%

25.81%

72.04%

Are The Patients educated about Side Effects of Their medicationDOCTORS

Results

Method Used By doctors to Explain Use of Medication

0%10%20%30%40%50%60%70%80%90%

100%

always\most of the time

somwtimes

rarely\never

Does The Doctor ask the patient to repeat after Him

always/

46%54%

poor understanding of the prescription other causes

Causes of non compliance

Other Causes

cost

of medica

tion

inadequate

follo

w up

multiple m

edications

Asympto

matic i

llness

side effect

of medica

tion

forgot m

ethod

0%

20%

40%

60%

80%

percentage

percentage

Does The Doctor Provide information about their treatment

0%10%20%30%40%50%60%70%80%90%

100%

always \ most of the time

sometimes

rarely \ never

Yes 33%

No 67%

Does The Doctor Provide His Patient With A Contact Number

Doctors’ opinion

INTERVENTION

Our proposed interventions:

1.using an illustrative prescription, preferably to be standardized

Patient’s name :……………………………… MR no : ..………………………

Weight…………… : Diagnosis :

..……………………………………………………………………………Doctor’s Name : …………………………….. Signature :

……………………

Hot line number :

Medication Route dose / frequency/

duration

Time Meal Side effects /interactions

Other :

..…………a.m

..……………p.m

Other :

Before

With

After

.……………

Doctor’s note : ………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Patient’s name :…………….Mr.X ……… MR no. : ……78904.………

Weight : …80 kg……Diagnosis : ……DM

..………………………………………………………………Doctor’s Name : …………………………….. Signature :

……………………

Hot line number :

Medication Route dose / frequency/

duration

Time Meal Side effects /interactions

glucophge

Other :

500 mg

Twice a day

For life !

..…………a.m

..……………p.m

Other :

Before

With

After

Gastro-intestina

l upset

Doctor’s note : ………………………………………………………………………………………………………………………………………………………………………………………………………………………………

2. educating each patient fully about their medications in terms of: indications, therapeutic goals, adverse effects and alarming signs(toxicity) that requires seeking medical care.

3. Creation of a hotline:

Where a medical personnel (physician/ pharmacist/ nurse) will be available to answer patients’ questions

Acknowledgment Dr. Sameera AlbasriDr. Abeer ArabProf. Saad ShohaibDr. Mawiya khafajiDr. Ezz AbdulfattahDr. Majda hagrasProf. Talal bakshProf. Mahmoud Shaheen Al AhwalRPh. Bushra AlotaybiMr. Tariq Nadir

Group 2BSupervised By: Dr. Tareef Alaama• Sumaya Shinawi• Meyad Albalawi• Nooran Badeeb• Shaima Alshareef• Dania Bamofleh• Hanan Lamfon• Rahaf Mandura• Nouf Turki• Aroub Al-Kaaki• Rawan Arif• Hanan Alhazmi

References • 1.Mira JJ et al. Physician patient communication

failure facilitates medication errors in older polymedicated patients with multiple comorbidities. Fam Pract, 2012 aug 17

• 2.Brodell RT, Helms SE, KrishnaRao I, Bredle DL. Prescription errors. Legibility and drug name confusion. Arch Fam Med. 1997 May-Jun;6(3):296-8.

• 3.Campos A, Reyes J, Torres M. Therapeutic compliance among asthma patients in an allergy clinic: third evaluation (SEGARIA Project). Allergol Immunopathol (Madr). 2006 Jul-Aug;34(4):141-5

• 4. http://www.who.int/mediacentre/factsheets/fs293/en/