Abstract

PREVALENCE OF POTENTIAL RISK FACTORS ASSOCIATED WITH MEDICATION ADMINISTATION ERROR AND EDUCATIONAL INTERVENTION IN A HEALTH CARE SETTING –AN OBSERVATIONAL STUDY

Karishma Mohan*, Celcy S., Monika Narayan, Sreelakshmi K. G. Britto Duraisingh, Haja Sheriff

ABSTRACT

Objective: To observe, educate and report the type, frequency, risk factors and potential clinical significance of medication administration errors. Design: We developed a checklist using ASHP (American Journal of Health-System Pharmacy) guidelines including the “five rights” (right patient, right drug, right dose, right time and right route) after rationality and reliability were confirmed, we performed direct observation using a checklist to find out administration error and the clinical pharmacist imparted the knowledge about the administration technique to minimize the errors. The radar chart was drawn by comparing rates of errors observed before and after education. Results: During one month we observed a total of 228 cases of medication activities, procured data and calculated the discrepancies during the administration of a drug. Around 22.8% of MAE were detected, including omission, documentation, wrong duration, duplication, wrong route, unnecessary drug administration and wrong time. The clinical pharmacists educated the nurses about the consequences of the administration errors and the appropriate practice of drug administration to cut down the administration errors. The rate of MAE has been declined to 12.7% while we reviewed the case sheets after education.

Keywords: Mae, Quality and Use of medicines, Rationality.