Impact of clinical pharmacy interventions on medication error nodes

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dc.contributor.author Chamoun, Nibal R. en_US
dc.contributor.author Zeenny, Rony en_US
dc.contributor.author Mansour, Hanine
dc.date.accessioned 2017-12-13T12:58:26Z
dc.date.available 2017-12-13T12:58:26Z
dc.date.copyright 2016 en_US
dc.date.issued 2017-12-13
dc.identifier.issn 2210-7711 en_US
dc.identifier.uri http://hdl.handle.net/10725/6784
dc.description.abstract Background Pharmacists’ involvement in patient care has improved the quality of care and reduced medication errors. However, this has required a lot of work that could not have been accomplished without documentation of interventions. Several means of documenting errors have been proposed in the literature but without a consistent comprehensive process. Recently, the American College of Clinical Pharmacy (ACCP) recognized that pharmacy practice lacks a consistent process for direct patient care and discussed several options for a pharmaceutical care plan, essentially encompassing medication therapy assessment, development and implementation of a pharmaceutical care plan and finally evaluation of the outcome. Therefore, as per the recommendations of ACCP, we sought to retrospectively analyze interventions by grouping them according to medication related problems (MRP) and their nodes such as prescribing; administering; monitoring; documenting and dispensing. Objective The aim of this study is to report interventions according to medication error (ME) nodes and show the impact of pharmacy interventions in reducing MRPs. Setting The study was conducted at the cardiology and infectious diseases services at a teaching hospital located in Beirut, Lebanon. Methods Intervention documentation was completed by pharmacy students on infectious diseases and cardiology rotations then reviewed by clinical pharmacists with respective specialties. Before data analysis, a new pharmacy reporting sheet was developed in order to link interventions according to MRP. Then, MRPs were grouped in the five ME nodes. During the documentation process, whether MRP had reached the patient or not may have not been reported which prevented the classification to the corresponding medication error nodes as ME. Main outcome Reduction in medication related problems across all ME nodes. Results A total of n = 1174 interventions were documented. N = 1091 interventions were classified as MRPs. Interventions were analyzed per 1000 patient days and resulted in 340 medication related problem/1000 patient days. A 72 % reduction in MRP across all ME nodes was seen. The majority of interventions were in the field of cardiology followed by infectious disease related. When interventions per ME nodes were analyzed, a high percentage of intervention acceptance was noted across all nodes especially prescribing (68.30 %) monitoring (77.7 %) and in documenting errors (79.36 %). Conclusion The role of pharmacists in reducing preventable MRPs can be shown when pharmacy interventions are analyzed according to corresponding MRP and ME nodes. en_US
dc.language.iso en en_US
dc.title Impact of clinical pharmacy interventions on medication error nodes en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOP en_US
dc.author.idnumber 200201071 en_US
dc.author.idnumber 201205628 en_US
dc.author.department Pharmacy Practice en_US
dc.description.embargo N/A en_US
dc.relation.journal International Journal of Clinical Pharmacy en_US
dc.journal.volume 38 en_US
dc.journal.issue 6 en_US
dc.article.pages 1436-1444 en_US
dc.keywords Interventions en_US
dc.keywords Lebanon en_US
dc.keywords Medication errors en_US
dc.keywords Medication related problems en_US
dc.keywords Medication error node en_US
dc.keywords Pharmacy en_US
dc.keywords Pharmacist en_US
dc.identifier.doi http://dx.doi.org/10.1007/s11096-016-0384-4 en_US
dc.identifier.ctation Chamoun, N. R., Zeenny, R., & Mansour, H. (2016). Impact of clinical pharmacy interventions on medication error nodes. International Journal of Clinical Pharmacy, 38(6), 1436-1444. en_US
dc.author.email nibal.chamoun@lau.edu.lb en_US
dc.author.email hanine.mansour@lau.edu.lb
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://link.springer.com/article/10.1007/s11096-016-0384-4 en_US
dc.orcid.id https://orcid.org/0000-0002-0987-296X en_US
dc.orcid.id https://orcid.org/0000-0001-6383-0288 en_US
dc.author.affiliation Lebanese American University en_US

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