Development of Pre-Dispensing System in Out-Patient Department at Sawanpracharak Hospital, Nakhonsawan Province
Keywords:
Outpatient pharmacy services, pre-dispensing medication error, development systemAbstract
Background and objectives: Without a protocol working system , the pre-dispensing medication error has been the most common problem in outpatient pharmaceutical service at Sawanpracharak Hospital then, this study aimed to develop the pre-dispensing medication system for the outpatient service implementing an effectiveness protocol and practicing of personnel guidelines leading to patient medication safety usage.
Methods: This study was an action-based research including 3 phases, the first and second phases were done during October 2019 - November 2020 to analyze and develop the protocol of the pre-dispensing medication process. The third phase was done during December 2020 - September 2021 aiming to implement the pre-dispensing medication process and evaluating the results. The data were collected in an official hours. 8,057 prescriptions with errors were found. The comparison between pre- and post- implementing protocol were made by an independent t-test.
Results: The study found that after the development of out-patient pharmaceutical service system. To compare between pre-dispensing medication errors (times per 1,000 prescriptions) before and after implementing protocol: packing errors of 24.4 times were reduced to 10.3 times, input data errors of 15.7 times reduced to 8.3 times, and first checking errors of 10.5 times were reduced to 3 times. The pre-and post- implementing protocols were significantly difference (p< 0.05).
Conclusions: Development of a pre-dispensing medication system for outpatient pharmaceutical services can reduce the rate of medication errors.
References
Tewthanom K, Tananonniwat S. Medication error and prevention guide for patient’s safety. Veridian E-Journal, Sci Technol Silpakorn University 2009;2(1):196-217.
Khrueawang K. Medication Error. Public Health Policy & Health Laws Journal 2018;4(2):251-65.
LumLao S, Chalongsuk R. Development of a pre-dispensing system in in-patient department at Luangpho Thaweesak Hospital, Bangkok. Veridian E-Journal, Sci Technol Silpakorn University 2017;4(3):117-37.
Kummabutr S, Tassanawichitr P. A study of drug discrepancies in Hang Chat Hospital. Thai J Clin Pharmacy 2008;15(4):407-19.
Ruengjuy J. Improvement of outpatient pharmacy service at Krathumbaen Hospital [Doctoral dissertation].Nakhon Pathom : Silpakorn University; 2012.
Phianthum C. Pre-dispensing error reduction in Olo health promoting hospital, Phukhiao districts, Chaiyaphum province. Chaiyaphum Med J 2021;41(1):40-8.
Anunsiripun W, Waratanakul W, Wuttinuntiwong N. Efficacy of drug error prevention system of outpatient services Vachira Phuket Hospital. Thai J Clin Pharmacy 2008;15(1):73-81.
Phrachomklao Hospital. Management process, Look-Alike Sound Alike drugs (LASA drugs ; Drugs with similar names) [online]. 2020 [Cited Sep 15, 2022]. Available from: https://www.phrachomklao.go.th/ wp-content uploads/2020/02/%E0%B8%81%E0%B8%B2%E0%B8%A3%E0%B8%88%E0% B8%B1%E0%B8%94%E0%B8%81%E0%B8%B2%E0%B8%A3-LASA.pdf.
Garfield S, Barber N, Walley P, Willson A, Eliasson L. Quality of medication use in primary care-mapping the problem, working to a solution: a systematic review of the literature. BMC Medicine 2009;7(1):1-8.
Chumchit C. Development of medication safety management system for look-alike/sound-alike drugs in public hospitals[Doctoral dissertation]. Nakhon Pathom : Silpakorn University; 2017.
Lumlao S, Chalongsuk R. Development of a pre-dispensing system in in-patient department at Luangpho Thaweesak Hospital, Bangkok . Veridian E-Journal, Sci Technol Silpakorn University 2017;4(3):117-37.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Srinagarind Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
