Effectiveness of a pharmacist-led quality improvement program to reduce medication errors during hospital discharge

Keywords: Patient Discharge, Medication Reconciliation, Medication Errors, Prescriptions, Pharmacy Service, Hospital, Pharmacists, Quality Assurance, Health Care, Malaysia

Abstract

Background: Patients requiring medications during discharge are at risk of discharge medication errors that potentially cause readmission due to medication-related events.

Objective: The objective of this study was to develop interventions to reduce percentage of patients with one or more medication errors during discharge.

Methods: A pharmacist-led quality improvement (QI) program over 6 months was conducted in medical wards at a tertiary public hospital. Percentage of patients discharge with one or more medication errors was reviewed in the pre-intervention and four main improvements were developed: increase the ratio of pharmacist to patient, prioritize discharge prescription order within office hours, complete discharge medication reconciliation by ward pharmacist, set up a Centralized Discharge Medication Pre-packing Unit. Percentage of patients with one or more medication errors in both pre- and post-intervention phase were monitored using process control chart.

Results: With the implementation of the QI program, the percentage of patients with one or more medication errors during discharge that were corrected by pharmacists significantly increased from 77.6% to 95.9% (p<0.001). Percentage of patients with one or more clinically significant error was similar in both pre and post-QI with an average of 24.8%.

Conclusions: Increasing ratio of pharmacist to patient to complete discharge medication reconciliation during discharge significantly recorded a reduction in the percentage of patients with one or more medication errors.

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Published
2019-08-21
How to Cite
1.
George D, Supramaniam ND, Abd Hamid SQ, Hassali MA, Lim W-Y, HSS A-S. Effectiveness of a pharmacist-led quality improvement program to reduce medication errors during hospital discharge. Pharm Pract (Granada) [Internet]. 2019Aug.21 [cited 2019Sep.22];17(3):1501. Available from: https://pharmacypractice.org/journal/index.php/pp/article/view/1501
Section
Original Research

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