Category: Professional Posters
Purpose: Pharmacist intervention have always been considered a valuable input to other health care providers during the patient care process. It can contribute significantly to the reduction of medication error, and cost of Therapy. These interventions have developed over time and their forms vary from the simple handwritten form to the computerized databases. The objectives of this study was to analyze therapeutic intervention documentation (TID) report made by the pharmacists when reviewing the prescription in both King Abdulaziz Medical city (KAMC) and King Abdullah Specialized Children Hospital (KASCH). To identify the highest reasons, highest departments and to eliminate future medication error
Methods: A retrospective review of therapeutic intervention documentation (TID) data have been extracted from the organization’s HIS-CPR in King Abdul-Aziz Medical City (KAMC) and King Abdullah Specialized Children Hospital (KASCH) – Central Region (Riyadh) in the year 2018. We analysis 13 TID reasons which are allergy , incorrect dosage form, incorrect dose , incorrect drug, incorrect duration, incorrect frequency, incorrect patient, incorrect protocol/stage of treatment, incorrect route ,lab/diagnostic test indicated not ordered, nomenclature-sound-alike and renal/ hepatic dose adjustment
Results: During 2018, 2179695 prescriptions were dispensed from KAMC and 888920 prescriptions from KASCH. The total numbers of documented TID were 162055 (7.4%) from KAMC and 108341 (11%) from KASCH. Most of TID reports documented about the Emergency department prescriptions for both KAMC and KASCH with 15824 and 15884 respectively. Excluding the pharmacy workload reasons, the top 5 TID reasons were incorrect dose, followed by incorrect drug, incorrect duration, incorrect frequency, and incorrect dosage form. When analyzing the TID reports of KAMC, the most common reason associated with incorrect dose was found to be related to inappropriate history taking (57%) and the most causative agent was acetaminophen. Moreover, 88% of the incorrect drug TID reports were related to therapy duplication. Regarding incorrect duration TID reports, were most of the time associated with Pregabalin the reason behind that believed to be related to the recent classification of this drug as controlled substance by the SFDA that limited the maximum dispensed duration of this drug except in certain conditions. Furthermore, Acetaminophen followed by Piperacillin/Tazobactam were the most common agents associated with incorrect frequency TID reports. For incorrect dosage form TID reports, intravenous heparin was found to be the mostly associated agent.
Conclusion: This study highlights the importance of intervention documentation system to prescriptions. Based on various criteria such as patient care area, physician department, medical services, specific drug and intervention type. Pharmacist intervention and documentation provide optimum safety toward patients in our heath institution. Furthermore, implementing action to solve these prescribing error from pharmacists intervention and documentation. The hospital demonstrate good utilized of TID to prevent medications error. Therapeutic intervention documentation (TID) by pharmacists are essential to improve the patient safety and reduce the likelihood of medication errors caused by prescribing medications to implement recommendation