Effect and Associated Factors of a Clinical Pharmacy Model in the Incidence of Medication Errors in the Hospital Pablo Tobón Uribe Eacpharmodel Study: Stepped Wedge Randomized Controlled Trial (NCT03338725).
Abstract BackgroundThe World Health Organization considers medication errors to be an issue that requires attention at all levels of care, to reduce the severe and preventable harm related to drug therapy. In the world, clinical pharmacy practice standards have been proposed, where the pharmacist, as part of the multidisciplinary health team, can help improve patient safety; however, more and better evidence needs to demonstrate this effect. ObjectiveTo assess the change in the incidence of medication errors in hospitalized patients and thereby identify drug-related factors and problemsSettingThe study was conducted at Hospital Pablo Tobón Uribe, medellín, Colombia.MethodsA randomized, controlled cluster-wedge staggered trial with a duration of 14 months was conducted to compare the clinical pharmacy practice model's effect with the usual care process in the hospital. Five hospital health care units were included, which were initially assigned to the control group, and after an observation period of 2 months, they were randomly assigned to the intervention group.Main outcome measureIncidence of medication errors in hospitalized patientsResultsThe medication error incidence was 13.3% and 22.8% for the intervention group and control group, respectively. The probability of presenting medication error was 48% lower when the patient was in the intervention group (RR 0.52; 95% CI:0.34-0.79).ConclusionThe Clinical pharmacy practice model of the Hospital Pablo Tobón Uribe Hospital, made up of strategies focused on reducing medication errors, significantly reduces medication errors in patients during hospitalization compared to usual practice..
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Preprint| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
ResearchSquare.com - (2022) vom: 29. Juli Zur Gesamtaufnahme - year:2022 |
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| Sprache: |
Englisch |
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| Beteiligte Personen: |
Granados, Johan [VerfasserIn] |
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| doi: |
10.21203/rs.3.rs-268016/v1 |
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| PPN (Katalog-ID): |
XRA033707138 |
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| 520 | |a Abstract BackgroundThe World Health Organization considers medication errors to be an issue that requires attention at all levels of care, to reduce the severe and preventable harm related to drug therapy. In the world, clinical pharmacy practice standards have been proposed, where the pharmacist, as part of the multidisciplinary health team, can help improve patient safety; however, more and better evidence needs to demonstrate this effect. ObjectiveTo assess the change in the incidence of medication errors in hospitalized patients and thereby identify drug-related factors and problemsSettingThe study was conducted at Hospital Pablo Tobón Uribe, medellín, Colombia.MethodsA randomized, controlled cluster-wedge staggered trial with a duration of 14 months was conducted to compare the clinical pharmacy practice model's effect with the usual care process in the hospital. Five hospital health care units were included, which were initially assigned to the control group, and after an observation period of 2 months, they were randomly assigned to the intervention group.Main outcome measureIncidence of medication errors in hospitalized patientsResultsThe medication error incidence was 13.3% and 22.8% for the intervention group and control group, respectively. The probability of presenting medication error was 48% lower when the patient was in the intervention group (RR 0.52; 95% CI:0.34-0.79).ConclusionThe Clinical pharmacy practice model of the Hospital Pablo Tobón Uribe Hospital, made up of strategies focused on reducing medication errors, significantly reduces medication errors in patients during hospitalization compared to usual practice. | ||
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