Medication error reporting practices among hospital pharmacists in Lagos State, Nigeria Pratiques de déclaration des erreurs de médication chez les pharmaciens hospitaliers de l'État de Lagos, au Nigéria
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Abstract
ENGLISH
Background: Medication errors constitute a significant global health concern for patients and healthcare professionals, especially regarding patient safety and finance. This study examined the medication error reporting practices among hospital pharmacists in Lagos State to gather insights on the level of error reporting.
Objective: The aim of this study was to determine medication error reporting practices among hospital pharmacists in Lagos State.
Methods: A cross-sectional electronic survey using structured questionnaires was administered among 408 hospital pharmacists practicing in public and private hospitals in Lagos State. Data obtained was cleaned and analyzed using SPSS version 23. Descriptive statistical analysis was carried out and ethical approval obtained before data collection.
Results: The respondent rate was 60 %. Respondents have a good understanding of medication error reporting with 62 % strongly agreeing that reporting medication errors can be a quality improvement tool to safeguard patient health. About 45.7 % of the respondents sometimes encountered medication errors but only 29.8 % reported the errors. Prescribing errors accounted for the highest medication errors (53.4 %). Although 78 % of pharmacists currently have the manual reporting formats in place, however the study revealed that heavy workload (44.1 %), non-utilization of past reports (26.5 %), unclear reporting protocols (20.8 %), lengthy and complicated reporting methods (20.4 %) are the significant barriers to medication errors reporting. The study further identified that 64.9 % of pharmacists were willing to report medication errors if the hospital management would protect their identities.
Conclusion: Hospital pharmacists in Lagos state, Nigeria, have a good understanding of medication error reporting and its benefits as a quality improvement tool. However, the reporting rate needs to be improved.
FRENCH
Contexte: Les erreurs de médication un problème de santé majeur à l'échelle mondiale, qui touche à la fois les patients et les professionnels de la santé, notamment en termes de sécurité des patients et d'implications financières. Cette étude a examiné les pratiques de déclaration des erreurs de médication des pharmaciens hospitaliers de l'État de Lagos, au Nigéria, afin de recueillir des informations sur le niveau de déclaration des erreurs.
Méthodes: Une enquête électronique transversale utilisant des questionnaires structurés a été menée auprès de 408 pharmaciens hospitaliers exerçant dans des hôpitaux publics et privés de l'État de Lagos. Les données obtenues ont été nettoyées et analysées à l'aide de la version 23.0 de SPSS. Une analyse statistique descriptive a été réalisée et une approbation éthique a été obtenue avant la collecte des données.
Résultats: Le taux de réponse était de 60%. Les répondants ont une bonne compréhension de la déclaration des erreurs de médication, 62% étant tout à fait d'accord pour dire que la déclaration des erreurs de médication peut être un outil d'amélioration de la qualité pour protéger la santé des patients. Environ 45,7% des répondants ont parfois rencontré des erreurs de médication, mais seulement 29,8% ont déclaré ces erreurs. Les erreurs de prescription représentent le plus grand nombre d'erreurs de médication (53,4%). Bien que 78% des pharmaciens disposent actuellement de formats de déclaration manuels, l'étude a révélé qu'une lourde charge de travail (44,1%), la non-utilisation des rapports antérieurs (26,5%), le manque de clarté des protocoles de déclaration (20,8%), la longueur et la complexité des méthodes de déclaration (20,4%) sont les principaux obstacles à la déclaration des erreurs de
médication. L'étude a en outre révélé que 64,9% des pharmaciens seraient prêts à déclarer les erreurs de médication si la direction de l'hôpital protégeait leur identité.
Conclusion: Les pharmaciens hospitaliers de l'État de Lagos, au Nigéria, ont une bonne compréhension de la déclaration des erreurs de médication et de ses avantages en tant qu'outil d'amélioration de la qualité. Cependant , le taux de déclaration doit être amélioré.
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References
1. Mutair AA, Alhumaid S, Shamsan A, Zaidi ARZ, Mohaini MA, Al Mutairi A, Rabaan AA, Awad M, Al-Omari A. (2021). The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems, Medicines. 8(9):46. https://doi.org/10.3390/medicines8090046
2. Shao SC, Chan YY, Lin SJ, Li CY, Kao Yang YH, Chen YH, et al (2020). Workload of pharmacists and the performance of pharmacy services. PLoS ONE 15(4): e0231482. https://doi.org/10.1371/journal.pone.0231482
3. Aseeri M, Banasser G, Baduhduh O, Baksh S, Ghalibi N (2020). Evaluation of Medication Error Incident Reports at a Tertiary Care Hospital,
Journal of Pharmacy, 8(2):69. https://doi.org/10.3390/pharmacy8020069
4. Uitvlugt EB, Janssen MJ, Siegert CE, Kneepkens EL, van den Bemt BJ, van den Bemt PM & Karapinar-Çarkit F. (2021). Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk factors, Frontiers in pharmacology, 12, 567424.
5. Udi OA and Ezenduka PO (2018). Medication Errors among Pharmacists and Nurses working at the University of Port Harcourt Teaching Hospital, IOSR Journal of Nursing and Health Science (IOSR-JNHS), 7(6), 33-44. doi: 10.9790/1959-0706033344
6. Reid-Searl K, Moxham, LW, and Happell B (2008). Shifting supervision: Implications for safe administration of medication by nursing students. Journal Clinical Nursing, 17(20), 2750-2757.
7. Leape LL, Kabcenell A, Berwick DM and Roessner (1998).Reducing Adverse Drug Events, Breakthrough series Guide, Institute for Health Care
Improvement, USA. Journal Institute for Health Care Improvement, 1998 https://www.hi.org
8. Abdu-Aguye SN, Labaran KS, Danjuma NM & Mohammed S (2021). Hospital pharmacy outpatient medication dispensing and counselling
practices in North-Western Nigeria: an observational study. International Journal of Pharmacy Practice, 29(5), 480-485, https://doi.org/10.1093/ijpp/riab052
9. Morimoto T, Gandhi TK, Seger AC, Hsieh TC and Bates D (2004). Adverse drug events and medication errors: detection and classification methods, Quality and Safety in Health Care, 13(o, 306-14).
10. Ghaleb MA, Barber N, Franklin BD, and Wong IC (2010). The incidence and nature of prescribing and medication administration errors in paediatric inpatients, Archives of Disease in Childhood, 2010;95(2), 113-118. doi:10.1136/adc2009..158485
11. Willcox SM, Himmelstein DU and Woolhandler. (1994). Inappropriate drug prescribing for the community-dwelling elderly, Journal of American Medical Association; 272(4), 292-296,
12. Wilson DG, McArtney RG and Newcombe RM (1998). Medication errors in paediatric practice: insights from a continuous quality improvement approach. European Journal of Pediatrics, 157(9), 769-774. doi:https://doi.org/10.1007/s004310050932
13. Beers MH, Storrie M and Lee G (1990). Potentialadverse drug interactions in the emergency room: An issue in the quality of care, Annals of internal Medicine, 112(1), 61-64. doi:https://doi.org/10.7326/0003-4819-112-1-61
14. Huckels-Baumgart S and Manser T (2014). Identifying medication error chains from critical incident reports: a new analytic approach, The
Journal of Clinical Pharmacology; 54(10), 1188-97
15. World Health Organization (2017). Medication without Harm: WHO's Third Global Patient Safety Challenge. Geneva: World Health Organization. From www.lancet.com
16. Jaam M, Naseralallah LM, Hussain TA and Pawluk SA (2021). Pharmacist-led educational interventions provided to healthcare providers to
reduce medication errors: A systematic review and meta-analysis. PLoS ONE 16(6): e0253588. https://doi.org/10.1371/journal.pone.0253588
17. Sufiyan MB, Abdulkareem SB, Joshua IA, Suleiman AG, Umar AA and Amadu L (2023). Knowledge and Perception of Medication Errors among Health Care Workers in Ahmadu Bello University Teaching Hospital Zaria, Kaduna State, North-west Nigeria. Nigerian Postgraduate Medical Journal 30(2):p 150- 155, | DOI: 10.4103/npmj.npmj_75_23
18. Lagos Bureau of Statistics. Abstract of Local Government Statistics. From https://mepb.lagosstate.gov.ng/wpcontent/uploads/sites/29/2018/06/Abstract-ofLG-Statistics-2017editted.pdf 2017;
19. Emmanuel O, Munikumar V, Tuah A A (2021). Place of Death among Cancer Patients in Brunei: A Retrospective Study. Journal Res Dev Nurs Midw, 18(2):33-35 URL: http://nmj.goums.ac.ir/article-1-1322-en.html
20. Samsiah A, Othman N, Jamshed S, and Hassali MA. (2016). Perceptions and Attitudes towards Medication Error Reporting in Primary Care Clinics: A Qualitative Study in Malaysia. PLoS ONE, 11(12), 166114. doi:10.1371/journal.pone.0166114
21. Lefrak L (2002). Moving toward safer practice: reducing medication errors in neonatal care, Journal of Perinatal and Neonatal Nursing. 16(2):73-84. doi: 10.1097/00005237-200209000-00007.
22. Alshaikh M, Mayet A and Aljadhey H (2013). Medication error reporting in a university teaching hospital in Saudi Arabia, Journal of Patient Safety, 9:145-9.
23. Youssef Elshoura SM & Mosallam RA (2022). Knowledge, attitudes and practices of clinical pharmacists to medication error reporting in
ministry of health and population hospitals in Egypt, Journal of Patient Safety and Risk Management, 27(4):188-196. doi:10.1177/25160435221113493
24. Kang HJ, Park H, Oh JM and Lee EK (2017). Perception of reporting medication errors including near-misses among Korean hospital pharmacists, Medicine, 96(39), e7795. https://doi.org/10.1097/MD.0000000000007795
25. Alsaleh F, Alsaeed S, Alsairah Z et al. (2021). Medication errors in secondary care Hospitals in Kuwait: The perspective of healthcare
professionals, Frontiers in Medicine. 8 https://doi.org/10.3389/fmed.2021.784315