Evidence map›Paper›PMID 31592290›Full record

ArticlePharmacy practice

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

Doris George, Nirmala D Supramaniam, Siti Q Abd Hamid, Mohamad A Hassali, Wei-Yin Lim, Amar-Singh Hss

Abstract read
In one paragraph

Article in Pharmacy practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Evaluation of a Pharmacist-Driven Discharge Medication Reconciliation Service Pilot at a Children's Hospital.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2024
    Article
  4. Methicillin-resistantQatar medical journal · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Doris GeorgePharmacy Department, Raja Permaisuri Bainun Hospital; &. Discipline of Social & Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia. Penang (Malaysia). doris.moh.gov@gmail.com.ORCID 0000-0001-8476-999X
Nirmala D SupramaniamPharmacy Department, Raja Permaisuri Bainun Hospital. Perak (Malaysia). nmala_15@yahoo.com.ORCID 0000-0002-1506-7166
Siti Q Abd HamidPharmacy Department, Raja Permaisuri Bainun Hospital. Perak (Malaysia). qurasyiah@gmail.com.ORCID 0000-0002-6956-116X
Mohamad A HassaliDiscipline of Social & Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia. Penang (Malaysia). azmihassali@gmail.com.ORCID 0000-0001-9575-403X
Wei-Yin LimCenter for Clinical Epidemiology, Institute for Clinical Research, National Institutes of Health, Ministry of Health. Selangor (Malaysia). amanda.limwy.crc@gmail.com.ORCID 0000-0002-2612-0604
Amar-Singh HssPediatric Department, Raja Permaisuri Bainun Hospital, Ministry of Health. Perak (Malaysia). amarhss@gmail.com.ORCID 0000-0001-7426-1551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

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

methodsA 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.

resultsWith 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%.

conclusionsIncreasing 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.

Indexed as

Health CareHospitalMalaysiaMedication ErrorsMedication ReconciliationPatient DischargePharmacistsPharmacy ServicePrescriptionsQuality Assurance

Identifiers

PMID31592290
PMCPMC6763293

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.