Advances in International Clinical Pharmacy Practice, Education, or Training
Tuesday, November 14, 2023
08:30 AM–10:00 AM
Abstract
Service or Program: Dose related interventions are critical near miss errors, which can be highly lethal to human life if not intervened on time. Pharmacist has the main leading role in the prevention of these errors. However, such data is not officially documented in Pakistan due to lack of required system. In order to overcome these barriers and to avoid errors leading to mishaps. At Indus Hospital and Health Network, we have a whole Pharmacy team comprising of altogether 29 Pharmacist.
Justification/Documentation: : Multiple reason that incorporate to dose related errors, having comorbidities, dosage adjustment requirement, poor lab correlation and negligence of monitoring required with therapy leads to lack of providing patient oriented pharmacotherapy plan thus indirectly impacting the adequate dose required. To access near miss dose related errors, a Retrospective Study was conducted where Pharmacist intervention data of 6- months, Dec 2022 to May 2023 was extracted, done as a routine activity that is reviewing of e-prescription via CPOE system by Pharmacist and then documentation of any medication error observed in excel sheet, communication to Physicians for its rectification. We filtered the data for dose related errors total there were 2304 interventions by Pharmacist out of which dose related intervention were 1011. Supra therapeutic dose intervention: 201, Sub- therapeutic dose: 355, Inappropriate dose 435 and Renal and hepatic adjustment doses: 20.
Adaptability: Pharmacy and Pharmacist are currently a developing field specially in our under developing country Pakistan’s hospital setup. Thus, more importance should be given towards this plus ensuring the induction of pharmacist at every hospital in order to minimize such errors.
Significance: This study shows that concurrent and vigilant reviewing of prescription by Pharmacist immensely decrease the preventable medication dose related errors which probably decrease health care cost and harmful side effects of providing improper dose.
Presenting Author
Mashal Zehra Pharm.DIndus Hospital and Health Network
Authors
Arif Ali Pharm-D.
Indus Hospital & Health Network
Shafique Hussain MBA, Pharm-D.
Indus Hospital & Health Network