Student Dissertation

Agency : Medication Error; Targeted Intervention; Prevent Medication Erro;

Objective : To measure the percentage of Non-compliance in Medication error in IPD and OPD • To investigate if certain targeted interventions result in reduction of medication errors • To develop the solutions to reduce and/or to prevent medication error in hospital under study. Hypothesis: H0 (IPD) = There is no significant difference between the proportion of non-compliance before and after targeted intervention in IPD (p1= p2 where p1is proportion before the intervention and p2 is proportion after intervention) H1 (IPD)= There is a significant difference between the proportion of non-compliance before and after targeted intervention in IPD (p1= p2 where p1is proportion before the intervention and p2 is proportion after intervention) H0 (OPD) =There is no significant difference between the proportion of non-compliance before and after targeted intervention in OPD (p1= p2 where p1is proportion before the intervention and p2 is proportion after intervention) H1 (OPD) =There is a significant difference between the proportion of non-compliance before and after targeted intervention in OPD (p1= p2 where p1is proportion before the intervention and p2 is proportion after intervention)

Methodology : Type of study: Descriptive and Quasi-experimental (Pre and Post Intervention Independent sample study) • Sampling procedure: -Convenient sampling method • Sample size and intervention as given in the table below PRE-INTERVENTION INTERVENTIONS POSTINTERVENTION 1st Feb -13th March Total IPD records: -300 All IPD files available in the IPD on all working days till 300 records collected. 14th March- 31th March • Regular meeting with the Medical Director was conducted • Doctors were sensitized continuously to avoid medication error. • Nurses were trained to report more of medication error • Nurses were sensitized continuously to complete the documentation • Regular audits of medication error were done RMOs were sensitized to use block letter in medication chart. 1st April – 5th May Total IPD records: -300 All IPD files available in the IPD on all working days till 300 records collected. Total OPD Prescriptions: -300 All OPD prescriptions available in the OPD on all working days till 300 prescriptions collected • Doctors were sensitized continuously for proper documentation of OPD prescription • Regular audits of medication error were done Total OPD Prescriptions: -300 All OPD prescriptions available in the OPD on all working days till 300 prescriptions collected

Recommendations : The study shows that the occurrence of medication error occurs at each phase especially at the prescribing stage. It also shows that continuous sensitization of prescribers and nurses to reduce medication error has a significant effect on the reduction of medication error. Therefore, proper policy and training for review of medication error should be done.

Research Question: What is the prevalence of medication error and what are the effect of targeted intervention on reduction of medication error in Monilek Hospital and Research Centre


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