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Enhancing Medication Safety: Reducing Administration Errors in Oncology Setting
Bushra Mustafa Salman1, Omar Ayaad2, Rawan Ibrahim2
1Pharmacy Department, National hematology and bone marrow transplant center, University Medical City , Muscat, Oman.
Purpose:
This project aimed to minimize medication errors and improve safe medication administration in an oncology setting in Muscat, Oman.
Methods:
The study, spanning from the second quarter of 2022 to the first quarter of 2023, employed a one-group pretest-posttest quasi-experimental design, assessing key performance indicators (medication error and medication administration errors rates per 1000 patient days) on quarterly basis before and after implementing targeted interventions. Interventions focused on medication management processes and Healthcare Informatics System (HIS), Environment and equipment, and Education The project utilized the FOCUS PDCA (find, organize, clarify, understand, select, plan, do, check and act) methodology. Ethical clearance was obtained from the Institutional Review Board.
Results:
The results showed significant reductions were observed in both medication error and medication administration error rates following the implementation of interventions. Specifically, the medication error rate decreased from 12.59 in the Second Quarter of 2022 (pre-intervention) to 5.26 in the Fourth Quarter of 2023 (post-intervention), with an overall ANOVA F-value of 9.2950 (p = 0.035). Similarly, the medication administration error rate declined from 5.39 to 1.29 over the same period, resulting in an ANOVA F-value of 8.2320 (p = 0.044).
Conclusion:
The study indicates a significant improvement in patient safety outcomes following the intervention implementation, underscoring the effectiveness of the interventions in reducing medication errors and administration errors.
Insights
Implementing targeted interventions significantly reduced medication errors and administration errors in an oncology setting. This study highlights improved patient safety through enhanced medication management processes and systems.
Area of Science:
- Oncology
- Patient Safety
- Healthcare Quality Improvement
Background:
- Medication errors pose a significant risk in oncology settings.
- Safe medication administration is crucial for patient outcomes.
- Improving these processes is a key healthcare quality objective.
Purpose of the Study:
- To minimize medication errors in an oncology setting.
- To enhance safe medication administration practices.
- To improve patient safety in Muscat, Oman.
Main Methods:
- A one-group pretest-posttest quasi-experimental design was used.
- Interventions focused on medication management, HIS, environment, and education.
- The FOCUS PDCA methodology guided the project from Q2 2022 to Q1 2023.
Main Results:
- Medication error rates decreased from 12.59 to 5.26 per 1000 patient days.
- Medication administration error rates declined from 5.39 to 1.29 per 1000 patient days.
- Both reductions were statistically significant (p=0.035 and p=0.044, respectively).
Conclusions:
- Interventions led to significant improvements in patient safety.
- The study demonstrates the effectiveness of targeted strategies in reducing medication errors.
- Enhanced medication management practices are vital for oncology patient care.
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