Assessment of Documented Pharmacists Interventions Across Secondary Healthcare Facilities in FCT, Abuja, Nigeria: A Retrospective Study

Authors

  • Esuga Gloria Gambo Pharmacy Unit, Gwarinpa General Hospital, Life Camp, Abuja.
  • Abdullahi Gero Halima Sadiya Department of Pharmaceutical services, Hospitals Management Board, Federal Capital Territory Administration, Abuja.
  • Ebong Ifreke Department of Pharmaceutical services, Hospitals Management Board, Federal Capital Territory Administration, Abuja.
  • Haruna Fatima Pharmacy Unit, Gwarinpa General Hospital, Life Camp, Abuja.
  • Ugela Grace Mhungur Pharmacy Unit, Bwari General Hospital, Bwari, Abuja.
  • Akinwande Elizabeth Awele Pharmacy Unit, Gwarinpa General Hospital, Life Camp, Abuja.

DOI:

https://doi.org/10.51412/psnnjp.2024.02

Keywords:

Pharmacist Intervention, Prescription Errors, Patient Safety

Abstract

Background: Pharmacists play a vital role in ensuring medication safety through their practice of pharmaceutical care. Prescription writing is the responsibility of the prescriber which provides information about medication use to a patient. Errors from Outpatient prescription can pose a significant challenge to patient safety and well-being.

Objective: To assess Pharmacists interventions on documented outpatient prescription errors across selected Secondary Healthcare facilities in Abuja, Nigeria.

Methods: The study was a cross sectional descriptive study carried out retrospectively on prescription errors intervened by the Pharmacists in the Outpatient pharmacies of nine Federal Capital Territory (FCT) Secondary Healthcare Facilities between 2018 and 2022. Systematic random sampling and simple random sampling techniques were used. Data were analyzed using IBM Statistical Package for Social Sciences (SPSS) version 29.0. Both descriptive and inferential statistics were presented in tables and figures. Similarly, Chi square test was used to analyze the association between the variables, and p<0.05 was stated as statistically significant.

Results: Two hundred and ten (210) interventions were analyzed. Adult patients outnumbered pediatric patients, accounting for more than 75.7% of the documented interventions. On the other hand, 50.0% of the sample population were adult females while participants with weight greater than 55Kg were the majority. Furthermore, the interventions that had more than one medical condition (36%) were frequently intervened while overdosage with (26%) was the highest prescription errors encountered whereas 85.3% of consequences of non-intervention were found to be severe. Similarly, there was an association between category of prescription errors and patients age, sex, Pharmacist intervention and consequences of not intervening (p<0.001).

Conclusion: Pharmacists intervention is essential in preventing prescription error from reaching the patient. 

References

Allemann SS, van Mil JW, Botermann L, Berger K, Griese N, Hersberger KE. Pharmaceutical care: the PCNE definition 2013. Int J Clin Pharm. 2014 Jun;36(3):544-55. doi: 10.1007/s11096-014-9933-x. Epub 2014 Apr 20.

Plewka B, Waszyk-Nowaczyk M, CerbinKoczorowska M, Osmałek T. The role of active learning methods in teaching pharmaceutical care - Scoping review. Heliyon. 2023Jan 26; 9(2): e13227. doi:10.1016/j.heliyon.2023.e13227.

Alzahrani AA, Alwhaibi MM, Asiri YA, Kamal KM, Alhawassi TM. Description of pharmacists' reported interventions to prevent prescribing errors among in hospital inpatients: a cross sectional retrospective study. BMC Health Serv Res. 2021 May 6;21(1):432. doi: 10.1186/s12913-021-06418-z.

Ahmad S and Wasim S. Prevent Medical Errors through Artificial Intelligence: A Review. Saudi J Med Pharm Sci, Jul, 2023; 9(7): 419-423. doi: 10.36348/sjmps.2023.v09i07.007

Yang JH, Liao YF, Lin WB, Wu W. Prescribing errors in electronic prescriptions for outpatients intercepted by pharmacists and the impact of prescribing workload on error rate in a Chinese tertiary-care women and children's hospital. BMC Health Serv Res. 2019 Dec 30;19(1):1013. doi: 10.1186/s12913-019-4843-1.

Tariq RA, Vashisht R, Sinha A, et al. Medication Dispensing Errors and Prevention. [Updated 2023 May 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from : https://www.ncbi.nlm.nih.gov/books/NBK519065/

Tariq RA, Vashisht R, Sinha A and Scherbak YMedication Dispensing Errors And Prevention [Updated 2021 May 12]. In: StatPearls [Internet]. [Cited 2021 May 28]; Treasure Island (FL): StatPearls Publishing; 2021. Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519065/. [Google Scholar]

Ekechi HU, Ajayi I, Kehinde AO, Umeokonkwo CD, Dan-Nwafor C, Ameh C and Balogun MS (2023). Resource mapping and Malaria

surveillance capacity of health facilities in Federal Capital Territory, Abuja, Nigeria-June 2020. Journal of Interventional Epidemiology and

Public Health, 2023;6(2). https://www.afenetjournal.net/content/article/6/2/full

Shanmugapriya S, Saravanan T, Rajee SS, Venkatrajan R, Thomas PM. Drug prescription pattern of outpatients in a tertiary care teaching hospital in Tamil Nadu. Perspect Clin Res. 2018 Jul-Sep; 9(3): 133-138. doi:10.4103/picr.PICR_86_17.

Patil B, Patil J, Hugar L, Moharir G. Analysis of Prescribing Practices in the Dermatology Outpatient Department of a Tertiary Care

Teaching Hospital. Cureus. 2023 Apr 20;15(4):e37910. doi: 10.7759/cureus.37910.

Bonella GF, Alves LDS, Souza ARND, Silva CHMD. Prescribing errors in a Brazilian teaching hospital: Causes and underlying factors from the perspective of junior doctors. PLoS One. 2023 Apr5; 18(4): e0284071. doi:10.1371/journal.pone.0284071.

Leili M, Nikvarz N. Evaluating the role of clinical pharmacist in the detection and reduction of medication errors in a specialized burn unit. Burns. 2023 May;49(3):646-654. doi: 10.1016/j.burns.2022.04.013. Epub 2022 Apr 22.

Oseni YO. Pharmacists' distribution in Nigeria; implication in the provision of safe medicines and pharmaceutical care. International Journal of Pharmacy and Pharmaceutical Sciences 2017; 9(10) : 49 - 54. http://dx.doi.org/10.22159/ijpps.2017v9i10.20454

Wenger NK, Lloyd-Jones DM, Elkind MSV, Fonarow GC, Warner JJ, Alger HM, Cheng S, Kinzy C, Hall JL, Roger VL; American Heart

Association. Call to Action for Cardiovascular Disease in Women: Epidemiology, Awareness, Access, and Delivery of Equitable Health Care: APresidential Advisory From the American Heart Association. Circulation. 2022 Jun 7; 145(23): e1059- e1071. doi:

1161/CIR.0000000000001071. Epub 2022 May 9.

Poudel RS, Shrestha S, Khatiwada D, Thapa S, Prajapati A, Thapa L, Baral R. Prescription Errors and Pharmacist's Intervention at Outpatient Pharmacies of two Teaching Hospitals of Central Nepal. World J Pharm Sci 2015;3(3): 448-452. http://www.wjpsonline.org/

Al Rowily A, Aloudah N, Jalal Z, Abutaleb MH, Paudyal V. Views, experiences and contributory factors related to medication errors associated with direct oral anticoagulants: a qualitative study with physicians and nurses. Int J Clin Pharm. 2022 Aug;44(4):1057-1066. doi: 10.1007/s11096-022-01448-x. Epub 2022 Jun 22.

Jessurun JG, Hunfeld NGM, van Rosmalen J, van Dijk M, van den Bemt PMLA. Effect of a Pharmacy-based Centralized Intravenous

Admixture Service on the Prevalence of Medication Errors: A Before-and-After Study. J Patient Saf. 2022 Dec 1;18(8):e1181-e1188. doi:

1097/PTS.0000000000001047. Epub 2022 Jun 30.

Adepoju RAand Afe AJ. Drug prescription pattern in primary Healthcare centers in southwest Nigeria. A cohort analysis of primary health workers prescription records. International Journal of Science and Research Archive, 2023; 9(1): 558 - 565.

https://doi.org/10.30574/ijsra.2023.9.1.0409

Poudel RS, Piryani RM, Shrestha S, Prajapati A and Adhikari B Prescription errors and pharmacist intervention at outpatient pharmacy of Chitwan Medical College. Journal of Chitwan Medical College, 2015;5(2): 20-24.

Rupp MT, DeYoung M, Schondelmeyer SW. Prescribing problems and pharmacist interventions in community practice. Med Care.

Oct;30(10):926-40. doi: 10.1097/00005650-199210000-00005.

Suzuki R, Uchiya T, Sakai T, Takahashi M, Ohtsu F. Pharmacist's interventions in factors contributing to medication errors reduces

medication errors in self-management of patients in the rehabilitation ward. J Pharm Health Care Sci. 2022 Dec 12;8(1):37. doi: 10.1186/s40780-022-00268-5.

Jessurun JG, Hunfeld NGM, de Roo M, van Onzenoort HAW, van Rosmalen J, van Dijk M, van den Bemt PMLA. Prevalence and

determinants of medication administration errors in clinical wards: A two-centre prospective observational study. J Clin Nurs. 2023 Jan;32(1-2):208-220. doi: 10.1111/jocn.16215. Epub 2022 Jan 23.

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Published

2024-04-30

How to Cite

Gambo, E. G., Sadiya, A. G. H., Ifreke, E., Fatima, H., Mhungur, U. G., & Awele, A. E. (2024). Assessment of Documented Pharmacists Interventions Across Secondary Healthcare Facilities in FCT, Abuja, Nigeria: A Retrospective Study. The Nigerian Journal of Pharmacy, 58(1), 14–24. https://doi.org/10.51412/psnnjp.2024.02