STUDY ON THE SITUATION OF IMPLEMENTING MEDICAL INSTRUCTION WHEN NURSES PREPARATION AND ADMINISTRATION ANTIBIOTICS AT THE DEPARTMENT OF INTERNAL MEDICINE OF CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL IN 2018 - 2019
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Abstract
Background: Controlling drug-related adverse events for patient safety is the most important goal of pharmacovigilance. Nursing adherence to the rules in the medical record that is very important to the effectiveness of treatment and the safety of the patients. Objectives: To determine the nursing adherence rate of antibiotic use and the factors related to the nursing compliance with antibiotics medication preparation and administration at the department of Internal Medicine of Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: All nurses participating in the treatment and patients used antibiotics at the department of Internal Medicine of Can Tho University of Medicine and Pharmacy Hospital. The descriptive method of cross-sectional, prospective, single-blind, were conducted 4 months in the department of Internal Medicine. Medication errors were witnessed by direct observation by a pharmacist and two 5th year students during the patient's medication administration (from Monday to Saturday each week). Common medical statistics processing method was by SPSS 19.0 sofware, Backward Stepwise method to compare rates and determine related factors among variables, p<0.05 levels were statistically significant. Results: It was found that the drug preparation and implementation compliance rate was 45.2% and the failure rate was 54.8%. In which, the error rate in the preparation stage was 1.1% and the administration stage was 54.8%. The group of antibiotics, route of administration and dosage form were statistically significant in compliance with the medical regulations (p<0.05). Conclusion: Interventions should be implemented such as a training program for nurses, focusing on intravenous drugs with complex preparation procedures and strengthening pharmacy practice in treatment departments.
Keywords
Implement medical instruction, antibiotics, nurses, medication errors
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References
2. Bộ Y tế (2015), Hướng dẫn quốc gia về cảnh giác Dược. Hà Nội
3. Nguyễn Tuấn Dũng, J. R. B. J. I Brouwers (2014), Tương kỵ, tương hợp và độ ổn định của thuốc, Dược lâm sàng - Những nguyên lí cơ bản và sử dụng thuốc trong điều trị, tập 1, nhà xuất bản Y học, tr.161 -173.
4. Trương Thị Thái Phương, Phạm Thành Suôl (2013), Khảo sát tình hình sử dụng thuốc trên bệnh nhân điều trị nội trú tại khoa nội và khoa ngoại bệnh viện Trường Đại học Y Dược Cần Thơ năm 2013. Đề tài nghiên cứu khoa học công nghệ cấp trường, Trường Đại học Y Dược Cần Thơ.
5. Dương Thị Thanh Tâm (2014), Đánh giá an toàn trong thực hành thuốc cho trẻ em tại một cơ sở y tế ở Việt Nam. Luận văn Thạc sĩ Dược học, Trường Đại học Dược Hà Nội.
6. Barker K. N., et al. (2002), Medication errors observed in 36 health care facilities, Arch Intern Med. 162(16), pp. 1897-903.
7. Department of Service delivery and safety - World Health Organization (2016), Medication errors: Technical series on safer primary care. Geneva.
8. McDowell S.E., Mt-Isa S, Ashby D, Ferner R.E. (2010), Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis, The Postgraduate Medical Journal, 86, pp. 734-738.
9. Nguyen HT, Pham HT, Vo DK, Nguyen TD, Edwin R van den Heuvel, et al (2014), The effect of a clinical pharmacist‑led trainingprogramme on intravenous medication errors: A controlled before and after study. BMJ Quality & Safety, 23(4), pp 319-324.
10. Royal Pharmaceutical Society, Royal College of Nursing (2019), Professional Guidance on the Administration of Medicines in Healthcare Settings. London.
11. Siavash Vaziri, Farya Fakouri, Maryam Mirzaei, Mandana Afsharian, Mohsen Azizi, Morteza Arab-Zozani (2019), Prevalence of medical errors in Iran: a systematic review and meta-analysis. BMC Health Services Research, 19, pp. 622.