Outcome of Medication Monitoring for Patient safety in ward of Phrao Hospital, Chiang Mai, 2005-2007

Abstract

          The Objectives of this study were to detect the incidence, type and severity of drug related problems, and to prevent and to solve drug related problems, included evaluation of patient satisfaction. It were descriptive study. Samples of the study were chronic disease patients and patients who take multiple drug regimen, admitted to ward of Phrao Hospital during September 1, 2005 - August 15, 2007. amount 132 patients. The result of this study showed that incidence of drug related problem was 84.09 % of all patients, the most common problem was medication error 28.10 %, Adverse Drug event 14.38 %. The severity class E-H (from an error occurred that resulted in the need for treatment to permanent patient harm or a near - death event.) was 11.11 %, not found severity class I ( as error occurred that resulted in patient death ). It was able to solve the problem 96 %, by communicated with doctor 56.5%. The most recommendation for solving adverse drug event and drug regimen problems 55.7 %, the recommendations were responded by health care team to solving the problem 92 %. It could reduce adverse drug reaction 96.39 %, severity class E-H reduce from 15 % in the year 2006 to 3.52 % in the year 2007. In patient home visit, accessed by health care team the medication knowledge was found in 76% of all patients, Patient and family satisfaction in health care team increased up from 82.56 % in the year 2006 to 83.63 % in the year 2007, respectively. In conclusion, medication monitoring for patient safety could detect medication error problems, could prevent and solve medication error problem, provided appropriated drug for patient safety and patients satisfaction, this programs could be provided development in continuous medication surveillance system to medication reconciliation for patient safety goal in finally