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Medication administration in nursing homes : pharmacists' contribution to error prevention

Charlotte Verrue (UGent) , Els Mehuys (UGent) , Annemie Somers (UGent) , GEORGES VAN MAELE (UGent) , Jean Paul Remon (UGent) and Mirko Petrovic (UGent)
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Abstract
BACKGROUND: The elderly use a large number of medications, which exposes them to an increased risk for medication-related errors, especially in nursing homes. OBJECTIVES: The aim of this study was to investigate the impact of an educational session addressing good medication administration practices on the medication administration error rate in 2 nursing homes. METHOD: A before-after study was performed, comparing outcome measurements 1 month before and 1 month after implementation of a formal training session on "good medication administration principles." Medication administration errors were detected using a direct observation method. Two experts (a geriatrician and a clinical pharmacist) scored the clinical relevance of these errors. The study was carried out between March 2007 and June 2007. RESULTS: In both nursing homes, the overall error rate (preparation errors and administration errors) decreased after the intervention. This decrease was significant both in nursing home 1 (P < .001) and nursing home 2 (P = .049). None of the observed errors was rated highly likely to cause harm according to the experts. CONCLUSION: An educational session about good medication administration practices provided by a pharmacist is a very simple way to decrease medication administration error rates and to raise awareness on the possible clinical significance of the errors.
Keywords
CLASSIFICATION, HOSPITALS, LONG-TERM-CARE, quality assurance, pharmaceutical care, Nursing homes, FACILITIES

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Chicago
Verrue, Charlotte, Els Mehuys, Annemie Somers, GEORGES VAN MAELE, Jean Paul Remon, and Mirko Petrovic. 2010. “Medication Administration in Nursing Homes : Pharmacists’ Contribution to Error Prevention.” Journal of the American Medical Directors Association 11 (4): 275–283.
APA
Verrue, C., Mehuys, E., Somers, A., VAN MAELE, G., Remon, J. P., & Petrovic, M. (2010). Medication administration in nursing homes : pharmacists’ contribution to error prevention. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 11(4), 275–283.
Vancouver
1.
Verrue C, Mehuys E, Somers A, VAN MAELE G, Remon JP, Petrovic M. Medication administration in nursing homes : pharmacists’ contribution to error prevention. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION. 2010;11(4):275–83.
MLA
Verrue, Charlotte, Els Mehuys, Annemie Somers, et al. “Medication Administration in Nursing Homes : Pharmacists’ Contribution to Error Prevention.” JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION 11.4 (2010): 275–283. Print.
@article{1062298,
  abstract     = {BACKGROUND: The elderly use a large number of medications, which exposes them to an increased risk for medication-related errors, especially in nursing homes.
OBJECTIVES: The aim of this study was to investigate the impact of an educational session addressing good medication administration practices on the medication administration error rate in 2 nursing homes.
METHOD: A before-after study was performed, comparing outcome measurements 1 month before and 1 month after implementation of a formal training session on {\textacutedbl}good medication administration principles.{\textacutedbl} Medication administration errors were detected using a direct observation method. Two experts (a geriatrician and a clinical pharmacist) scored the clinical relevance of these errors. The study was carried out between March 2007 and June 2007.
RESULTS: In both nursing homes, the overall error rate (preparation errors and administration errors) decreased after the intervention. This decrease was significant both in nursing home 1 (P {\textlangle} .001) and nursing home 2 (P = .049). None of the observed errors was rated highly likely to cause harm according to the experts.
CONCLUSION: An educational session about good medication administration practices provided by a pharmacist is a very simple way to decrease medication administration error rates and to raise awareness on the possible clinical significance of the errors.},
  author       = {Verrue, Charlotte and Mehuys, Els and Somers, Annemie and VAN MAELE, GEORGES and Remon, Jean Paul and Petrovic, Mirko},
  issn         = {1525-8610},
  journal      = {JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION},
  keyword      = {CLASSIFICATION,HOSPITALS,LONG-TERM-CARE,quality assurance,pharmaceutical care,Nursing homes,FACILITIES},
  language     = {eng},
  number       = {4},
  pages        = {275--283},
  title        = {Medication administration in nursing homes : pharmacists' contribution to error prevention},
  url          = {http://dx.doi.org/10.1016/j.jamda.2009.10.013},
  volume       = {11},
  year         = {2010},
}

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