Abstract
Most residents in elderly care homes in Sri Lanka do not receive formal, on-site, patient care services. To evaluate the appropriateness of prescribing, dispensing, administration, and storage practices of medication used by residents in selected elderly care homes in Colombo District, Sri Lanka. This was a prospective, cross-sectional, multi-center study of 100 residents with chronic, non-communicable diseases, who resided in nine selected elderly care homes in Sri Lanka. Medication histories were obtained from each resident/caregiver and the appropriateness of medications in their current prescription was reviewed using standard treatment guidelines. Prescriptions were cross-checked against respective dispensing labels to identify dispensing errors. Medication administration was directly observed on two separate occasions per resident for accuracy of administration, and matched against the relevant prescription instructions. Medication storage was also observed in terms of exposure to temperature and sunlight, the suitability of container, and adequacy of separation if using multiple medications. The mean age of residents was 70±10.5 years and the majority were women (72%). A total of 168 errors out of 446 prescriptions were identified. The mean number of prescribing errors per resident was 1.68±1.23 [median, 2.00 (1.00-3.00)]. Inappropriate dosing frequencies were the highest (37.5%;63/168), followed by missing or inappropriate medications (31.5%;53/168). The mean number of dispensing errors per resident was 15.9±13.1 [median, 14.0 (6.00-22.75)] with 3.6 dispensing errors per every medication dispensed. Mean administration errors per resident was 0.95±1.5 [median, 0.00 (0.00-1.00)], with medication omissions being the predominant error (50.5%;48/95). Another lapse was incorrect storage of medications (143 storage errors), and included 83 medications not properly separated from each other (58.0%). Multiple errors related to prescribing, dispensing, administration, and storage were identified amongst those using medication in elderly care homes. Services of a dedicated consultant pharmacist could improve the quality of medication use in elderly care homes in Sri Lanka.
Highlights
The proportion of older population is estimated to almost double by the year 2050, and the consequent increasing burden of health of this population is a global concern
Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; we enable the publication of all of the content of peer review and author responses alongside final, published articles
According to the list obtained from the Department of Social Services, Sri Lanka, 34 elderly care homes were registered in Colombo District but only 14 were functioning (Fig 1) during the study period
Summary
The proportion of older population is estimated to almost double by the year 2050, and the consequent increasing burden of health of this population is a global concern. In Sri Lanka, most patients in these facilities receive medical care from nearby hospital clinics. Most of these facilities do not employ trained healthcare professionals but employ staff who have not received any formal training on safe use of medicines, and a significant proportion are unpaid voluntary workers. Under these circumstances, it is highly likely that prescribing, dispensing and medication administration errors may not be identified by the untrained caregivers. Most residents in elderly care homes in Sri Lanka do not receive formal, on-site, patient care services
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