Evaluation of Proper Treatment Delivery and Time of Initiation of Treatment After Hospitalization by Nursing Staff in Kuwait Teaching Hospital Peshawar

Abstract

Background: Medication errors are a pressing public health concern, leading to adverse outcomes and substantial healthcare costs. This study examines the incidence of drug administration errors, emphasizing the critical importance of timely treatment initiation. Delays in treatment pose significant risks to patient safety, highlighting the need for improved medication delivery protocols and enhanced patient care practices in hospitals. Methods: A prospective cross-sectional study in a Kuwait teaching hospital's paediatrics unit, involving 120 participants, utilized non-probability convenient sampling. Data collection from patient files and attendants utilized a specially designed form. Data was collected by observing one patient for 24 hours. Participants were instructed to retain medication vials. Permission was obtained from the department head, and oral informed consent was secured. No personal identifiers were recorded. Interventions included workshops and performance evaluations, leading to observed improvement. Data analysis was conducted using SPSS version 22. Results: Baseline data showed variations in dose administration across departments, with notable discrepancies in proper drug administration alignment with prescriptions. Treatment initiation delays were significant, and patient satisfaction was moderate. Post-intervention, improvements were observed in dose administration, although treatment initiation delays persisted. However, patient satisfaction notably increased following interventions. Conclusion: Our study highlighted several critical issues in medication administration, such as delays in treatment initiation, improper dose administration, and missed doses. Implementing training sessions and workshops for nursing staff will ensure the best practices and they can manage their responsibilities more effectively.