Knowledge Of Medication Safety Research Articles

Nausea and vomiting in pregnancy: a cross-sectional study of community pharmacists in the UK.

To assess the content and frequency of advice community pharmacists (CPs) provide to pregnant women with nausea and vomiting, their confidence in providing advice, and their knowledge of the safety of medication used to manage the condition. An online questionnaire of closed- and open-ended questions was distributed to CPs in the UK in May 2023. Closed-ended questions were analysed quantitatively, and conventional content analysis was utilised for open-ended responses. One hundred and eighty-one respondents completed the questionnaire, 24 responses were excluded, leaving data from 157 available for analysis. The majority (90.4%) of participants reported having experience in providing advice on nausea and vomiting with varying levels of confidence. Advice provided included using over-the-counter products, lifestyle modifications, reassurance, medication advice, and referring to other healthcare professionals. Knowledge of first-line antiemetics considered safe in pregnancy varied; cyclizine was correctly identified as safe during pregnancy by 57.3%, followed by 37.6% for promethazine and 31.2% for prochlorperazine. Self-reported confidence and having experience providing advice were related to higher medication safety identification rates. Five percent of participants reported previous training on the condition, while 70% reported wanting further education, preferably delivered via an online medium. This study showed that although 90% of CPs provide advice on nausea and vomiting in pregnancy, their medication safety knowledge varied. The majority of CPs reported wanting further education that would ensure women could access reliable information and evidence-based advice to optimise management of the condition.

Comparison of the effects of medication error encouragement training and problem-based scenario on the medication safety competence and knowledge of nursing students: A quasi-experimental study

BackgroundMedication errors among nursing students pose a threat to medication safety. Medication Error Encouragement Training and Problem Based Scenario are two innovative educational methods used in medication education. AimCompare the effects of Medication Error Encouragement Training and Problem Based Scenario on the knowledge and competency of medication safety among nursing students. DesignQuasi -experimental, double-blind, two-group pretest-posttest study. MethodThis study was conducted in 2023. Participants were randomly assigned to two groups: one group received the Medication Error Encouragement Training method, while the other group was taught using the Problem-Based Scenario method. Data collection was performed using the Medication Safety Critical Element Checklist and Medication Safety Knowledge Assessment before and four weeks after the intervention. Data analysis was conducted using SPSS version 16. ResultsThe Pair t-test demonstrated that the change in competency and knowledge scores of medication safety before and after the intervention was significant in both groups (P< 0.05). The results of the Mancova test indicated a significant increase in medication safety competency scores in the Medication Error Encouragement Training group compared with the Problem Based Scenario group after the intervention (P< 0.05), while there was no significant difference in medication safety knowledge scores between the two groups after the intervention (P> 0.05). ConclusionThe Medication Error Encouragement and Problem Based Scenario methods were effective in increasing the knowledge and competency of medication safety among students, but the effectiveness of the Medication Error Encouragement method was more pronounced in achieving safe medication administration.

Medication safety knowledge and practice among nursing students: A parallel-group randomized controlled trial at the University of Calabar Teaching Hospital

BACKGROUND: Medication safety is of paramount importance in nursing practice to ensure the accurate administration of medications. MATERIALS AND METHODS: We conducted a parallel-group randomized controlled trial involving a control group (n = 119) and an intervention group (n = 119) of nursing students at the University of Calabar Teaching Hospital (UCTH). Randomization was achieved using computer-generated random numbers. The study design employed was a parallel-group randomized controlled trial. Descriptive statistics were utilized to summarize participant characteristics, and inferential statistics were employed to compare outcomes between the control and intervention groups. RESULTS: Both groups demonstrated significant improvements in knowledge and practice of medication safety. In the control group, pre-intervention knowledge was 65.9%, increasing to 82.4% post-intervention. The intervention group exhibited an increase from 66.7% to 90.6% after targeted interventions. Practice assessments also yielded positive outcomes, with high medication safety practice rising from 52.1% to 65.5% in the control group, and from 56.3% to 80.7% in the intervention group post-intervention. CONCLUSION: This study underscores the dedication of nursing students to patient safety and affirms the effectiveness of both standard curriculum-based education and targeted interventions in enhancing medication safety knowledge and practice. Even the control group displayed notable competence, indicating the strength of the existing educational framework at UCTH. To further improve conditions and benefit the beneficiaries, we propose ongoing education and training for nursing students, as well as continued adherence to established protocols in medication safety within nursing education. These efforts will ultimately contribute to heightened patient care and safety in clinical settings.

Characteristics and trends in adverse drug reactions in Ghana-evidence of spontaneous reports, 2005-2021.

Adverse drug reaction (ADR) monitoring is crucial in ensuring patient and pharmaceutical safety. However, there is a lack of evidence regarding ADR reporting trend pattern in Ghana. This study, therefore, aimed to analyse and characterise trends in ADRs reported in Ghana over 16years. We retrospectively analysed individual case safety retorts (ICSRs) received by the Ghana National Pharmacovigilance Centre from 2005 to 2021. Jointpoint regression was used to estimate age-adjusted ADR rates, stratified by sex and patient characteristics, suspected medication groups, clinical indications, and the manifestation of ADRs. To evaluate trends over time, the percentage annualised estimator was used. We identified a total of 6853 ICSRs from 2005 to 2021. The age-adjusted ICSR rates increased significantly from 2005 to 2019, with an annual increase of 18.6%; however, there was a downward trend from 2019 to 2021, although not statistically significant. Males accounted for the majority (64.3%) of ICSRs compared to females (35.7%). The suspected medication group most frequently associated with ADRs were antiprotozoals accounting for 35.6% of all ICSRs, while vascular disorders (21.0%) were the most commonly observed clinical indication in relation to ADRs. An increase in ICSR rates was noted for gastrointestinal disorders with an annual increase of 32.5% (95% CI, 20.6-45.6%; p < 0.001). Amodiaquine was the most commonly suspected medication (8.9%) associated with ADRs, while pruritus (7.2%) was the most frequently reported preferred term. The study provides a detailed overview of ICSRs received by the Ghana National Pharmacovigilance Centre over the past 16years and demonstrates an increasing trend of ADR-related medication use as well as clinical indications over time. The findings of this study call for multifaceted strategies aimed at reducing the risks associated with inappropriate drug use, and enhancing knowledge of medication safety, thus improving healthcare service delivery and patient safety.

Enhancing Patient Safety: A Cross-Sectional Study to Assess Medical Interns' Attitude and Knowledge About Medication Safety in Saudi Arabia.

Introduction and aim Medication errors (MEs) pose a severe threat in the medical field. Since such errors are preventable, it is paramount for all healthcare workers to be educated on the matter. This study aimed to assess medical interns' attitudes and knowledge of medication safety and errors. We also aimed to validate current university programs to educate students about medication safety and errors. Methods A cross-sectional study that utilized a self-administered online questionnaire comprised 31 questions. The questionnaire was distributed via social media networks, such as WhatsApp, Twitter, email, Instagram, and Snapchat among 100 medical, pharmacy, and nursing interns in Saudi Arabia. The study population included both Saudi and non-Saudi interns. Results The majority of participants, comprising 92% (n=92), indicated that they were familiar with the definition of medication errors (ME). Additionally, 85% (n=85) expressed their willingness to report instances of MEs when medications were not prescribed but required. Moreover, 90% (n=90) of the surveyed individuals expressed their willingness to report MEs in situations where patients did not receive medications as prescribed. In cases where patients experienced harm and required treatment due to an ME, 91% (n=91) of respondents committed to reporting such incidents. A total of 52 (52%) respondents stated that they would report MEs regardless of whether they reached/harmed the patient. A good ME knowledge level was observed in 48% of respondents. A higher likelihood of good ME knowledge was significantly associated with safety reporting system (SRS) awareness and reporting MEs regardless of whether they reached/harmed the patient (p<0.05). College, awareness/attitude, or other demographic factors were not significantly related to ME knowledge (p>0.05). Conclusion This study showed that although interns in the healthcare field do have some knowledge about MEs, there is still a significant need to improve their knowledge. This can be achieved through various ways, one of which is by implementing this topic into the university curricula.

Knowledge, attitude, behaviour, and influencing factors of home-based medication safety among community-dwelling older adults with chronic diseases: a cross-sectional study

BackgroundOlder adults with chronic diseases require long-term medication. However, due to lack of drug knowledge and hypomnesia, older adults with chronic diseases are prone to adverse drug events and increased medical costs. This study aimed to explore the status and influencing factors of home-based medication safety among community-dwelling older adults with chronic diseases in China to provide a basis for follow-up to conduct targeted health education.MethodsOverall, 427 community-dwelling older adults with chronic diseases participated in this study. The Knowledge, Attitude, and Behaviour of Medication Safety among Older Adults with Chronic Diseases Questionnaire was used to assess their home-based medication safety. Multivariate linear regression was used to identify the factors influencing knowledge, attitude, and behaviour regarding medication safety.ResultsThe average score of home-based medication safety among older adults with chronic diseases was 68.26 ± 8.96, indicating that they had a moderate grasp of medication safety. The scoring rate of each subscale was ranked from high to low as follows: behaviour (84.51%), knowledge (63.33%), and attitude (47.39%). Stepwise linear regression analysis showed that medication safety knowledge, attitudes, and behaviours were significantly associated with higher monthly income, adverse drug events, and taking medicine several times a day (p < 0.05). Additional influencing factors included having fewer chronic diseases, being female, higher educational attainment, taking medicines multiple kinds a day, better self-care ability, and non-hospitalisation for chronic illnesses (p < 0.05).ConclusionMedical staff and community workers should pay attention to the drug safety of older adults with different characteristics and mobilise their enthusiasm for participation to improve their medication self-management ability.Trial registrationChinese Clinical Trial Register: ChiCTR2200060987; reg. date: 15/06/2022.

Upaya Peningkatan Keamanan Obat Diabetes Mellitus di Klinik Pratama Swasta dengan Pendekatan Action Research

Medication safety is one of the patient safety criteria that must be met in healthcare facilities. However, research on medication safety in private primary care remains limited. This study aimed to increase medication safety initiatives for Diabetes Mellitus (DM) patients and healthcare recipients’ (patients') knowledge of medication safety. A cycle of action research (diagnosing, planning, action, and evaluation) was used in a private clinic (PKU Muhammadiyah Srandakan Clinic, Yogyakarta Special Region). The involvement level of research subjects was co-learning. The diagnosing phase was conducted by in-depth interviews and questionnaires distribution with clinical leaders and staff (n=11). The planning stage was completed through medication prescription standard operational (SPO) procedure review and the educational media preparation for patients. In the action stage, in-house training for clinic staff about medication safety and the educational intervention with a quasi-experimental (without control, non-randomization) on PROLANIS DM participants (total sampling, n=50) were conducted. Study results showed that the diagnosing phase exposes the clinic staff's adequate understanding of medication safety. There were obstacles to implementing prescribing services from the patient, staff, operational, and infrastructure aspects. A revised SPO for Prescription Medication Services and educational media were created during the planning stage. There was a significant increase in patients’ knowledge between the pre-test and post-test in the action and evaluation stage (p=0.000), and there was no patient safety incident related to medication safety during this research. In conclusion, staff knowledge was good, there was a significant increase after health education was provided to patients, and complex obstacles need to be resolved comprehensively and continuously.

Evaluation of Medicine Information Leaflets for Omeprazole, Safety Knowledge, and Perceptions of Taking the Medication in Thailand.

This study aimed to compare package inserts and patient information leaflets for omeprazole in terms of the quality of and satisfaction with the written medicine information, medication safety knowledge, and perceived benefits and risks. A cross-sectional, comparative study was conducted at a university hospital in Thailand. Outpatients visiting the pharmacy departments prescribed omeprazole were randomly selected to receive either a package insert or a patient information leaflet. Medication safety knowledge was measured using a set of eight questions. The quality of the written medicine information was measured by the Consumer Information Rating Form. Perceived benefits and risks of the medication were rated using a visual analog scale. Linear regression was used to determine factors associated with perceived benefits and risks. Of the 645 patients, 293 agreed to answer the questionnaire. 157 and 136 patients were given patient information leaflets and package inserts, respectively. Most respondents were female (65.6%), over half had a degree (56.2%). Patients reading the patient information leaflets had slightly higher overall safety knowledge scores than those reading the package inserts (5.88 ± 2.25 vs 5.25 ± 1.84, p=0.01). Using the Consumer Information Rating Form, the patient information leaflets were given significantly higher scores compared to the package inserts for comprehensibility (19.34±3.92 vs 17.32±3.52, p<0.001) and design quality (29.25 ± 5.00 vs 23.81 ± 5.16, p<0.001). After reading the leaflets, patients receiving the patient information leaflets had significantly higher satisfaction with the information provided (p=0.003). In contrast, those receiving the package inserts rated the risks of omeprazole higher (p=0.007). Demonstrable differences were found from the patient perspective between a package insert and a patient information leaflet for the same medicine, mostly in favour of patient information leaflets. Medicine safety knowledge after reading PI and PIL was similar. However, receiving package inserts provided higher perceived risks from taking the medicine.

Knowledge And Attitude Towards Medication Safety: Study From Religion Based Hospital

The most prevalent patient safety incident in hospitals is medication errors. It is avoidable by a variety of safe treatment approaches known as medical safety. The topic of this research is the high rate of medical errors at 'X' Hospital Tuban in East Java, Indonesia, which accounted for 53.3% of all patient safety occurrences. The goal of this study was to investigate the impact of health workers' knowledge and attitudes on drug safety implementation at 'X' Hospital Tuban. Pharmacists, pharmaceutical technical staff, nurses, and midwives participated in an analytical cross-sectional study with 74 samples. Because of the COVID-19 outbreak, data was collected using an online survey. The survey was based on WHO's 5 Medication Safety Moments. To investigate effect identification, the Fisher's test method was applied. This survey received 87.8% response rate. The following characteristics were shared by the participants: 55.4% are nurses, 75.4% are between the ages of 26 and 36, 86.2% are female, and 36.9% work in an inpatient unit. The average score for medication safety knowledge, attitude, and implementation for each health worker was Good. The correlation coefficient (p = 0.000) between knowledge and drug safety implementation is 0.503. The correlation coefficient (p = 0.000) between attitude and drug safety implementation is 0.508. According to the findings of this study, drug safety knowledge, attitude, and implementation are all satisfactory. Medication safety knowledge and attitudes can aid in the implementation of medication safety. Suggestion for medical professionals, and 'X' Hospital Tuban is working on new pharmaceutical safety precautions.

The use, perceptions and knowledge of safety of over-the-counter medications during pregnancy in a Canadian population.

The prevalence of prenatal over-the-counter medication use in Canadian women is unknown. A cross-sectional study of prenatal over-the-counter medication use and safety knowledge was conducted among pregnant and post-partum women attending an academic hospital obstetrics clinic. Seventy-two women participated; 90.3% were Caucasian, 69.4% had a college/university degree, and 61.1% lived in an urban area. Of the 72 women, 87.5% used over-the-counter medications prenatally, first (55.6%), second (65.3%), and third (47.2%) trimesters, with prenatal acetaminophen use most common (72.2%). Women who used over-the-counter medications 1-0onths before conception were more likely to use over-the-counter medications during pregnancy, and 18% of women initiated over-the-counter medications in pregnancy. Women self-reported a medium level of over-the-counter medication safety knowledge (73.6%) and responded that not all over-the-counter medications are safe during pregnancy (95.8%). Despite limited safety profiles of some over-the-counter medications, pre-conception and prenatal over-the-counter medication use was high. Further research on the risk of over-the-counter medications and combinations in pregnancy is needed to help women to make safe choices during pregnancy.

A Pharmacist Education Initiative Apoteker Cilik to Improve Medication Safety Knowledge among Elementary School Students in Gresik, Indonesia

Pharmacists have the responsibility to ensure that medicines are obtained, used, stored, and disposed in the best and safest way particularly by a vulnerable population such as children. Pharmacists should adapt to a child’s level of health understanding to engage children in medication education. Therefore, a pharmacist-led program tailored to children in community settings was initiated in two elementary schools in Gresik, SD Muhammadiyah 1 Gresik and SD Muhammadiyah Manyar. An animated film Apoteker Cilik was shown to students of grade 4, 5, and 6 to promote the proper management of medications in line with the national campaign DAGUSIBU and to acquaint with the roles of pharmacists. A short questionnaire consisting of six questions related to medication use and safety (how to get, use, store, and dispose medicines) was utilized to assess the level of children’s knowledge. There was a significant difference between levels of knowledge before and after the program (p &lt; 0.05) although some schoolchildren already had good baseline knowledge of medications. This local initiative may contribute to improving medication awareness, so more educational programs using colourful visuals and interactive games may be conducted with this vulnerable population as children will bring their medication-taking behaviour throughout their adult lives.

Novel medication safety training module.

Escape rooms are effective educational tools for engaging learners and may serve as a strategy for medication safety training to increase perceived learned safety measures and knowledge retention. Escape rooms are lifelike environments in which participants work together to solve a succession of puzzles to escape a locked room in the allotted time. Novel medication safety training modules such as a pharmacy escape room allow medical errors to be simulated in a team-based, controlled environment focusing on system improvement to establish a culture of safety. This project was conducted to improve medication safety knowledge using a novel pharmacy escape room training module piloted within a large, integrated pharmacy department. Several pilot groups of 2 or more pharmacy employees took part in a virtual medication safety escape room as part of a training module at Advocate Aurora Health between January and March 2021. Participants included pharmacists and pharmacy technicians employed at Aurora St. Luke's Medical Center, Aurora Sinai Medical Center, and Pharmacy Integrated Clinical Services. Assessments were administered before and after completion of the escape room module to evaluate medication safety knowledge and perceived learned safety measures by comparing scores. A total of 101 employees participated in the pharmacy escape room, with an average escape time of 42 minutes. Overall assessment scores before completion of the escape room module ranged from 20% to 86.6%, while those afterwards ranged from 33.3% to 93.3%. Participant feedback was positive, with reports that the novel escape room training module was more engaging and interactive than the alternative online self-paced learning modules. Virtual escape rooms can be used as a novel medication safety training module to increase medication safety knowledge and allow medical errors to be simulated in a controlled environment. Incorporating high-reliability tools and tactics into development of the escape room can promote safe medication practices and reinforce principles of high-reliability organizations.

An interdisciplinary program for emerging leaders in patient safety.

BackgroundHaving previously shown that an interprofessional immersive course, AELPS (Academy for Emerging Leaders in Patient Safety) can change the way young clinicians think about patient safety, we surveyed them between 1 and 5 years later to determine its longer‐term influence on careers, relationships with colleagues and with patients.MethodsAll alumni from 2016 to 2019 (n = 116) were invited to complete a survey on the usefulness of their AELPS experience in: obtaining their current position; doing patient safety projects; understanding and working with patients; improving communication skills; breaking down hierarchies; networking; mentoring and using new skills in the workplace. Data were analysed using descriptive statistics and thematic analysis.ResultsResponse rate was 56%. Over 85% reported ongoing improvement in medication safety knowledge, communication with patients, use of graded assertiveness, communicating more effectively with colleagues, seeking views of their patients about treatment options and seeing things from the patient perspective. Sixty seven per cent agreed that AELPS helped them in their career choice and 57% agreed it had helped them obtain their current position. Skills transferred to the workplace included ability to make improvements, establish education initiatives and model patient‐centred care. Stumbling blocks included a hierarchal culture and lack of accountability for patient safety practices in some hospitals.DiscussionAn intensive, interdisciplinary program on patient safety can provide future health leaders with ongoing tools to improve communication, understand the patient view and speak up on behalf of the patient, all factors that contribute to improving safety of patients.

Evaluation of the effectiveness and staff acceptance of education strategies to improve medication safety

Background: The pharmacy department at the study site provides ongoing education on medication safety to the hospital staff through a variety of means. Objectives: The study aimed to evaluate and compare various forms of education and the clinical impact and satisfaction reported by staff. Methods: A survey was disseminated to staff across the hospital, and 81 responses were collected. Results: Staff preferred learning through a combination of teaching methods rather than individual modalities. The majority of respondents stated that they felt their knowledge of medication safety improved after education and that the content was actionable. Most staff also agreed or strongly agreed that education positively impacted their clinical practice. Staff preferences regarding education were also themed around different learning modalities, quick and concise messages, topics of medication updates, and relevance to practice. Preferences of the hospital staff will be aligned with education strategies based on this evaluation.

Thai Patients' Drug Safety Knowledge and Perceptions Relating to Different Forms of Written Medicine Information: A Comparative Study.

PurposeThe aim of the study was to evaluate the medication safety knowledge, quality of the written medicine information (WMI), and perceptions of taking the medicines in patients receiving package inserts (PIs) in comparison with patient information leaflets (PILs).MethodsA cross-sectional, comparative study was conducted from December 2020 to May 2021 at two university hospitals in Thailand. Outpatients who visited the pharmacy departments and were prescribed one of the three medicines: atorvastatin, celecoxib, or metformin were randomly selected by a permuted block randomization. The medication safety knowledge was measured using a set of validated and closed questions. The quality of the WMI was measured by the Consumer Information Rating Form (CIRF). Satisfaction with information and perceptions of the benefits and risks of medications were rated by the participants using a visual analog scale (0 to 10).ResultsOf the 1150 invited patients, 750 completed the questionnaires (65.2%). A higher proportion of respondents with high level of medication safety knowledge was found in those reading the PILs than the PIs (44.5% and 20.8%, respectively). The type of leaflet received was a significant predictor of the high knowledge level (p < 0.001). The mean CIRF scores were significantly higher among those reading the PILs than the PIs (p < 0.001). Patients reading the PILs were also more satisfied with the information and had more positive perceptions of the benefits from taking medicines and intention to adhere than those reading the PIs. Patients’ perceptions of risks after reading both leaflets were moderate (median score = 5.0), with the PIL group having slightly more concern about risks than the PI group.ConclusionThe PILs showed superior effectiveness to the PIs in enhancing knowledge about medication safety, providing greater satisfaction with the information, and positive perceptions of benefit and intention to comply with the medications. PILs should be provided more frequently to patients receiving medicines than PIs.

Medication safety knowledge, attitude, and practice among hospital pharmacists in tertiary care hospitals in Saudi Arabia: a multi-center study

BackgroundPharmacovigilance (PV) demarcates all actions involving the detection and prevention of adverse drug reactions (ADR) for marketed drugs. However, ADRs are considerably underreported worldwide and continue to be a major concern to health care systems. This study aims to assess the knowledge, attitude, and perception of hospital pharmacists regarding medication safety concerning PV and ADRs across multiple tertiary care centers around Saudi Arabia.MethodsThis cross-sectional study was conducted between July 2019 and January 2020. Pharmacists working in the tertiary care centers of Riyadh City, Saudi Arabia were asked to participate in the study. A self-administered questionnaire was used to conduct this study, it consisted of: 63 questions out of which 19 questions were knowledge-based, 15 were attitude-based, and 29 were practice-based questions.ResultsA total of 350 pharmacists were distributed and 289 agreed to participate, giving a response rate of 82.6%. Most pharmacists were aware of the concept of VP and its functions (96.5%) and (87.2%), respectively. Moreover, 90% said that ADR can be preventable and non-preventable. However, the findings revealed inadequate knowledge about the overall PV field, where the majority of the pharmacists failed to correctly answer questions related to independent ADRs treatment, Augmented drug reaction, the international location of ADR, and the World Health Organization “online database” for reporting ADRs. Moreover, incomplete and/or wrong answers were recorded for questions that included single or multiple correct answers. Regarding the participants” attitude, 96.9% were interested in ADR reporting, agreeing that ADR is important to enable safe drug usage. Although a general positive attitude was recorded, pharmacists have stated that the three main barriers that hinder reporting ADRs are: unavailability of information about ADRs, lack of awareness about the need to report ADRs, and lack of time. Concerning practice, 69.2% said they received training in ADRs reporting, and 70% have reported ADRs more than once a week.ConclusionSurveyed pharmacists from Riyadh hospitals showed narrow knowledge of the PV field. However, a positive attitude and satisfactory practice was observed among pharmacists. These findings warrant the need for educational programs and an encouraging environment for ADR reporting to increase ADR reporting rates and support PV activities in Saudi Arabia.

간호사의 투약 안전역량 강화를 위한 고위험 약물 중심의 시뮬레이션 훈련 적용

Purpose: This study attempted to enhance the nurses’ safety competence in administering medications by using simulation training focused on high-alert medication. Method: A total of 30 nurses from 14 teams participated in the simulation training using a high-fidelity patient simulator. Medication administration performance and built-in error recovery was observed using a medication administration safety assessment checklist. Medication safety knowledge and confidence were measured before and after simulation training. Data were analyzed using descriptive statistics and a paired t-test. Results: There were numerous variations in safe medication administration. The safety behavior by oral prescription was insufficient compared to that by routine medication prescription. Following simulation training, knowledge of medication safety increased significantly, but confidence did not. Conclusion: Nurse educators may consider simulation to be an effective strategy for enhancing nurses’ medication safety competence.

Knowledge of Medication Safety among Dentists in Saudi Arabia

International Journal of Pharmacology and Clinical Sciences,2021,10,1,28-33.DOI:10.5530/ijpcs.2021.10.5Published:March 2021Type:Research ArticleAuthors:Yousef Ahmed Alomi, Fouzia Abdul Karim Bukhary, Tawfik A. M. Khoja, and Rahmah Abdulilah Alsinan Author(s) affiliations:Yousef Ahmed Alomi*, BSc. Pharm, MSc. Clin Pharm, BCPS, BCNSP, DiBA, CDE, Critical Care Clinical Pharmacists, TPN Clinical Pharmacist, Freelancer Business Planner, Content Editor and Data Analyst, Riyadh, Saudi Arabia. Fouzia Abdul Karim Bukhary, BDS. King Abdul Aziz University, SBARD (MOH ) Consultant of Advanced Restorative Dentistry, MOH, Makkah, SAUDI ARABIA. Tawfik A. M. Khoja, Prof of Public Health – Imperial College – London, Family & Community Medicine Consultant, General Secretary of the Arab Hospital Federation, Deputy Chairperson of Arab Public Health Association, SAUDI ARABIA. Rahmah Abdulilah Alsinan, B.D.S, Ramclinics, East Province, SAUDI ARABIA Abstract:Objectives: The present study aimed to affirm the dentist’s knowledge of medication safety in the Kingdom of Saudi Arabia. Methods: It is an analysis of a cross-sectional survey that conferred dentists’ knowledge of medication safety in Saudi Arabia. Selfreported an electronic survey of dentists, comprising dentists from internship to the consultant, dental specialisms in Saudi Arabia. The survey contained respondents’ demographic information about dentists and knowledge information of designated medication safety elements, and the resources of knowledge of medication safety elements in dental care. The 5-point Likert response scale system was employed with closed-ended questions. The data analysis of the dentist’s knowledge of medication safety is completed through the survey monkey system. The statistical package of social sciences (SPSS), Jeffery’s Amazing Statistics Program (JASP), and Microsoft excel sheet (version 16) were used in the study. Results: The total number of responding dentists was 242, with the mainstream of them coming from the central region 95 (39.26%) with statistically substantial among the areas (p<0.05). Of those, 144 (59.75%) were male, while 97 (40.25%) were female, with statistically significant between them (p<0.05). The total average scores of dentist knowledge of medication safety in dental care were 2.78 with high scores element, knowledge of the high alert medication in dental care was 3.48, consider the Medication Errors (MEs) as a sentinel event (3.25), and familiar with medications reconciliation in dental care (3.23). The most resources employed for medication safety for dental care were health practitioners [129 (54.20%)] and scientific literature [118 (49.58%)]. The reliability test was evaluated in McDonald’s ω (0.955) and Cronbach alpha (0.955). Conclusion: The dentist’s knowledge of medication safety was insufficient in the kingdom of Saudi Arabia. Targeting training and education of dental medication safety during undergraduate and postgraduates school of dentistry is highly suggested to improve patient’s safety in dental care in Saudi Arabia. Keywords:Dentists, Experiences, Knowledge, Medication safety, Saudi ArabiaView:PDF (215.63 KB) PDFClick here to download the PDF file. Images Knowledge of Medication Safety among Dentists in Saudi Arabia

Improving Nursing Students' Medication Safety Knowledge and Skills on Using the 4C/ID Learning Model.

IntroductionLearning medication-safety has become a focus in many countries to improve medication-safety competencies in nursing students. Research on instructional design for medication-safety is still limited, especially about the use of the Four Components Instructional Design (4C/ID) model. This study aimed to compare the knowledge and skills in medication safety of nursing students after the medication-safety training using four components of instructional design known as 4C/ID.MethodsThis was a posttest-only quasi-experimental study using an intervention and control group. The participants were the third-semester students of a nursing school at Yogyakarta, Indonesia (intervention: n=55, control: n=40). The intervention group was trained for five weeks using the 4C/ID approach with interactive lectures, small group discussions, reflections, and skills simulation sessions. An observational skills evaluation and Multiple-Choice Questionnaire were administered in the last week after the training completed. Independent sample t-test and Mann Whitney tests were used to analyze the mean differences of knowledge and skills in giving oral medicine and drug injections between the two groups.ResultsThe majority of respondents were female (74.1%), aged 19–20 years (77.8%), with GPA >3 (87.37%) and, the majority had never received instruction about patient safety (69%). There were significant mean differences in overall knowledge (p<0.05) and also in the skills of oral drug and intramuscular drug administration (p<0.05) between the intervention and control groups.ConclusionTraining in medication-safety using the 4C/ID approach could improve the medication-safety knowledge and skills of the nursing students based on simple to complex learning.

Impact of Low-fidelity Simulation-based Experiences in a Pharmacology Classroom Setting in Prelicensure Graduate Nursing Education

BackgroundSimulation in a pharmacology nursing class has positive outcomes related to knowledge and confidence in undergraduate nursing education. The purpose of this study is to explore the use of simulation on knowledge, confidence, and competence in a prelicensure graduate pharmacology class. SampleA convenience sample was comprised of graduate prelicensure nursing students (N = 44) enrolled in a nursing pharmacology course. The sample was divided into an experimental (n = 21) and control (n = 23) group. MethodThis was a quasi-experimental comparison group pre/posttest research study. The Medication Administration Competence and Confidence Scale (MACCS) and the Medication Safety Knowledge Assessment (MSKA) were used to measure student confidence, competence, and knowledge prior to and then following three low-fidelity simulation-based experiences (SBE). ResultsThe experimental group had a statistically significant difference in both self-reported confidence in safe medication administration and pharmacology knowledge. ConclusionSimulation is an effective teaching method for teaching graduate prelicensure students safe medication administration.