A Methodological Assessment of Pharmacist Therapeutic Intervention Documentation (TID) in a Single Tertiary Care Hospital in Jeddah, Kingdom of Saudi Arabia
Pharmacist intervention has valuable input to the healthcare system by reducing medication errors, costs of treatment and improving therapeutic outcomes. This study aimed to analyze pharmacists’ interventions during the verification of computerized physician order entry and to determine the associat...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-04-01
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| Series: | Pharmacy |
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| Online Access: | https://www.mdpi.com/2226-4787/9/2/97 |
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| author | Ali F. Alwadie Anjum Naeem Meaad Almazmomi Meshail A. Baswaid Yahya A. Alzahrani Abdullah M. Alzahrani |
| author_facet | Ali F. Alwadie Anjum Naeem Meaad Almazmomi Meshail A. Baswaid Yahya A. Alzahrani Abdullah M. Alzahrani |
| author_sort | Ali F. Alwadie |
| collection | DOAJ |
| description | Pharmacist intervention has valuable input to the healthcare system by reducing medication errors, costs of treatment and improving therapeutic outcomes. This study aimed to analyze pharmacists’ interventions during the verification of computerized physician order entry and to determine the association between prescribers’ level and type of prescribing errors. In this cross-sectional, observational study, data collection was carried out over three months starting from 1 January 2020 to 31 March 2020. Included were 2405 interventions documented by 52 different pharmacists. The prevalence of prescribing order entry errors was 9.1%. The most identifiable type of intervention was incorrect dilution (40.2%) followed by dose substitution (27.7%). The drug category associated with a high percentage of interventions was perfusion solutions (41%), followed by antibacterial (35%). The number of junior physician orders that required pharmacist intervention was higher than other prescribers (45.2%), followed by specialist and senior physicians, (31.4% and 15.5%, respectively). Prescriber ordering time and types of prescribing errors were shown to have a significant (<i>p</i> < 0.05) association. Internal medicine physicians entered the highest percentage of prescribing errors, representing 22.7%. The current study concluded that TID has significant potential to reduce drug-related problems; TID fatigue is a real problem that might be under-reported and addressing this point in future studies would be of great value. |
| first_indexed | 2024-03-10T11:52:41Z |
| format | Article |
| id | doaj.art-0717aac57c0d482582e9fe9115ff8146 |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-03-10T11:52:41Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-0717aac57c0d482582e9fe9115ff81462023-11-21T17:32:44ZengMDPI AGPharmacy2226-47872021-04-01929710.3390/pharmacy9020097A Methodological Assessment of Pharmacist Therapeutic Intervention Documentation (TID) in a Single Tertiary Care Hospital in Jeddah, Kingdom of Saudi ArabiaAli F. Alwadie0Anjum Naeem1Meaad Almazmomi2Meshail A. Baswaid3Yahya A. Alzahrani4Abdullah M. Alzahrani5Pharmaceutical Care Department, Ministry of National Guard—Health Affairs, Jeddah 22384, Saudi ArabiaPharmaceutical Care Department, Ministry of National Guard—Health Affairs, Jeddah 22384, Saudi ArabiaPharmaceutical Care Department, Ministry of National Guard—Health Affairs, Jeddah 22384, Saudi ArabiaPharmaceutical Care Department, Ministry of National Guard—Health Affairs, Jeddah 22384, Saudi ArabiaPharmaceutical Care Department, Ministry of National Guard—Health Affairs, Jeddah 22384, Saudi ArabiaPharmaceutical Care Department, Ministry of National Guard—Health Affairs, Jeddah 22384, Saudi ArabiaPharmacist intervention has valuable input to the healthcare system by reducing medication errors, costs of treatment and improving therapeutic outcomes. This study aimed to analyze pharmacists’ interventions during the verification of computerized physician order entry and to determine the association between prescribers’ level and type of prescribing errors. In this cross-sectional, observational study, data collection was carried out over three months starting from 1 January 2020 to 31 March 2020. Included were 2405 interventions documented by 52 different pharmacists. The prevalence of prescribing order entry errors was 9.1%. The most identifiable type of intervention was incorrect dilution (40.2%) followed by dose substitution (27.7%). The drug category associated with a high percentage of interventions was perfusion solutions (41%), followed by antibacterial (35%). The number of junior physician orders that required pharmacist intervention was higher than other prescribers (45.2%), followed by specialist and senior physicians, (31.4% and 15.5%, respectively). Prescriber ordering time and types of prescribing errors were shown to have a significant (<i>p</i> < 0.05) association. Internal medicine physicians entered the highest percentage of prescribing errors, representing 22.7%. The current study concluded that TID has significant potential to reduce drug-related problems; TID fatigue is a real problem that might be under-reported and addressing this point in future studies would be of great value.https://www.mdpi.com/2226-4787/9/2/97pharmacist interventionprescribing order entry errorstherapeutic intervention fatigue |
| spellingShingle | Ali F. Alwadie Anjum Naeem Meaad Almazmomi Meshail A. Baswaid Yahya A. Alzahrani Abdullah M. Alzahrani A Methodological Assessment of Pharmacist Therapeutic Intervention Documentation (TID) in a Single Tertiary Care Hospital in Jeddah, Kingdom of Saudi Arabia Pharmacy pharmacist intervention prescribing order entry errors therapeutic intervention fatigue |
| title | A Methodological Assessment of Pharmacist Therapeutic Intervention Documentation (TID) in a Single Tertiary Care Hospital in Jeddah, Kingdom of Saudi Arabia |
| title_full | A Methodological Assessment of Pharmacist Therapeutic Intervention Documentation (TID) in a Single Tertiary Care Hospital in Jeddah, Kingdom of Saudi Arabia |
| title_fullStr | A Methodological Assessment of Pharmacist Therapeutic Intervention Documentation (TID) in a Single Tertiary Care Hospital in Jeddah, Kingdom of Saudi Arabia |
| title_full_unstemmed | A Methodological Assessment of Pharmacist Therapeutic Intervention Documentation (TID) in a Single Tertiary Care Hospital in Jeddah, Kingdom of Saudi Arabia |
| title_short | A Methodological Assessment of Pharmacist Therapeutic Intervention Documentation (TID) in a Single Tertiary Care Hospital in Jeddah, Kingdom of Saudi Arabia |
| title_sort | methodological assessment of pharmacist therapeutic intervention documentation tid in a single tertiary care hospital in jeddah kingdom of saudi arabia |
| topic | pharmacist intervention prescribing order entry errors therapeutic intervention fatigue |
| url | https://www.mdpi.com/2226-4787/9/2/97 |
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