Testing of Defects per Million Medication Orders as a SMART Indicator for Monitoring Medication Safety in Admission and Discharge Orders

Introduction: The study investigated the use of defects per million medication orders (DPMMO) as a SMART (specific, measurable, achievable, realistic, and timely) indicator for monitoring medication safety in admission and discharge orders. The study aimed to develop and test a new indicator as an i...

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Main Authors: Eman Kamal, P. J. Parameaswari
Format: Article
Language:English
Published: Innovative Healthcare Institute 2021-02-01
Series:Global Journal on Quality and Safety in Healthcare
Subjects:
Online Access:https://jqsh.org/doi/pdf/10.36401/JQSH-20-32
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author Eman Kamal
P. J. Parameaswari
author_facet Eman Kamal
P. J. Parameaswari
author_sort Eman Kamal
collection DOAJ
description Introduction: The study investigated the use of defects per million medication orders (DPMMO) as a SMART (specific, measurable, achievable, realistic, and timely) indicator for monitoring medication safety in admission and discharge orders. The study aimed to develop and test a new indicator as an investigator of medication safety. Methods: The study was conducted in 2018 at King Saud Medical City in Riyadh City in Saudi Arabia. A retrospective cross-sectional design was used. The research sample had 292 patients. The selected medication orders included two types of medication orders (admission and discharge order). After sufficient data had been gathered from the hospitals, a statistical analysis was carried out. Results: Analysis of admission and discharge orders indicated that defects per million opportunities (DPMO) and DPMMO count were slightly low, while the sigma level for admission orders was slightly high. Thus, the admission order process was slightly better than the discharge order process. Conclusion: The DPMMO indicator could serve as a SMART indicator of medical safety. It can be used as a standardized indicator in any healthcare facility, which serves as a recommendation guide in monitoring and evaluating healthcare processes or systems that affect the safety and outcomes of patients.
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spelling doaj.art-2737909820634f30b0a682e0f7877e622023-02-14T13:11:47ZengInnovative Healthcare InstituteGlobal Journal on Quality and Safety in Healthcare2666-23532589-94492021-02-01111710.36401/JQSH-20-32i2589-9449-4-1-11Testing of Defects per Million Medication Orders as a SMART Indicator for Monitoring Medication Safety in Admission and Discharge OrdersEman Kamal0P. J. Parameaswari11 Administration of Department of Quality Management and Patient Safety, King Saud Medical City, Riyadh, Saudi Arabia3 Research Center, King Saud Medical City, Riyadh, Saudi ArabiaIntroduction: The study investigated the use of defects per million medication orders (DPMMO) as a SMART (specific, measurable, achievable, realistic, and timely) indicator for monitoring medication safety in admission and discharge orders. The study aimed to develop and test a new indicator as an investigator of medication safety. Methods: The study was conducted in 2018 at King Saud Medical City in Riyadh City in Saudi Arabia. A retrospective cross-sectional design was used. The research sample had 292 patients. The selected medication orders included two types of medication orders (admission and discharge order). After sufficient data had been gathered from the hospitals, a statistical analysis was carried out. Results: Analysis of admission and discharge orders indicated that defects per million opportunities (DPMO) and DPMMO count were slightly low, while the sigma level for admission orders was slightly high. Thus, the admission order process was slightly better than the discharge order process. Conclusion: The DPMMO indicator could serve as a SMART indicator of medical safety. It can be used as a standardized indicator in any healthcare facility, which serves as a recommendation guide in monitoring and evaluating healthcare processes or systems that affect the safety and outcomes of patients.https://jqsh.org/doi/pdf/10.36401/JQSH-20-32defects per million opportunitiesadmission orderdischarge ordermedication safetysmart indicator
spellingShingle Eman Kamal
P. J. Parameaswari
Testing of Defects per Million Medication Orders as a SMART Indicator for Monitoring Medication Safety in Admission and Discharge Orders
Global Journal on Quality and Safety in Healthcare
defects per million opportunities
admission order
discharge order
medication safety
smart indicator
title Testing of Defects per Million Medication Orders as a SMART Indicator for Monitoring Medication Safety in Admission and Discharge Orders
title_full Testing of Defects per Million Medication Orders as a SMART Indicator for Monitoring Medication Safety in Admission and Discharge Orders
title_fullStr Testing of Defects per Million Medication Orders as a SMART Indicator for Monitoring Medication Safety in Admission and Discharge Orders
title_full_unstemmed Testing of Defects per Million Medication Orders as a SMART Indicator for Monitoring Medication Safety in Admission and Discharge Orders
title_short Testing of Defects per Million Medication Orders as a SMART Indicator for Monitoring Medication Safety in Admission and Discharge Orders
title_sort testing of defects per million medication orders as a smart indicator for monitoring medication safety in admission and discharge orders
topic defects per million opportunities
admission order
discharge order
medication safety
smart indicator
url https://jqsh.org/doi/pdf/10.36401/JQSH-20-32
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