scholarly journals National Medication Errors Reporting System at Ministry of Health in Saudi Arabia

2019 ◽  
Vol 5 (1) ◽  
pp. 4-7
Author(s):  
Yousef Ahmed Alomi ◽  
Saeed Jamaan Alghamdi ◽  
Radi Abdullah Alattyh
2018 ◽  
Vol 3 (1) ◽  

Healthcare errors and malpractices of pharmaceuticals are very serious issues in medicine and dramatically increase the mortality and morbidity. Narcotics prescribing, dispensing and handling are very restricted in Saudi Arabia and regulated by multiple legislations accredited by Saudi Food and Drug Authority (SFDA) and Saudi Ministry of Health. This pilot study investigated the malpractices of handling and dispensing narcotics as well as the medical errors in multiple hospitals for the first time. The major reported malpractices were missed signatures either by physicians or head nurses (45.97%), irregularities in the returned short dated and expired narcotics to pharmacy (17.74%) and the discarded amounts after dose administration (13.71%). Misuse of the remaining narcotic dose by the healthcare practitioners or by the patients was also a major finding of this study. Although reported malpractices causes no serious harm to patients, but still very essential to fulfill the requirements laid down in the narcotics dispensation forms and the recommended (SFDA) legislations. These malpractices if not corrected in time may affect the renewal of the accreditations of the hospitals. Expanded and detailed study is highly recommended to assess the extent of these malpractices in Saudi Arabia and to recommend any reforms and corrections.


2018 ◽  
Vol 3 (1) ◽  

Healthcare errors and malpractices of pharmaceuticals are very serious issues in medicine and dramatically increase the mortality and morbidity. Narcotics prescribing, dispensing and handling are very restricted in Saudi Arabia and regulated by multiple legislations accredited by Saudi Food and Drug Authority (SFDA) and Saudi Ministry of Health. This pilot study investigated the malpractices of handling and dispensing narcotics as well as the medical errors in multiple hospitals for the first time. The major reported malpractices were missed signatures either by physicians or head nurses (45.97%), irregularities in the returned short dated and expired narcotics to pharmacy (17.74%) and the discarded amounts after dose administration (13.71%). Misuse of the remaining narcotic dose by the healthcare practitioners or by the patients was also a major finding of this study. Although reported malpractices causes no serious harm to patients, but still very essential to fulfill the requirements laid down in the narcotics dispensation forms and the recommended (SFDA) legislations. These malpractices if not corrected in time may affect the renewal of the accreditations of the hospitals. Expanded and detailed study is highly recommended to assess the extent of these malpractices in Saudi Arabia and to recommend any reforms and corrections.


2018 ◽  
Vol 4 (3) ◽  
pp. 497-503
Author(s):  
Yousef Ahmed Alomi ◽  
Saeed Jamaan Alghamdi ◽  
Radi Abdullah Alattyh

Objective: To explore the National Survey of Drug Information Centers practice in Saudi Arabia: Leadership and Practice management at Ministry of Health hospital. Method: It is a cross-sectional four months national survey of Drug Information Services at Ministry of Health hospital. It contained ten domains with 181 questions designed by the authors. It was derived from Internal Pharmaceutical Federation, American Society of Health-System Pharmacists best practice guidelines. This survey was distributed to forty hospital pharmacies that run drug information services. In this study, domain of Drug Monitoring and Patient Counselling System explored and analyzed. It consisted of eight questions about the written policy and procedure and application methods for Leadership and Practice management in the drug information centers. All analysis was done through survey monkey system. Results: The survey distributed to 45 of hospitals, the response rate, was 40 (88.88%) hospitals. The highest score of the DIC had policy and procedures with a clear mission, vision, and values were Evidence of valid Saudi Council of Health Specialties license to practice in Saudi Arabia did not exist in 3 (7.5%) hospitals while 30 (75%) of hospitals 100% applied the elements. The highest score of the Drug information centers had a space, adequate furniture, hours of operation were determined and announced as well as there was a qualified and licensed staffing. All Drug Information Centers staff had valid licenses from Saudi Commission for Health Specialties to practice in Saudi Arabia, did not exist in 6 (15%) hospitals while 30 (75%) of hospitals 100% applied the elements. The highest score of the Drug Information Centers Supervisor, reports workload statistics to the appropriate and leadership number of Full Time Employee staff and actual workload published was the answering question depends on the priority of the question did not exist in 6 (15%) hospitals while only 22 (55%) of hospitals 100% applied the elements. The highest score of the Drug Information Centers showed evidence of Quality Improvement, and the process for Drug Information Centers Networking. The reporting any questionable drug quality to Pharmacy director, did not exist in 4 (10 %) hospitals while only 25 (62.5%) of hospitals 100% applied the elements. Conclusion: There were an acceptable implementation leadership and practice management in drug information centers practice. The drug information centers workload analysis and quality management should improve. Drug information centers network indication required an implementation to improve the services at Ministry of Health hospital in Kingdom of Saudi Arabia.


2020 ◽  
pp. archdischild-2020-319130
Author(s):  
Yincent Tse ◽  
David Tuthill

ObjectivesTo estimate the incidence, characteristics and outcomes of 10-fold or greater or a tenth or less medication errors in children aged <16 years in Wales.DesignPopulation-based surveillance study July 2017 to June 2019. Cases were identified by paediatricians and hospital pharmacists using monthly electronic Welsh Paediatric Surveillance Unit (WPSU) reporting system.Patients‘Definite’ incident occurred when children received all or any of the incorrect dose of medication. ‘Near miss’ was where the prescribed, prepared or dispensed medication was not administered to the child.Main outcome measuresIncidence, patient characteristics, setting, drug characteristics, outcome, harm and enabling or preventive factors.ResultsIn total, 50 10-fold errors were reported; 20 definite and 30 near miss cases. This yields a minimum annual incidence of 1 per 3797 admissions, or 4.6/100 000 children. Of these, 43 were overdoses and 7 underdoses. 33 incidents occurred in children <5 years of age. Overall, 37 different medications were involved with the majority, 31 cases, being administered enterally. Of these 31 enteral medication errors, all definite cases (10) had received liquid preparations. Temporary harm occurred in 5/20 (25%) definite cases with one requiring intensive care; all fully recovered.ConclusionsIn this first ever population surveillance study in a high-resource healthcare system, 10-fold errors in children were rare, sometimes prevented and uncommonly caused harm. We recommend country-wide improvements be made to reduce iatrogenic harm. Understanding the enabling and preventive factors may help national improvement strategies to reduce these errors.


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