MMSL 2020, 89(4):200-206 | DOI: 10.31482/mmsl.2020.018
ACUTE KIDNEY INJURY: SIMULATED DOSING ERROR IDENTIFICATION BY PHARMACY STUDENTSOriginal article
- Department of Pharmacy Practice, College of Pharmacy, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
Pharmacists are responsible for dispensing drugs and protecting the patient by making sure that they use drugs appropriately. They play an important role not only in the overall cost implications of healthcare but also in the concerns about patient safety when using medication. The scope of this paper was to evaluate the practice of navigation of medical resources among pharmacy students through a simulated event of acute kidney injury using a prospective research methodology. A sample of 65 students was used, among which 2 failed to identify the error in dosing (3.1%) while 56 (86.2%) responded with the presence of error in renal dosing and recommended correctly. Only 7 (10.8%) of the study population had an incomplete recommendation. Even though a greater percentage of the student populations were able to identify dosing errors, there were a few that were unable to identify the errors. Even though this percentage is small, it is much significant when placed in various healthcare institutions and is likely to have a significant impact on patient safety.
Keywords: dosing errors; medication error; mock-up training; pharmacy student
Received: July 17, 2020; Revised: August 19, 2020; Accepted: August 26, 2020; Prepublished online: September 14, 2020; Published: December 4, 2020 Show citation
References
- World Health Organization [homepage on the Internet]. New tool to enhance role of pharmacists in health care; [updated 2006 Nov 23; cited 2020 Jul 7]. Available from: https://www.who.int/mediacentre/news/new/2006/nw05/en/#:~:text=The%20pharmacist%20is%20an%20integral,the%20best%20treatment%20for%20patients.
- Alshammari E. Role of Clinical Pharmacist in Dose Adjustment of Renally Eliminated Drugs in Cardiac Patients with Renal Impairment. Int. Res. J. Pharm. 2019 [cited 2020 Jul 7]; 10(2): Available from: https://doi.org/10.7897/2230-8407.100245
Go to original source...
- Ali AS, Fejzic J, Grant GD, Nissen, LM. Pharmacists' Self-Perceptions in Relation to the 'Advanced Pharmacy Practice Framework.' Research in Social and Administrative Pharmacy. 2016 May-June [cited 2020 Jul 7]; 12(3): Available from: https://doi.org/10.1016/j.sapharm.2015.08.007
Go to original source...
Go to PubMed...
- National Coordinating Council for Medication Error Reporting and Prevention [homepage on the Internet]. Recommendations to Enhance Accuracy of Administration of Medications; [updated 2015 May 1; cited 2020 Jul 7]. Available from: https://www.nccmerp.org/recommendations-enhance-accuracy-administration-medications
- Tingle J, O' Neill C, Shimwell M, editors. Global Patient Safety: Law, Policy and Practice. 1st ed. New York: Routledge; 2019.
Go to original source...
- Roughead EE, Semple SJ, Rosenfeld E. The Extent of Medication Errors and Adverse Drug Reactions Throughout the Patient Journey in Acute Care in Australia. Int J Evid Based Healthc. 2016 Sep [cited 2020 Jul 7]; 14(3): Available from: https://doi.org/10.1097/xeb.0000000000000075
Go to original source...
Go to PubMed...
- Hamid T, Harper L, Rose S, Petkar S, Fienman R, Athar SM et al. Prescription Errors in the National Health Services, Time to Change Practice. Scott Med J. 2016 Feb [cited 2020 Jul 7]; 61(1): Available from: https://doi.org/10.1177/0036933015619585
Go to original source...
Go to PubMed...
- Stowasser DA, Allinson YM, O'Leary KM. Understanding the Medicines Management Pathway. Journal of Pharmacy Practice and Research. 2004 [cited 2020 Jul 7]; 34(4): Available from: https://www.shpa.org.au/sites/default/files/uploaded-content/field_f_content_file/56._understanding_the_med_management_pathway.pdf
Go to original source...
- Marriott JL, Nation RL, Roller L, Costelloe M, Galbraith K, Stewart P, et al. Pharmacy Education in the Context of Australian Practice. Am J Pharm Educ. 2008 Dec [cited 2020 Jul 7]; 72(6): Available from: https://dx.doi.org/10.5688%2Faj7206131
Go to original source...
Go to PubMed...
- Manley HJ, Drayer DK, Muther RS. Medication-related Problem Type and Appearance Rate in Ambulatory Hemodialysis Patients. BMC Nephrol. 2003 [cited 2020 Jul 7]; 4(10): Available from: https://dx.doi.org/10.1186%2F1471-2369-4-10
Go to original source...
Go to PubMed...
- Alshammari, E. Demonstration as an effective tool in learning: Saudi pharmacy college experience with insulin pen administration. Int. Res. J. Pharm. 2018 [cited 2020 Jul 7]; 9(12): Available from: http://dx.doi.org/10.7897/2230-8407.0912290
Go to original source...
- Alshammari, E. Teaching Schizophrenia: 8-Minutes Video-Based Lecture Versus 1-hour Traditional Lecture. Journal of Pharmaceutical Research International. 2019 [cited 2020 Jul 7]; 26(5): Available from: https://doi.org/10.9734/jpri/2019/v26i530147
Go to original source...
- Alshammari, E. Prescription evaluation practice by final year pharmacy students. J Adv Pharm Edu Res. 2019 [cited 2020 Jul 7]; 9(3): Available from: https://japer.in/en/article/prescription-evaluation-practice-by-final-year-pharmacy-students
Go to original source...
- Alshammari, E. Simulated Role-playing in Pharmacy. International Journal of Pharmaceutical Quality Assurance. 2020;11(1):176-181
Go to original source...
- Alshammari, E. Implementing Educational Game in Pharmacy. International Journal of Pharmaceutical Quality Assurance. 2020;11(1):148-153.
Go to original source...
- Alshammari, E. Implementing eOSCE during COVID-19 lockdown. J Adv Pharm Edu Res. 2020 [cited 2020 Jul 7];10(1): Available from: https://japer.in/en/article/implementing-eosce-during-covid-19-lockdown
Go to original source...
- Austin Z, Gregory PAM. Evaluating the Accuracy of Pharmacy Students' Self-Assessment Skills. Am J Pharm Educ. 2007 Oct [cited 2020 Jul 7]; 71(5): Available from: https://dx.doi.org/10.5688%2Faj710589
Go to original source...
Go to PubMed...
- Sarfati L, Ranchon F, Vantard N, Schwiertz V, Larbre V, Parat S, et al. Human-Simulation-Based Learning to Prevent Medication Error: A Systematic Review. 2019 Feb [cited 2020 Jul 7]; 25(1): Available from: https://doi.org/10.1111/jep.12883
Go to original source...
Go to PubMed...
- Jarab F, Jarab AS, Mukattash TL, Nusairat B, Alshogran OY. Antibiotic Dosing Adjustments in Patients with Declined Kidney Function at a Tertiary Hospital in Jordan. The International Journal of Clinical Practice. 2020 Jun [cited 2020 Jul 7]: Available from: https://doi.org/10.1111/ijcp.13579
Go to original source...
Go to PubMed...