Official Journal Health Science of Prince of Songkla University

  • Home
  • Search
  • Current
  • Archives
  • Announcements
  • Guide for Authors
  • Publication Ethics
  • Editorial Board
  • Submit
  • About
  • Contact
  • Online-first Articles
  • EVENTS
  • Review Process
Home > Online-first > Pongprom

Effectiveness of The ME Online Program to Reduce Medication Errors among Primary Health Care Units in The City Areas of The Thai-Cambodian Border Provinces, Thailand

Sasithorn Pongprom, Phannathat Tanthanapanyakorn, Nonlapan Khantikulanon, Sootthikarn Mungkhunthod, Chaninan Praserttai, Rungtiwa Fangchaiyaphum, Warangkhana Siwilai, Yossapatr Harnprasop

Abstract

Objective: Medication errors are considered significant issues in public health operations. They are frequently encountered and continuously increasing, particularly in the border provinces of Thailand and Cambodia. This study was a quasi-experimental study conducted in order to examine the effectiveness of the ME online program for reducing medication errors in primary care units (PHCs) in the city areas of the Thai-Cambodian border.
Material and Methods: This study was conducted using a one-group pretest and posttest design by recruiting 36 participants responsible for drug administration through stratified sampling. They received the ME online program for 4 months. This program was designed to address knowledge, attitudes, and practices related to medication errors. The ME online platform was developed using Google Forms and Line official accounts to report and summarize medication errors. Data analysis involved descriptive statistics and paired t-tests.
Results: The findings indicate statistically significant increases in the mean scores of knowledge, attitudes, and practices related to medication errors compared to baseline and 4 months (p-value<0.001). Additionally, the rate of medication errors decreased from 7.4% to 4.5% compared to the baseline and 4 months after implementing the program. The Category B medication error rate was reduced from 7.2% to 4.5%, and Category A from 0.2% to 0.0%. There was a statistically significant reduction in the medication error rates compared to baseline and at 4 months (p-value=0.038).
Conclusion: This ME online program effectively reduced medication errors and could also be integrated for collecting and reporting such events. Furthermore, it could be extended for an implementation in other areas of the Thai-Cambodian border provinces.

 Keywords

city area; medication error; Thai-Cambodian border; primary healthcare units

 Full Text:

PDF

References

Farzi S, Irajpour A, Saghaei M, Ravaghi H. Causes of medication errors in intensive care units from the perspective of healthcare professionals. J Res Pharm Pract 2017;6:158-65.

Berdot S, Roudot M, Schramm C, Katsahian S, Durieux P, Sabatier B. Interventions to reduce nurses’ medication administration errors in inpatient settings: a systematic review and meta-analysis. Int J Nurs Stud 2016;53:342-50.

Moradi Moghaddam O, Keshtkar A, Sedighi M, Amanollahi A, Aghakhani K, Niakan Lahiji M. Investigating causes of medical errors in intensive care units in Iran: a cross-sectional study. Med J Islam Repub Iran 2023;37:79.

Alzoubi MM, Al-Mahasneh A, Al-Mugheed K, Al Barmawi M, Alsenany SA, Farghaly Abdelaliem SM. Medication administration error perceptions among critical care nurses: a cross-sectional, descriptive study. J Multidiscip Healthc 2023;16:1503-12.

World Health Organization (WHO). Medication without harm [homepage on the Internet]. Geneva: WHO; 2022 [cited 2023 Sep 22]. Available from:https://www.who.int/initiatives/medication-without-harm.

Assiri GA, Shebl NA, Mahmoud MA, Aloudah N, Grant E, Aljadhey H, et al. What is the epidemiology of medication errors, error-related adverse events, and risk factors for errors in adults managed in community care contexts: a systematic review of the international literature. BMJ Open 2018;8:e019101.

Khalil H, Lee S. The implementation of a successful medication safety program in primary care. J Eval Clin Pract 2018;24:403-7.

Khrueawang K. Medication error. Public Health Policy Laws J 2018;4:251-65.

Rattanadejsakul J, Rattanadejsakul P. Medication errors and their benefits in the pharmaceutical management system [homepage on Internet]. Bangkok: Pharmacy Council; 2017 [cited 2023 Jul 1]. Available from: http://ccpe.pharmacycouncil.org/showfile.php?file.

Escrivá Gracia J, Brage Serrano R, Fernández Garrido J. Medication errors and drug knowledge gaps among critical-care nurses: a mixed multi-method study. BMC Health Serv Res 2019;19:640. doi: 10.1186/s12913-019-4481-7.

Bifftu BB, Mekonnen BY. The magnitude of medication administration errors among nurses in Ethiopia: a systematic review and meta-analysis. J Caring Sci 2020;9:1-8.

Sa Kaeo Provincial Public Health Office. Statistical of the rate of medication errors in the primary health care units between 2021-2023. Sa Kaeo Province, Thailand: Sa Kaeo Provincial Public Health Office; 2023.

Brabcová I, Hajduchová H, Tóthová V, Chloubová I, Červený M, Prokešová R, et al. Reasons for medication administration errors, barriers to reporting them and the number of reported medication administration errors from the perspective of nurses: a cross-sectional survey. Nurse Educ Pract 2023;70:103642.

Alghamdi AA, Keers RN, Sutherland A, Ashcroft DM. Prevalence and nature of medication errors and preventable adverse drug events in pediatric and neonatal intensive care settings: a systematic review. Drug Saf 2019;42:1423-36.

Irajpour A, Farzi S, Saghaei M, Ravaghi H. Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units. J Educ Health Promot 2019;8:196.

Sakaeo District Health Office. Number of medical and public health personnel in the primary health care units. Sa Kaeo Province, Thailand. 2023.

Manias E, Cranswick N, Newall F, Rosenfeld E, Weiner C, Williams A, et al. Medication error trends and effects of person-related, environment-related, and communication-related factors on medication errors in a pediatric hospital. J Paediatr Child Health 2019;55:320-6.

Oweidat I, Al-Mugheed K, Alsenany SA, Abdelaliem SMF, Alzoubi MM. Awareness of reporting practices and barriers to incident reporting among nurses. BMC Nurs 2023;22:231.

National Coordinating Council of Medication Error Reporting and Prevention (NCC MERP). Types of medication errors [homepage on the Internet]. Maryland: NCC MERP; 2001 [cited 2023 Nov 17]. Available from: https://www.nccmerp.org/types-medication-errors.

Schwartz NE. Nutritional knowledge, attitudes, and practices of high school graduates. J Am Diet Assoc 1975;66:28-31.

Department of Health, Ministry of Public Health, Thailand. Concepts and principles of the health literacy organization [homepage on the Internet]. Nonthaburi: MOPH; 2018 [cited 2023 Oct 10]. Available from: https://mwi.anamai.moph.go.th/

Singh G, Patel RH, Boster J. Root cause analysis and medical error prevention. StatPearls. Treasure Island (FL): StatPearls Publishing; 2024.

Bloom BS. Taxonomy of educational objectives, handbook: the cognitive domain. New York: David McKay; 1956.

Best JW. Research in Education. New Jersey: Prentice Hall Inc; 1977.

Ministry of Public Health of Thailand. Family pharmacists ‘ guidelines for developing primary care pharmacy systems in fiscal year 2022-2024 [homepage on the Internet]. Nonthaburi: MOPH; 2022 [cited 2023 Oct 10]. Available from:https://dmsic.moph.go.th/index/detail/8895.

Wadudom J. Development of a pre-dispensing system in inpatient pharmacy services to reduce medication error. Thai J Clin Pharm 2020;26:1-15.

Chanatepaporn P. Development of a prescribing error program for reporting in Srinagarind Hospital. Srinagarind Med J 2019;34: 261-70.

Rattanajutanon S, Saensom D. Effects of medication error prevention program on the incidence of medication administration errors of registered nurses in an intensive care unit. HCU J 2022;26:183-95.

Chen KL, Hunag CF, Sheng WH, Chen YK, Wang CC, Shen LJ. Impact of integrated medication management program on medication errors in a medical center: an interrupted time series study. BMC Health Serv Res 2022;22:796.

Farzi K, Mohammadipour F, Toulabi T, Heidarizadeh K, Heydari F. The effect of blended learning on the rate of medication administration errors of nurses in medical wards. Iran J Nurs Midwifery Res 2020;25:527-32.

Eisenbach N, Shqara RA, Sela E, Hana RY, Gruber M. The effect of an interventional program on the occurrence of medication errors in children. Int J Pediatr Otorhinolaryngol 2020;138:110373.

Manias E, Kusljic S, Wu A. Interventions to reduce medication errors in adult medical and surgical settings: a systematic review. Ther Adv Drug Saf 2020;11:2042098620968309.

Tahseen H, Brown J. Effects of tailored quality improvement program for effective medication management in high dependency in-patient psychiatry rehabilitation unit. BJPsych Open 2021;7:S53–4.

Di Muzio M, De Vito C, Tartaglini D, Villari P. Knowledge, behaviors, training and attitudes of nurses during preparation and administration of intravenous medications in intensive care units (ICU): a multicenter Italian study. Appl Nurs Res 2017;38:129-33.

Mutair AA, Alhumaid S, Shamsan A, Zaidi ARZ, Mohaini MA, Al Mutairi A, et al. The effective strategies to avoid medication errors and improve reporting systems. Medicines 2021;8:46.

Damin Abukhalil A, Amer NM, Musallam LY, Al-Shami N. Medication error awareness among health care providers in Palestine: a questionnaire-based cross-sectional observational study. Saudi Pharm J 2022;30:470-7.

DOI: http://dx.doi.org/10.31584/jhsmr.20251154

Refbacks

  • There are currently no refbacks.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

SUBMIT A PAPER

JHSMR accepts online submission through

AHR-iCON 2024

Journal Metrics


2020
Acceptance rate: 52%
2021
Acceptance rate: 27.8%
2022 (March)
Acceptance rate: 15.6%
2023 (June)
Acceptance rate: 23.6%


Submission to final decision
74 days

Acceptance to publication
40 days

SCImago Journal & Country Rank

About The Authors

Sasithorn Pongprom
Department of Public Health, Faculty of Public Health, Valaya Alongkorn Rajabhat University under the Royal Patronage, Pathum Thani 13180,
Thailand

Phannathat Tanthanapanyakorn
Department of Public Health, Faculty of Public Health, Valaya Alongkorn Rajabhat University under the Royal Patronage, Pathum Thani 13180,
Thailand

Nonlapan Khantikulanon
Department of Environmental Health, Faculty of Public Health, Valaya Alongkorn Rajabhat University under the Royal Patronage, Pathum Thani 13180,
Thailand

Sootthikarn Mungkhunthod
Department of Public Health, Faculty of Public Health, Valaya Alongkorn Rajabhat University under the Royal Patronage, Pathum Thani 13180,
Thailand

Chaninan Praserttai
Department of Environmental Health, Faculty of Public Health, Valaya Alongkorn Rajabhat University under the Royal Patronage, Pathum Thani 13180,
Thailand

Rungtiwa Fangchaiyaphum
Department of Public Health, Faculty of Public Health, Valaya Alongkorn Rajabhat University under the Royal Patronage, Pathum Thani 13180,
Thailand

Warangkhana Siwilai
Department of Public Health, Faculty of Public Health, Valaya Alongkorn Rajabhat University under the Royal Patronage, Pathum Thani 13180,
Thailand

Yossapatr Harnprasop
Department of Public Health, Faculty of Public Health, Valaya Alongkorn Rajabhat University under the Royal Patronage, Pathum Thani 13180,
Thailand

Article Tools
Abstract
Print this article
Indexing metadata
How to cite item
Email this article (Login required)
Email the author (Login required)

Supported by

 

JHSMR now Indexed in



Scopus logo.svg






Image result for crossref





PSUMJ Homepage

Keywords COVID-19 SARS-CoV-2 Thailand Vietnam anxiety children computed tomography depression diabetes elderly factors hypertension knowledge mental health mortality prevalence quality of life risk factor risk factors treatment validity
Journal Content

Browse
  • By Issue
  • By Author
  • By Title
Font Size

Open Journal Systems