Tracking medication pathway as per better securing drugs' use in three clinical departments at the University hospital of Monastir (Tunisia)

Abstract

Background: In Tunisia, few studies have an interest to the assessment of medication errors and the implementation of preventive measures. The aim of this study was to evaluate the barriers existing in hospital pharmacies in order to prevent medication errors and to help institutions to make improvement actions.

methods: First step: a clinical audit was conducted by observation against a set of standards that are representing a guideline.
Second step: interview with health professionals to identify their perceptions about medication safety.
Third step: in this step we develop adverse events scenarios according to results of the clinical audit in order to be investigated by the field practice.
Fourth step: organizing a multi-professional feedback meeting to raise health professional’s awareness and to make them more conscientious about adverse drug events negative consequences and invite them to contribute in the establishment and implementation of corrective solutions.

results: In the participating departments medical prescription did not include patient information’s (age, weight medical background). Nurses do not verify systematically duration of prescription and administration route. Health professionals interview revealed that physician’s have lack of awareness about prescription rules. Lack of communication was the main nurse’s problem that requires improvement.

Conclusion: This project has led to a first overview of the situation of medication use in Tunisia. Results will be used to create a dynamic process to improve the medication system safety.