Evaluation the role of clinical pharmacist on prevents or reduced the medication error in emergency department

Abstract EN

Objective: To identify the role and importance of the clinical pharmacist in the Emergency Department on prevent or reduced the medication error.

Methodology: We collected the medical file of 3400 patients, 1400 patient's file in (A) hospital, and 1000 patient's file in each of (B and C) hospital, who admitted to the ED, at primary weekdays between 8 am to 2 pm, and recorded all the intervention made by clinical pharmacist through an active search in clinical charts, with analysis of the daily medical prescription.

The potential severity of harm of the medication error judged by two reviewers, a permanent emergency physician, and clinical pharmacist based on the National Coordinating Council (NCC) of Medication Error Reporting and Prevention error classification system.

Results: Four of intervention that have the greatest incidence which represent the majority of the cases, and they were related to: dosage 500 (38.7%), route of administration 300 (23.2%), frequency 100 (7.7%), and incompatibility 120 (9.3%).

The severity of medication errors that was judged as potentially life threatening (67; 5.1%), serious (135; 10.4%), significant (634; 49.1%), and insignificant (454; 35.1%).

The acceptance to the presence and intervention of pharmacist was as follow: senior physicians 75%, permanent physicians 20%, resident physicians 77%, and nurses 30%.

Recommendation: Hospitals should contemplate assigning well-trained knowledgeable, efficient and skilled ED clinical pharmacists to prospectively review medication orders whenever clinically possible.

It is also recommended that each hospital performs acquainted analysis of medication errors occurring in its ED, in order to determine their origin and then establish the necessary ED-based clinical pharmacy services.

The sets of actions needed to provide such services, as well as the skills, which their ED pharmacists must possess or acquire in order to be capable of producing desired outcomes