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Medication reconciliation as a medication safety initiative in Ethiopia: A study protocol

Mekonnen, Alemayehu, McLachlan, AJ, Brien, JAE, Mekonnen, D and Abay, Z 2016, Medication reconciliation as a medication safety initiative in Ethiopia: A study protocol, BMJ Open, vol. 6, no. 11, pp. 1-8, doi: 10.1136/bmjopen-2016-012322.

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Title Medication reconciliation as a medication safety initiative in Ethiopia: A study protocol
Author(s) Mekonnen, AlemayehuORCID iD for Mekonnen, Alemayehu orcid.org/0000-0002-6826-4817
McLachlan, AJ
Brien, JAE
Mekonnen, D
Abay, Z
Journal name BMJ Open
Volume number 6
Issue number 11
Article ID e012322
Start page 1
End page 8
Total pages 8
Publisher BMJ
Place of publication London, Eng.
Publication date 2016-11-24
ISSN 2044-6055
Keyword(s) medication discrepancies
medication errors
medication history
medication reconciliation
medication review
medication safety
Summary Introduction: Medication related adverse events are common, particularly during transitions of care, and have a significant impact on patient outcomes and healthcare costs. Medication reconciliation (MedRec) is an important initiative to achieve the Quality Use of Medicines, and has been adopted as a standard practice in many developed countries. However, the impact of this strategy is rarely described in Ethiopia. The aims of this study are to explore patient safety culture, and to develop, implement and evaluate a theory informed MedRec intervention, with the aim of minimising the incidence of medication errors during hospital admission. Methods and analyses: The study will be conducted in a resource limited setting. There are three phases to this project. The first phase is a mixed methods study of healthcare professionals' perspectives of patient safety culture and patients' experiences of medication related adverse events. In this phase, the Hospital Survey on Patient Safety Culture will be used along with semi-structured indepth interviews to investigate patient safety culture and experiences of medication related adverse events. The second phase will use a semi-structured interview guide, designed according to the 12 domains of the Theoretical Domains Framework, to explore the barriers and facilitators to medication safety activities delivered by hospital pharmacists. The third phase will be a single centre, before and after study, that will evaluate the impact of pharmacist conducted admission MedRec in an emergency department (ED). The main outcome measure is the incidence and potential clinical severity of medication errors. We will then analyse the differences in the incidence and severity of medication errors before and after initiation of an ED pharmacy service.
Language eng
DOI 10.1136/bmjopen-2016-012322
Indigenous content off
Field of Research 1103 Clinical Sciences
1117 Public Health and Health Services
1199 Other Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30136648

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.