Effectiveness of Implementing Clinical Practice Guidelines for Prevention of Medication Administering Error in Patient, Phrae Hospital.

Abstract

Background:  Medication administering error is a significant problem in provision of health care and this can have an impact on quality of nursing care indicators. Good management strategies to preventing medication administering errors will lead to achieve quality of care and patient safety.

Objective:  The primary objective of this research was to determine medication knowledge of nurses after implementing the guidelines. Moreover the secondary aim of this research was assessed the effectiveness of implementing clinical practice guidelines for prevention of medication administering error in patient.

Study design: An operations research conducted at internal medicine wards in Phrae Hospital from January 2022 to Febuary 2022. Subjects in this research were 53 registered nurses involved in administration after implementing the guidelines and Informed consent form. The instruments in the research included: 1)Clinical practice guidelines for prevention of medication administering error in patient, Phrae Hospital 2)Personal information questionnaire 3)Medication administration knowledge questionnaire and 4) A medication error form was used for reporting medication administering error. The content validity of the instruments were approved before use in this research. The research was based on a framework of implementing clinical practice guidelines of the Australian National Health and Medical Research Council (1999; 2000). Data were analyzed using descriptive statistics.

Results:  The percentage of subjects before implementing the guidelines who had a good level of medication administration knowledge was 30.1%, whereas of those who administration after implementing the guidelines was 86.7% (p<.001). The rate of medication administration errors before implementing the guidelines was 4.19 times per 1,000 day bed, after implementing the guidelines it decreased to 2.09 times per 1,000 day bed.

Conclusion: CPG for prevention of medication administering error in patient can increase medication administration knowledge of nurses and reduce the occurrence of medication administration error. This research should be further investigated for more information  and application for benefit in clinical practice.

Keywords:  prevention of medication administering error, implementing CPG