@article {119, title = {National Survey of Medication Safety Practice: Environmental Culture and Staff Competency at Primary Healthcare Centers/ Community Pharmacies in Riyadh, Saudi Arabia}, journal = {Pharmacology, Toxicology and Biomedical Reports}, volume = {5}, year = {2019}, month = {January 2019}, pages = {20-27}, type = {Research Article}, chapter = {20}, abstract = {

Objective: To explore the national survey of medication safety practices with an emphasis on environmental factors and staff competencies at primary healthcare centers (PHCs) and community pharmacies (CPs) in Saudi Arabia, Riyadh city. Method: This is a 4-month cross-sectional medication safety practice survey conducted at pharmacies of PHCs of Ministry of Health and CPs in Riyadh city. The survey consisted of the modified version of the Medication Safety Self-Assessment{\textregistered} for Community/ Ambulatory Pharmacy from the Institute of Safe Medication Practices (ISMP). The survey consisted of a demographic section and 10 domains with questions on environmental factors, staff competency and education. The authors distributed the questionnaire and followed-up on a daily basis by physically visiting or via telephonic call. The survey was prepared in an electronic format and it was analyzed through the Survey Monkey system and Microsoft Excel version 10. Result: The survey was distributed to 13 PHCs and 23 CPs. The average score of all the ISMP-self assessment of medication safety items at PHCs was 2.75 {\textpm} 0.36 (54.94\%) (95\% confidence interval (95\% CI) = 2.55{\textendash}2.95; P\<0.05; range = 2.04{\textendash}3.38). The average score of all ISMP-self assessment of medication safety items at CPs was 3.14 {\textpm} 0.42 (62.86\%) (95\% CI = 2.90{\textendash}4.38; P\<0.05; range = 2.40{\textendash}3.88). The average score of environmental factors, workflow and staffing domain at PHCs was 2.7 {\textpm} 0.45 (54\%) (95\% CI = 2.53{\textendash}2.87; P\<0.05; range = 1.55{\textendash}3.68), whereas in CPs, the average score was 3.58 {\textpm} 0.43 (71.6\%) (95\% CI = 3.44{\textendash}3.717; P\<0.05; range = 2.63{\textendash}4.37). The average score of staff competency and education at PHCs was 3.02 {\textpm} 0.298 (60.4\%) (95\% CI = 2.9{\textendash}3.2; P\<0.05; range = 2.64{\textendash}3.55), whereas in the CPs, the average score was 4.15 {\textpm} 0.20 (83\%) (95\% CI = 4.03{\textendash}4.27; P\<0.05; range = 3.78{\textendash}4.53). Conclusion: The PHCs implemented only half of the environmental factors, workflow and staff competency domains preventive measures for medication safety and lower than CPs. Targeting of improving environmental culture and staff competency for medication safety at PHCs is highly recommended in KSA.

}, keywords = {Community Pharmacy, Environmental culture, Medication, Primary Healthcare Centers, Riyadh, Safety, Saudi Arabia, Staff competency}, doi = {10.5530/PTB.2019.5.5}, author = {Yousef Ahmed Alomi and Zainab Abdulmunem Almuallem and Manar Mohammed Alslim and Rana Mohammed Alslim and Khulud Abdulrahman Alamoudi and Adel Mehmas Hamdi Alragas} } @article {120, title = {National Survey of Medication Safety Practice: Medication Administration at Primary Healthcare Centers/Community Pharmacies in Riyadh, Saudi Arabia}, journal = {Pharmacology, Toxicology and Biomedical Reports}, volume = {5}, year = {2019}, month = {January 2019}, pages = {28-35}, type = {Research Article}, chapter = {28}, abstract = {

Objective: To explore the national medication safety practice with emphasis on medication administration at primary healthcare centers (PHCs) and community pharmacies (CPs) in Riyadh city, Kingdom of Saudi Arabia. Methods: This is a four-month cross-sectional medication safety practice survey conducted at PHC pharmacies and CPs in Riyadh city. The survey consisted of the modified version of the Medication Safety Self-Assessment{\textregistered} for Community/Ambulatory Pharmacy from the Institute of Safe Medication Practice (ISMP). The survey consisted of a demographic section and 10 domains with 198 questions. The domains included questions on patient information; drug information; communication of drug orders and other drug information; drug labeling and packaging and nomenclature; use of devices; environmental factors; staff competency and education; patient education; quality processes; and risk management domain. In this study, we emphasized on medication administration; it is a finding from medication safety self-assessment for community/ambulatory pharmacy in Riyadh city. Results: The survey was distributed to 13 PHC pharmacies and 23 CPs. The average score of all ISMP-self assessment items of medication safety at PHCs was 2.75{\textpm}0.36 (54.94\%) (95\% CI=2.55{\textendash} 2.95; P\<0.05; range=2.04{\textendash}3.38). The average score of all ISMP-self assessment items of medication safety at CPs was 3.14{\textpm}0.42 (62.86\%) (95\% CI=2.90{\textendash}4.38; P\<0.05; range=2.40{\textendash}3.88). The average score of drug standardization, storage and distribution domain at PHCs was 2.35{\textpm}0.41 (47\%) (95\% CI=2.17{\textendash}2.53; P\<0.05; range=1.33{\textendash}3.09) and in CPs, it was 3.4{\textpm}0.54 (68\%) (95\% CI =3.16{\textendash}3.54; P\<0.05; range=2.22{\textendash}4.25). The average score of medication devices acquisition, use and monitoring domain at PHCs was 3.62{\textpm}0.14 (72.4\%) (95\% CI=3.26{\textendash}3.978; P\<0.05; range=3.45{\textendash}3.70) and in CPs, it was 2.78{\textpm}0.23 (55.6\%) (95\% CI=2.21{\textendash}3.349; P\<0.05; range=2.63-3.05). Conclusion: The medication administration safety was inadequate at PHCs while acceptable at CPs. Targeting to drug standardization, storage and distribution with emphasis on medication devices use and monitoring are highly recommended at PHCs in the Kingdom of Saudi Arabia.

}, keywords = {Administration, Community Pharmacy, Medication, Primary care centers, Riyadh, Safety, Saudi Arabia}, doi = {10.5530/PTB.2019.5.6}, author = {Yousef Ahmed Alomi and Adel Mehmas Hamdi Alragas and Manar Mohammed Alslim and Khulud Abdulrahman Alamoudi and Zainab Abdulmunem Almuallem and Rana Mohammed Alslim} } @article {121, title = {National Survey of Medication Safety Practice: Patient Education, Quality Process and Risk Management at Primary Healthcare Centers/Community Pharmacies in Riyadh, Saudi Arabia}, journal = {Pharmacology, Toxicology and Biomedical Reports}, volume = {5}, year = {2019}, month = {January 2019}, pages = {36-43}, type = {Research Article}, chapter = {36}, abstract = {

Objective: To explore the national medication safety practice such as patient education, quality process and risk management at primary healthcare centers (PHCs) and community pharmacies (CPs) in Riyadh city, Kingdom of Saudi Arabia. Methods: This is a four-month cross-sectional medication safety practice survey conducted at PHC pharmacies and CPs in Riyadh city. The survey consisted of the modified version of the Medication Safety Self-Assessment{\textregistered} for Community/Ambulatory Pharmacy from the Institute of Safe Medication Practice (ISMP). The survey consisted of a demographic section and 10 domains with 198 questions. The domains included questions on patient information; drug information; communication of drug orders and other drug information; drug labeling and packaging and nomenclature; use of devices; environmental factors; staff competency and education; patient education; quality processes; and risk management domain. In this study, we emphasized on patient education, quality process and risk management; it is a finding from medication safety self-assessment for community/ ambulatory pharmacy in Riyadh city. Results: The survey was distributed to 13 PHC pharmacies and 23 CPs. The average score of all ISMP-self assessment of medication safety items at PHCs was 2.75{\textpm}0.36 (54.94\%) (95\% confidence interval (95\% CI)=2.55{\textendash}2.95; P\<0.05; range=2.04{\textendash}3.38). The average score of all ISMP-self assessment of medication safety items at CPs was 3.14{\textpm}0.42 (62.86\%) (95\% CI=2.90{\textendash}4.38; P\<0.05; range=2.40{\textendash}3.88). The average score of patient education at PHCs was 3.04{\textpm}0.365 (60.8\%) (95\% CI=2.89{\textendash}3.19; P\<0.05; range=2.00{\textendash}3.73) and at CPs, it was 3.73{\textpm}0.29 (74.6\%) (95\% CI=3.61{\textendash}3.85; P\<0.05; range=3.11{\textendash}4.22). The average score of quality processes and risk management at PHCs was 2.76{\textpm}0.35 (55.2 \%) (95\% CI=2.64{\textendash}2.88; P\<0.05; range=2.09{\textendash}3.50) and at CPs, it was 3.20 {\textpm}0.38 (64\%) (95\% CI=3.07{\textendash}3.33; P\<0.05; range=2.47{\textendash}3.89). Conclusion: The implementation of patient education and quality processes and risk management at PHCs and CPs were inadequate. Targeting to improve all meditations safety assessment tools at PHCs and CPs is highly recommended in the Kingdom of Saudi Arabia.

}, keywords = {Community Pharmacies, Education, Medication, Primary Healthcare Centers, Quality, Risk Management, Riyadh, Safety, Saudi Arabia}, doi = {10.5530/PTB.2019.5.7}, author = {Yousef Ahmed Alomi and Zainab Abdulmunem Almuallem and Manar Mohammed Alslim and Khulud Abdulrahman Alamoudi and Adel Mehmas H. Alragas and Rana Mohammed Alslim} } @article {109, title = {National Survey of Medication Safety Practice: Drug Information at Primary Healthcare Centers/Community Pharmacies in Riyadh, Saudi Arabia}, journal = {Pharmacology, Toxicology and Biomedical Reports}, volume = {4}, year = {2018}, month = {September 2018}, pages = {37-42}, type = {Research Article}, chapter = {37}, abstract = {

Objective: To explore regarding drug information at Primary Healthcare Centers (PHCs) and Community Pharmacies (CPs) in Riyadh city, Kingdom of Saudi Arabia. Methods: This is a 4-month crosssectional survey conducted at PHCs and CPs in Riyadh city. In this study, the survey was adapted and modified from the Institution of Safe Medication Practice (ISMP) medication safety self-assessment for community/ambulatory pharmacy. It consists of a demographic section and 10 domains with 198 questions. The domains captured the following information: patient information; drug information; communication of drug orders and other drug information; drug labeling and packaging and nomenclature; use of medication delivery devices; environmental factors; staff competency and education; patient education; quality processes; and risk management domain. The survey was conducted at PHCs of Ministry of Health and at CPs located in Riyadh city. This study is focused on the second domain, that is, drug information at PHCs and CPs in Riyadh city. Results: The survey was distributed to 13 PHCs and 23 CPs. The average {\textpm} Standard Deviation (SD) of all ISMP-self assessment items of medication safety practice at PHCs was 2.75{\textpm}0.36 (54.94\%) (95\% Confidence Interval (CI) = 2.55{\textendash}2.95; P\<0.05; range = 2.04{\textendash}3.38). The average score of all ISMP-self assessment items of medication safety practice at CPs was 3.14{\textpm}0.42 (62.86\%) (95\% CI = 2.90{\textendash}4.38; P\<0.05; range = 2.40{\textendash}3.88). The average score of drug information domain at PHCs was 2.04{\textpm}0.34 (40.8\%) (95\% CI = 1.89{\textendash}2.19; P\<0.05; range = 1.50{\textendash}2.73), whereas that at the CPs was 2.35{\textpm}0.5 (47\%) (95\% CI = 2.13{\textendash}2.57; P\<0.05; range = 1.61{\textendash}3.43). Conclusion: The PHCs and CPs need to improve the key aspects of drug information related to the safety documentation and reporting system for medications. We recommend that the PHCs and CPs in the Kingdom of Saudi Arabia (KSA) should regularly conduct awareness programs on medication safety. We also recommend conducting an annual follow-up assessment of all the critical elements of drug information related to the medication safety system at PHCs and CPs.

}, keywords = {Community Pharmacies, Drug Information, Medication, Primary Healthcare Centers, Riyadh, Safety, Saudi Arabia}, doi = {10.5530/PTB.2018.4.13}, author = {Yousef Ahmed Alomi and Manar Mohammed Alslim and Rana Mohammed Alslim and Khulud Abdulrahman Alamoudi and Zainab Abdulmunem Almuallem and Adel Mehmas H. Alragas} } @article {110, title = {National Survey of Medication Safety Practice: Patient Information at Primary Healthcare Centers/Community Pharmacies in Riyadh, Saudi Arabia}, journal = {Pharmacology, Toxicology and Biomedical Reports}, volume = {4}, year = {2018}, month = {September 2018}, pages = {43-48}, type = {Research Article}, chapter = {43}, abstract = {

Objective: To explore patient{\textquoteright}s information regarding national medication safety Practice At Primary Healthcare Centers (PHCs) and Community Pharmacies (CPs) in Riyadh city, Kingdom of Saudi Arabia. Methods: This is a 4-month cross-sectional survey conducted on medication safety practice at PHCs and CPs in Riyadh city. In this study, the survey was adapted and modified from the Institution of Safe Medication Practice (ISMP) medication safety self-assessment for community/ambulatory pharmacy. It consists of a demographic section and 10 domains with 198 questions. The domains captured the following information: patient information; drug information; communication of drug orders and other drug information; drug labeling, packaging and nomenclature; use of medical devices; environmental factors; staff competency and education; patient education; quality processes; and risk management domain. The survey was conducted at the PHCs of the Ministry of Health and at CPs located in Riyadh city. This study is focused on the first domain, that is, patient information in PHCs and CPs in Riyadh city. Results: The survey was distributed to 13 PHCs and 23 CPs. The average {\textpm} Standard Deviation (SD) of all ISMP-self assessment items of medication safety practice at PHCs was 2.75{\textpm}0.36 (54.94 \%) (95\% confidence interval (95\% CI) = 2.55{\textendash}2.95; P\<0.05; range = 2.04{\textendash}3.38). The average {\textpm} SD score of all ISMP-self assessment items of medication safety practice at CPs was 3.14{\textpm}0.42 (62.86\%) (95\% CI = 2.90{\textendash}4.38; P\<0.05; range = 2.40{\textendash}.88). The average {\textpm} SD score of patient information at PHCs was 2.80{\textpm}0.467 (56 \%) (95\% CI = 2.54{\textendash}3.58; P\<0.05; range = 2.08{\textendash}3.45), whereas that of the CPs was 2.60{\textpm}0.667 (52 \%) (95\% CI = 2.23{\textendash}2.97; P\<0.05; range = 1.36{\textendash}3.96). Conclusion: The PHCs and PCs implemented almost half the of ISMP medication safety critical elements including the patient information related issue. Targeting to improve medication safety system at PHCs and CPs is highly recommended in the Kingdom of Saudi Arabia

}, keywords = {Community Pharmacy, Information, Medication, Patient, Primary Healthcare Center, Riyadh, Safety, Saudi Arabia.}, doi = {10.5530/PTB.2018.4.14}, author = {Yousef Ahmed Alomi and Rana Mohammed Alslim and Manar Mohammed Alslim and Khulud Abdulrahman Alamoudi and Zainab Abdulmunem Almuallem and Adel Mehmas H. Alragas} }