03318nas a2200277 4500008004100000245015200041210006900193260001700262300001000279490000600289520238700295653001902682653002302701653001502724653002502739653001102764653001102775653001702786100002502803700003002828700002802858700003302886700003402919700002702953856006002980 2019 eng d00aNational Survey of Medication Safety Practice: Medication Administration at Primary Healthcare Centers/Community Pharmacies in Riyadh, Saudi Arabia0 aNational Survey of Medication Safety Practice Medication Adminis cJanuary 2019 a28-350 v53 a

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® 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±0.36 (54.94%) (95% CI=2.55– 2.95; P<0.05; range=2.04–3.38). The average score of all ISMP-self assessment items of medication safety at CPs was 3.14±0.42 (62.86%) (95% CI=2.90–4.38; P<0.05; range=2.40–3.88). The average score of drug standardization, storage and distribution domain at PHCs was 2.35±0.41 (47%) (95% CI=2.17–2.53; P<0.05; range=1.33–3.09) and in CPs, it was 3.4±0.54 (68%) (95% CI =3.16–3.54; P<0.05; range=2.22–4.25). The average score of medication devices acquisition, use and monitoring domain at PHCs was 3.62±0.14 (72.4%) (95% CI=3.26–3.978; P<0.05; range=3.45–3.70) and in CPs, it was 2.78±0.23 (55.6%) (95% CI=2.21–3.349; 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.

10aAdministration10aCommunity Pharmacy10aMedication10aPrimary care centers10aRiyadh10aSafety10aSaudi Arabia1 aAlomi, Yousef, Ahmed1 aAlragas, Adel, Mehmas Ham1 aAlslim, Manar, Mohammed1 aAlamoudi, Khulud, Abdulrahma1 aAlmuallem, Zainab, Abdulmunem1 aAlslim, Rana, Mohammed uhttps://ptbreports.org/article/2019/5/1/105530ptb201956