Saudi Cultural Missions Theses & Dissertations
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Item Restricted Medicines Reconciliation: A Clinical Audit(Saudi Digital Library, 2023-09-22) Alshahrani, Abdullah; Allen, JaneBackground: Medicine reconciliation (MR) is a crucial strategy that aims to prevent medication errors and enhance patient safety. The National Institute of Health and Care Excellence (NICE) recommend ensuring that all admitted patients should have a completed MR within 24 hours of admission. Aim: This audit aimed to evaluate the MR procedure at Surrey and Sussex Healthcare NHS Trust (SaSH) and to identify any potential challenges that affect compliance with the standard. Methods: A cross-sectional clinical audit was conducted at SaSH with over 185 patients who were admitted between 5 June and 12 June 2023. Of these, 90 were from the medical division and 95 the surgery and gynaecology divisions. Data for this audit were collected retrospectively from 19 June to 30 June 2023 via the Electronic Prescribing and Medicines Administration (EPMA) system, and the collected data were wrangled, coded and analysed using the SPSS software (Armonk, NY: IBM Corp., version 28.0). Results: The findings reveal a significant decrease in the percentage of patients whose MR was completed within 24 hours (22%), as well as a general decline in the total number of completed MRs (51%), particularly compared to the previous audit (59% and 93%, respectively), indicating a lack of adherence to the standard. Such factors as admission division, admission specialty, day the MR was completed, admission time, number of medications upon admission and number of documented drug discrepancies have all shown statistical significance (p < 0.005). Conclusion: The MR process at SaSH failed to meet the standards and demonstrated a decline in completed MRs compared to the last audit performed. Thus, a further re-audit would be recommended after implementing recommendations based on the study findings.10 0