International Journal on Science and Technology

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Improving Adherence to Treatment of Tuberculosis in a Tertiary Care Setting: The Nursing, Pharmacy, Laboratory and Social Work Perspectives of a Multidisciplinary Approach

Author(s) Shahad H. Almugarri, Saja A. Almarhoun, Shahad N. Alghossen, Hadeel M. Alharbi, Shatha H. Abujabah, Wadha D. Alshemmeri, Aishah R. Alanazi, Amjad S. Alqahtany, Muteb A. Aldosari, Yasser B. Alsowailem
Country Saudi Arabia
Abstract Background: The multidisciplinary approach of medication reconciliation at discharge has been suggested as an effective means in reducing medication inaccuracies and resolving fundamental issues with clinical outcomes. Still in hospital settings, medication discrepancies at discharge poses an ever-increasing danger to patient safety – especially in tertiary units where patients are used to handling complicated therapy schedules.

Objectives: To assess the impact of multidisciplinary reconciliation of medications on discharge safety outcomes in a tertiary hospital.

Methods: An observational study of Hospitalized Internal Medicine and Surgical ward patients was carried out in a tertiary care setting. Data from two hundred and ten adult patients who were discharged were sampled for this purpose. Nurses, pharmacists, lab technologists, and social workers comprised the multidisciplinary team that handled medication reconciliation at discharge. Captured data integrated demographics of the patients, types of discrepancies noted, description of amendments carried out, and outcomes thirty days post discharge. Analysis was performed using descriptive and inferential techniques.

Results: Conducting complete medication reconciliation led to significantly lower rates of 30-day readmissions among patients, down to 8.1%. This figure stands in sharp contrast to the 22.7% rate observed among those with unresolved discrepancies, with p value < 0.05. Among 327 discrepancies noted, omission errors were the most common, constituting 45.6%. As a whole, pharmacists performed most of the interventions (48.9%) with nurses working slightly behind at 32%.

Conclusion: Through the use of a multidisciplinary approach, the reconciliation of medications during discharge substantially decreased the discrepancies identified, improved patient outcomes, and lowered the readmission rates. The integration of team-based reconciliation as a standard policy in tertiary care hospitals serves to improve patient safety.
Field Medical / Pharmacy
Published In Volume 15, Issue 1, January-March 2024
Published On 2024-01-15
Cite This Improving Adherence to Treatment of Tuberculosis in a Tertiary Care Setting: The Nursing, Pharmacy, Laboratory and Social Work Perspectives of a Multidisciplinary Approach - Shahad H. Almugarri, Saja A. Almarhoun, Shahad N. Alghossen, Hadeel M. Alharbi, Shatha H. Abujabah, Wadha D. Alshemmeri, Aishah R. Alanazi, Amjad S. Alqahtany, Muteb A. Aldosari, Yasser B. Alsowailem - IJSAT Volume 15, Issue 1, January-March 2024. DOI 10.5281/zenodo.15222825
DOI https://doi.org/10.5281/zenodo.15222825
Short DOI https://doi.org/g9fk2m
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