Development of High Alert Medication Management System in hospitalization patients Thatum Hospital, Surin Province

Abstract

     This research is an action research that aims to develop and evaluate the high-risk medication management system of Thatum Hospital by using the multidisciplinary participation process to jointly design a new medication management system. The new interventions consist of a high-risk medication monitoring form and a record form for reviewing physician orders and medication administration. Data were collected from the incidence of medication errors that occurred after the system was developed between November 1-30, 2024. Descriptive analysis was used for data analysis.
     The research results found that the incidence of prescribing errors was all level B, decreasing from the original 18 times to 3 times. The incidence of medication preparation errors decreased from the original 42 incidents at level B to 8 times. The incidence of medication dispensing errors Incidences at level B were found 22 times, reduced to 3 times, and incidences at level C were found 8 times, reduced to 2 times. It was found that the incidences of drugs at level E and above or serious adverse drug reactions (serious ADR) did not occur.