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UNINTENDED MEDICATION DISCREPANCIES AND ASSOCIATED FACTORS UPON HOSPITAL ADMISSION TO THE INTERNAL MEDICINE WARDS AT FELEGE HIWOT AND TIBEBE GHION COMPREHENSIVE SPECIALIZED HOSPITALS IN BAHIR DAR CITY, NORTHWEST ETHIOPIA: IDENTIFIED THROUGH MEDICATION RECONCILIATION.

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dc.contributor.author Tilaye Arega Moges
dc.date.accessioned 2023-07-11T10:57:20Z
dc.date.available 2023-07-11T10:57:20Z
dc.date.issued October, 2021
dc.identifier.uri http://hdl.handle.net/123456789/6815
dc.description.abstract Abstract Background: Unintended medication discrepancy is a highly prevalent problem in patients at transition points of care. Medication reconciliation by clinical pharmacists is a widely accepted tool for the identification and resolution of unintended medication discrepancies. Hence, this study was aimed at assessing unintended medication discrepancies identified through medication reconciliation and associated factors upon admission to the internal medicine wards. Methods: This cross-sectional study was conducted at Felege Hiwot and Tibebe Ghion comprehensive specialized hospitals in Bahir Dar city, Northwest Ethiopia from May 01 to July 30, 2021. Clinical pharmacists collected the data by using data abstraction format prepared based on previous studies, prospectively. Data was entered into the EpiData software (version 4.6.0.0), and then exported to SPSS® version 25.0. Mean, median, frequency, and proportion were used for the descriptive analysis. A binary logistic regression analysis was carried out to identify associated factors. A p-value of < 0.05 was used to declare the statistical significance. Results: Among 635 patients, 248 (39.1%) (95% CI = 35.2, 43.0) of patients had at least one unintended medication discrepancy, and 388 (30.2%) medications were involved in unintended medication discrepancies. The most frequent type of unintended medication discrepancy was omission (41.75%), followed by wrong dose (21.9%). Amongst interventions made by clinical pharmacists, 75.3% of them were accepted by physicians. Polypharmacy at admission (AOR = 5.47; 95% CI = 3.52, 8.48), age ? 65 years (AOR = 2.13; 95% CI = 1.40, 3.24), number of information sources (AOR = 2.83; 95% CI = 1.98, 4.05), medium adherence (AOR = 2.93; 95% CI = 1.19, 7.16) and low adherence (AOR = 11.13; 95% CI = 5.17, 23.98), and number of comorbidities (AOR = 1.29; 95% CI = 1.07, 1.56) were variables significantly associated with unintended medication discrepancies. Conclusion: More than one-third of patients had at least one unintended medication discrepancy, and omissions followed by wrong dose were the most common types of unintended medication discrepancies. Most of interventions made by clinical pharmacists were accepted. Age ? 65 years, polypharmacy at admission, number of information sources, medium and low adherence, and increasing number of comorbidity were significantly associated independent factors with unintended medication discrepancies. Keywords: Medication discrepancy, medication reconciliation, hospital admission, clinical pharmacy, medication error, pharmaceutical intervention, Bahir Dar city Ethiopia en_US
dc.description.sponsorship UOG en_US
dc.format.extent 65P
dc.language.iso English en_US
dc.publisher UOG en_US
dc.subject clinical pharmacy en_US
dc.title UNINTENDED MEDICATION DISCREPANCIES AND ASSOCIATED FACTORS UPON HOSPITAL ADMISSION TO THE INTERNAL MEDICINE WARDS AT FELEGE HIWOT AND TIBEBE GHION COMPREHENSIVE SPECIALIZED HOSPITALS IN BAHIR DAR CITY, NORTHWEST ETHIOPIA: IDENTIFIED THROUGH MEDICATION RECONCILIATION.
dc.type Thesis en_US


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