An assessment of medication safety practices in selected public health facilities in Kaduna State, Nigeria

Abstract

Medication errors occur frequently and have significant clinical and financial consequences, which could be preventable. Unsafe medication practices and errors have been found to be amongst the leading cause of injury and avoidable harm in both developed and developing countries. The World Health Organisation (WHO) has recommended implementation of basic solutions to improve medication safety. This study assessed the presence of basic medication safety practices in four (4) public health facilities in Kaduna State, Nigeria. A validated survey tool was adopted which contains sections that assessed practices such as look-alike, sound-alike (LASA) medications, transitions in care, use of information technology, drug information and other practices. A structured interview was conducted with each head of Pharmacy department of the facilities after obtaining their consent. Only one facility had a medication safety committee, none of the facilities had a list of LASA medications nor a list of error prone
abbreviations. Only one facility involved pharmacists in obtaining medication histories and none of the facilities uses ‘high risk’ warning label on diluted electrolyte solutions. Basic practices to improve medication safety were not implemented in the facilities. Effort must be put in place for the adoption of medication safety practices. Regulations and policies need to be implemented regarding these practices.

Keywords: Medication safety; Health facilities; Kaduna State; Nigeria; Medication errors