dc.contributor.author | Rugendo, Alfred B | |
dc.date.accessioned | 2014-12-04T06:50:31Z | |
dc.date.available | 2014-12-04T06:50:31Z | |
dc.date.issued | 2014 | |
dc.identifier.uri | http://hdl.handle.net/11295/76230 | |
dc.description.abstract | Background: Medication related problems are said to occur when the outcome of medicine use
is not optimal resulting to a significant strain on the health delivery system and contributing to
mortality, morbidity and escalation of healthcare costs. Potential and actual medication related
problems can occur at any stage of the medicine use process.
Objectives: The objective of the study was to identify the challenges faced in the
implementation of the individualized dispensing system at the medical wards of Kenyatta
National Hospital. Further the effect of the change on medication related problems were
determined.
Methods: A pre-post design was utilized to study effects. A systematic random sample of 236
patient files was picked for before study arm and 207 patient files for the after study arm. A cross
section study was used for challenges faced study. A convenience sample of 25 that included
nurses, pharmacists and pharmaceutical technologist were recruited and interviewed for the
survey on challenges faced. Descriptive and inferential data analysis was performed.
Results: The main challenges faced during the implementation phase were inadequate medicine
storage facilities, patient management software anomalies, delay in ordering patient medicines
and increased workload. There was a high prevalence of medication related problem (97.5 %
vs.95.7%) with prescribing errors (16.1 % vs. 15.8%), drug interaction (80.9 % vs. 69.9 %) and
non adherence (80.9 % vs.91.3%) being most common. No robust mechanism for resolving
medication related problems exist.
Conclusion: The study recommends the formation of multi-disciplinary teams involving
pharmacists to identify and resolve medication related problems at the medical wards and to
provide adequate resources for medicine storage facilities, requisite staff mix and effective
patient management software. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.title | Assessment of effects and challenges of implementing individualised dispensing on medication related problems at Kenyatta National hospital | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
dc.type.material | en_US | en_US |