Articles T67 Số CDD10 - HN Bệnh viện Nhi Đồng 2 - HN Trường Đại học Nguyễn Tất Thành

CURRENT STATUS OF THE EFFECTIVENESS OF CLINICAL PHARMACY MANAGEMENT AT TIEN GIANG GENERAL HOSPITAL IN 2025

Mai Huu Luc1,2, Ta Van Tram1,2,3,4, Tran Huu The3,4, Luu Thanh Sang3,4
1 Tra Vinh University
2 Đại học Trà Vinh
3 Tien Giang General Hospital
4 Bệnh viện Đa khoa Tiền Giang
DOI: 10.52163/yhc.v67icd10.5862
0 Views
0 Downloads
Abstract

Background: Clinical pharmacy activities in healthcare facilities are increasingly receiving attention because they contribute to safe, rational, and effective medication use and patient safety.

          Objective: To describe the current status of clinical pharmacy activities, medication-order errors, pharmacist interventions, and to explore selected factors associated with medication-order errors at Tien Giang General Hospital in 2025.

          Methods: A retrospective cross-sectional descriptive study was conducted using 259 inpatient medication orders from 2025. The study also summarized data from 8 clinical pharmacists and 50 treating physicians. Medication-order data were extracted and analyzed during January–March 2026. Systematic random sampling with allocation across clinical departments was applied. Descriptive statistics, 95% confidence intervals, and appropriate exploratory association tests were used.

          Results: Among 259 inpatient medication orders, 6 errors or potential medication-related problems were identified, accounting for 2.32% (95% CI: 0.85–4.97). The 6 recorded cases were intervened by clinical pharmacists and accepted by physicians. Medication orders containing ≥7 drugs were associated with errors in exploratory analysis (OR = 6.23; 95% CI: 1.22–31.85; p = 0.03). Lack of clinical-pharmacy training among physicians (OR = 13.82; 95% CI: 2.48–76.92; p < 0.01) and general-practitioner level without postgraduate specialty training (OR = 3.16; 95% CI: 1.58–17.30; p = 0.04) were also associated with errors. The mean intervention time was 7.5 minutes.

          Conclusion: Clinical pharmacy activities at Tien Giang General Hospital showed an initial role in detecting and intervening in inpatient medication-order errors. However, conclusions about effectiveness should be interpreted cautiously because this was a cross-sectional study and only 6 error events were identified. Priority should be given to reviewing high-drug-count medication orders, strengthening physician training in clinical pharmacy, standardizing error-classification criteria, and shortening intervention time.

References
[1]
Bộ Y tế. (2012). Thông tư số 31/2012/TT-BYT hướng dẫn hoạt động dược lâm sàng trong bệnh viện. Hà Nội, Việt Nam. Google Scholar
[2]
Quốc hội. (2023). Luật Dược số 105/2016/QH13 (sửa đổi, bổ sung năm 2023). Hà Nội, Việt Nam. Google Scholar
[3]
Nguyễn Phục Hưng (2021). Đánh giá một số chỉ số sử dụng thuốc tại Trung tâm Y tế Huyện Phong Điền giai đoạn 2019-2020, Tạp chí Y học Việt Nam, Tập 500, (1), Trang 8 - 21. Google Scholar
[4]
Nguyễn Thị Minh Khoa (2020). Phân tích thực trạng kê toa và tương tác thuốc tại khoa khám bệnh viện Tim mạch thành phố Cần Thơ năm 2019, Tạp chí Y học Việt Nam. 2020. Google Scholar
[5]
Phạm Đình Thọ (2021). Thực trạng việc kê toa thuốc điều trị ngoại trú cho người bệnh tại Bệnh viện Trung ương Quân đội 108, Tạp chí Y dược lâm sàng 108, 16, (7). Google Scholar
[6]
World Health Organization. (2023). Global patient safety action plan 2021–2030: Medication without harm initiative. https://www.who.int/publications/i/item/9789240037232. Google Scholar