Authors (including presenting author) :
Wong YND(1), Kwan CS(1), Cheung PK(1), Tong WCM(1), Choo KL(1)
Affiliation :
(1) The Department of Medicine, North District Hospital
Introduction :
Medication incident has remained the top priority of the Risk Registry in North District Hospital, despite the full implementation of IPMOE in 2016. Hence, prevention of medical errors is of paramount importance. While there are many initiatives focusing on improving medication safety, few engage patients. A complementary approach is to facilitate patient engagement in the inpatient medication regime. Study suggested safety advisory decreases adverse events and unsafe situations since it promotes communication on medication safety between health care workers and patients. A CUP programme is designed to involve patient and relatives in the medication safety process.
Objectives :
The main objectives of this program could be summarized as the mnemonic: CUP Communication – Enhance communication between staff, patient and relatives
Understanding – Promote understanding of patient’s role in medication process
Participation – Facilitate patient’s and relatives’ participation in their role of medication safety
Methodology :
Concise message is printed on patient’s drinking cup. Healthcare worker, either nurse or supporting staff, then explains and reinforces the message while delivering the cup to patients. Patient and staff were selected randomly for interview in September 2018. Outcome measures are categorized as: (1) patient knowledge on the role of medication safety from Patient Survey, (2) staff satisfaction from Staff Satisfaction Survey.
Result & Outcome :
From 1 September 2017 to 31 August 2018, a trial was conducted. 50 patients were selected randomly and interviewed for patient survey. Of which, 86% of the patients reported better understanding of their roles in medication safety and 98% reflected they will actively report their allergic status to health care workers on admission. 30 health care workers were interviewed. Of which, 78% reported the CUP programme facilitate better communication, as it created a communication channel to explain essential information to patient. The CUP programme showed that patients can contribute valuable information in the medication process and play a crucial role of avoiding medication errors in the hospital. Health care workers also benefit from the programme.