Authors:

Mia M Yates

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About Paper:

Introduction: Medication safety (MS) is critical within healthcare systems to identify, mitigate, and prevent harm. St Bartholomew's Hospital (SBH) utilizes a MS dashboard to document missed or delayed medication doses for hospitalized patients. Objective: To identify and describe missed doses of medication at SBH. Methods: Data from the Qliksense® dashboard was evaluated from July 2023 to June 2025, based on the date a medication was first prescribed. A total of 78,435 missed medication doses were cleaned and analyzed. Microsoft Excel® formulas were utilized to identify patient refused doses of medications on the SBH Critical Medications List. All 'prn' medications were excluded. Data was further analyzed to evaluate 'habitually refused' medications. The definition of 'habitually refused' was a medication refused two or more times by a patient during their hospital stay. Results: A total of 5,768 doses were identified as refused. The top three medications refused included enoxaparin, morphine, and oxycodone. Most patient refusals occurred in respiratory and oncology wards. There were 3,757 (65%) 'habitually refused' doses by a total of 410 patients. Enoxaparin was the most habitually refused critical medication, accounting for 1304 (35%) habitual refusals by 166 patients. Conclusions: The characterization of frequently refused medications highlights the need to further examine the patient refusal reporting system, communication protocol between hospital staff when a patient refuses a critical medication, and patient education strategies to reduce refused doses. Future MS research at SBH also includes a focused review of habitual enoxaparin refusals and evaluation of the venous thromboembolism risk assessment protocol. Keywords: [no keywords provided] † Presenting Undergrad Author; ‡ Contributing Undergrad Author; * Undergrad Acknowledgment

Source:

Purdue University / 2025

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No topics listed

Co-authors:

Mia M Yates